HomeMy WebLinkAbout0123088-Building
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OSHKOSH
ON THE WATER
Job Address 1821 OHIO ST
CITY OF OSHKOSH No 123088
BUILDING PERMIT - APPLICATION AND RECORD
Owner MIKE ZESSIN Create Date 01/02/2007
Designer
Contractor OWNER
Category
110 - New Single Family Plan 001-0107
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size
Unfinished/Basement ~ Sq. Ft.
Rooms
4
Height
15 Ft.
o Projection I
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms 2.
Stories
Canopies
Garage
Baths
2
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family* 1 story with a 2 car attached garage. NO DECK OR PATIO WITH THIS PERMIT.
of Work
HVAC Contractor
MARTENS HEATING & COOLING
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $92,000.00 Plan Approval
~
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Issued By:
Date 01/05/2007
Final/O.P. 00/00/0000
---
D Permit Voided I
Parcelld # 1407690000
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary provals before starting such activity.
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Signature 7' Y . / Vv'l';'....,
Date /- c;.- o. 7""
Address 2347 ASHLAND ST
Agent/Owner
Oshkosh
WI .54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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OSHKOSH
ON THE WATER
Job Address 1821 OHIO ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 01/05/2007
Name MIKE ZESSIN
Address
2448 HICKORY LN
Oshkosh
WI
54901
Subdivision Powers & Smiths add
Lot 5
Building Permit Number 0123088
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Pkt ~A~'-
//
Date / -G," c-- 1
Date
Inspector's Signature
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7416
Name MIKE ZESSIN
Address 1821 OHIO ST
Create Date 01/0212007
Lot 5
Block 3
Ward
Subdivision Powers & Smiths add
Zone
l,l'J Sidewalk Existing
Street Number 1821
Lot Dimensions
Building Grade Elevation Stakes Set At Site 01/0212007 Set By D.W.G.
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced. /jJ#4.--.-
/ /
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0123088
Parcel No.
o Constr D HVAC 0 Elec 0 Plbg
Mailing Address
2448 HICKORY LN
Plbg LiclCert # Mailing Address
2347 ASHLAND ST
Plbg LiclCert # Mailing Address
170792 PO BOX 749
Plbg LiclCert # Mailing Address
8831 PO BOX 514
Plbg Lic/Cert # Mailing Address
550 N BLUEMOUND RD
S . ft. 1/4,
Subdivision Name
Powers & Smiths add
Front
~ Erosion 0 Other:
Telephone No.
Oshkosh WI 54901 - 0000
Telephone No.
Oshkosh WI 54901 - 0
Telephone No.
NEENAH WI 54957 - 749 920-231-5946
Telephone No.
OMRO WI 54963 _ 0 920-685-0111
Telephone No.
APPLETON WI 54914 - 0 730-0205
1/4,Section ,T
Lot No.
5
Left
E(or)W
Living Area
Sq. ft.
Sq. ft. 1-Story
D 2-Story
Sq. ft. 0 Other
Concrete
o Masonry
Treated Wood
Other
Forced Air Furnace
o Radiant Baseboard or Panel
D Heat Pump
D Boiler
o Central Air Conditioning
Other
Garage
1230
1230
396
Sewer
~ Municipal
o Septic
Permit No.
~ Seasonal
D Permanent ~ Municipal Utility
~ Plus Basement D Other 0 Private On-Site Well
The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, expres;..qrJt!lplied, on the j1epartment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE ,./ % /l__./~.. _.......--.... DATE SIGNED /-. ;t:.,.. CJ?
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
Standard Conditions of Approval.
o Village ~ City County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
,I' Construction
o HVAC
o Electrical
o Plumbing
~ Erosion
o
Name John Zarate
Date 1/2/2007
$105.00
352296
Cert. No. 70330
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