HomeMy WebLinkAbout0124456-Building
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OSHKOSH
ON THE WATER
Job Address 2117 MOUNT VERNON ST
CITY OF OSHKOSH
No
124456
BUILDING PERMIT - APPLlCA liON AND RECORD
Owner TIM MCBRIAR
Create Date
04/24/2007
Designer
Contractor TIM MCBRAIR
Category
110 - New Single Family Plan 018-0407
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Size Irrg
Zoning
R-1
Class of Const: 8
Unfinished/Basement 1156 Sq. Ft.
Rooms
5
Height
19 Ft.
o Projection I
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
3
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 PermitfIJot Re~ired
Park Dedication
Requir~<:I_
# Dwelling Units
# Structures
UselNature NSFRI New single family, one story, 2 car attached garage and 12' x 12' patio.
of Work
I
I
I
J
HV ACContractor
GRANT SCHULTZ HEATING & COOLING
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor BUD'S ELECTRIC LLC
Fees: Valuat~ ---=-.:::-E~!\o.o.oo Plan Approval
Issued By: ~W
$75.00 Permit Fee Paid
$370.00 Park Dedication
$200.00
Date 04/27/2007
FinaIlO.P. OO/OQ~gQQ.Q
o Permit Voided I
Parcelld # 1515980000
In the performance of this work I agree to perform all work pursuant to rules governing 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) andto s~/.{e,anY"iJne~ssa.~ appro;,ls befo~..e starting such activity.
Signature ......./ ufMA .~~ ~. J!..~../JuA Date 1/-;). 7-07
l .
Agent/Owner ?J19- 1'1'~.3
Address 3760 PARKVIEW CT Oshkosh ._____ WI 54901 - 9787 Telephone Number L ..._, 231-3146
(
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
GRADE STAKE FORM
Grade Stake Number 7437
Name TIM MCBRIAR
Address 2117 MOUNT VERNON ST
Create Date 04/26/2007
Lot
Block
Ward
Subdivision
Zone
o Sidewalk Existing
Stre.et Number 2117 Mount Vernon
Lot Dimensions
Building Grade Elevation Stakes Set At Site 04/26/2007 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agreeto have the gr, e established before excavation
has commenced.
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.
0124456
Parcel No.
D Constr
D HVAC DElee
Mailing Address
D Plbg
~ Erosion D Other:
Plbg Lie/Cert #
853253
Plbg Lie/Cert #
950706
Plbg Lie/Cert #
891206
Plbg Lie/Cert #
246943
Mailing Address
3760 PARKVIEW CT
Mailing Address
825 HARBORVIEW CT
Mailing Address
55 CRIMSON LN
Mailing Address
4635 RED FOX RD
Telephone No.
Oshkosh WI 54901 - 0000
Telephone No.
Oshkosh WI 54901 - 9787 740-8423/231-3
Telephone No.
OSHKOSH WI 54901 - 1642 920-420-3751
Telephone No.
OSHKOSH WI 54902 _ 7298 (920) 216-1616
Telephone No.
OSHKOSH WI 54904 - 7784 920-410-5933
1/4,Section ,T N,R E(or)W
Lot No. Block No.
S . ft. 1/4,
Subdivision Name
Living Area
1156
1156
440
Sq. ft.
Sq. ft. ../ 1-Story
D 2-Story
Sq. ft. D Other
D Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement D Other D Private On-Site Well
The applicant agrees to comply with all appli Ie codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, xpress plied, on the ~partm t or mY,nicipality: and certifies that all the above inform,ation is accurate.
APPLICANT'S SIGNATURE ", . ~~ DATE SIGNED ,/'-..27 0 '7
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may resultin suspension or
revocation of this permit or other penalty
SEE" STANDARD CONDITIONS OF APPROVAL" SHEET
Garage
D Village ~ City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
../ Construction
D HVAC
D Electrical
D Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 4/26/2007
Total
SBD-5823 (R. 07/92)
$105.00
352313
Cert. No. 70330
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OSHKOSH
ON THE WATER
Job Address 2117 MOUNT VERNON ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 04/27/2007
Name TIM MCBRIAR
Oshkosh
WI
54901
Address
Subdivision Lot
Building Permit Number 0124456
Number of Dwelling Units Number of Structures
Fee Required
, ;100.'0.0. Fee Paid
~ jjf #1 tl!J.I~~;1
Owner's Signature
Date 'f~,). 7..0 7
Inspector's Signature
Date