HomeMy WebLinkAbout0122154-Building
.,
OSHKOSH
ON THE WATER
Job Address 2021 MOUNT VERNON ST
CITY OF OSHKOSH
No
122154
BUILDING PERMIT - APPLICATION AND RECORD
Owner PATRICIA A NOURSE
Create Date
10/17/2006
Designer
Contractor TIM MCBRAIR
Category
110 - New Single Family Plan 50-1006
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size Irrg
Unfinished/Basement 1156 Sq. Ft.
Rooms
5
Height
19 Ft.
D Projection I
Canopies
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
3
Stories
Signs
Garage
Baths
2
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
Not Required
# Dwelling Units
# Structures
Use/Nature NSFD/ New single family* with 2 car attached garage, 12' x 12' patio, 20' wide driveway.
of Work
Plumbing Contractor SBS PLUMBING LLC
HV AC Contractor
ANDRESEN SHEET METAL
Electric Contractor ELECTRICAL CONTRACTING SPECIALISTS
Fees: Val~$79,30l00
Issued By: LA.
--
Plan Approval
$75.00 Permit Fee Paid
$358.00 Park Dedication
$0.00
Date 10/19/2006
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 1515390000
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) and to see any necessa approv Is befor~ starting such activity.
Signature
Date jo -I "I-aCe.
Address
3760 PARKVIEW CT
Agent/Owner
Oshkosh
WI 54901 - 9787
Telephone Number
740-8423/231-3146
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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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.Wi&consin 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.
0122154
Parcel No.
o Constr
o HVAC 0 Elec
Mailing Address
2021 MOUNT VERNON ST
Mailing Address
3760 PARKVIEW CT
Mailing Address
PO BOX 42
Mailing Address
2913 WITZEL AVE
Mailing Address
PO BOX 3904
o Plbg
~ Erosion 0 Other:
Owner's Name
PATRICIA A NOURSE
Contractor: 0/ ConO ElecD HVAC Plbg LicJCert#
TIM MCBRAIR 853253
Contractor: Con 0/ Elec HV AC Plbg LicJCert #
ELECTRICAL CONTRACTING SPECIALISTS LL( 662631
Contractor: Con Elec 0/ HV AC Plbg Lic/Cert #
ANDRESEN SHEET METAL 15585
Contractor: U Con Elec Plbg LicJCert #
SBS PLUMBING LLC 246943
Telephone No.
OSHKOSH WI 54901 - 2331
Telephone No.
Oshkosh WI 54901 - 9787 740-8423/231-3
Telephone No.
BERLIN WI 54923 - 0 920-428-7000
Telephone No.
OSHKOSH WI 54904 _ 6539 (920) 233-0323
Telephone No.
OSHKOSH WI 54903.3904 920-410-5933
S . ft.
Subdivision Name
1/4,
1/4,Section ,T
Lot No.
N,R E(or)W
Block No.
Forced Air Furnace
o Radiant Baseboard or Panel
o Heat Pump
o Boiler
o Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg ~ 0 00 0 0
Water Htg ~ 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Living Area
Garage
1156
1156
440
Sewer
~ Municipal
o Septic
Permit No.
~ Municipal Utility
~ Plus Basement 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, express or' plied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE '1. n DATE SIGNED /O-I'1,-{)~
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
SEE ATTACHED "STANDARD CONDITIONS OF APPROVAL" SHEET
o Village ~ City 0 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
0/ Construction
o HVAC
o Electrical
o Plumbing
~ Erosion
o
Name JOHN ZARATE
Date 10/19/2006
$105.00
352286
Cert. No. 70330