HomeMy WebLinkAbout0125553-Building
G
OSHKOSH
ON THE WATER
Job Address 223 MERRITT AVE
CITY OF OSHKOSH
No
125553
BUILDING PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH REDEVELOPMENT AUn Create Date 06/27/2007
Designer
Contractor TRI STAR LIVING
Category
110 - New Single Family Plan 028-0607
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const: 8
Size 28' x 54'
Unfinished/Basement ~ Sq. Ft.
Rooms
4
Height
15 Ft.
D Projection I
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
2
2
Stories
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family* 1 story with 1 car attached garage and wrap around front porch and ramp.
of Work
HV AC Contractor
O'NEILL ENTERPRISES INC
Plumbing Contractor MARSHALL PLUMBING
Electric Contractor BULLSEYE ELECTRIC INC
$75,000.00 Plan Approval
$75.00 Permit Fee Paid
$343.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 06/28/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcel Id # 0400320000
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)' nd to secure any necessary approvals before starting such activity.
Date
(Pb.~/Ol
I
Signatur
Address
Agent/Owner
Oshkosh
WI 54901 - 0000 Telephone Number 237-1083
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.
DRIVEWAY AND
GRAVEL ACCESS
11'-0"
12'-0"
silt fence
N
.j::>~
I
o
iT IS THE CONTRACTOR'S RESPONSIBII.I1Y TO ENSURE PROPER
EROSION CONTROL BY USE OF SilT FENCING, GRAVEl ACCESS
RONJWAY. OR OTHER APPROVED METHOD BY LOCAL AUTHORIlY.
CONSULT I.LH.R. 21.125, I.LH.R21.1J. AND LOCAl BUILDING
INSPECTOR FOR Nf'( QUES110NS.
233 Merritt
Parcel Address
Scale: 1 -20
Date 6-18-07
Contractor
Tri-States
MERRITT AVE.
53'
q~
I
o~
'-..I
I
'0')
Q
8'-0"
.1...
I
JUN 2 6 2007
DEPARTMENT OF
COMfvlUNlTY DEVELOPMENT
INSPECflON SERVICES DIVISION
STOCKPIlED SOil MUST BE SEEDED WITH RYE GRASS OR COVERED
WITH A TARP. EROSION CONTROL SHALL BE PLACED AT DOWN SLOPE
OF THE STOCKPILE.
~ :!J~ :IX<€
TEL (920) .(.26-1921
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.
0125553
Parcel No.
o Constr 0 HVAC 0 Elec 0 Plbg
Mailing Address
PO BOX 1130
Plbg LiclCert # Mailing Address
683799 51051-AH- MAYTAH RD
Plbg LiclCert # Mailing Address
171474 2547 NEKIMI AVE
Plbg Lic/Cert # Mailing Address
856757 522 W 6TH AVE
Plbg Lic/Cert # Mailing Address
225905MP N2026 29TH LN
S . ft.
Subdivision Name
o Erosion
o Other:
Telephone No.
OSHKOSH
WI 54903 - 1130
Telephone No.
Oshkosh WI 54901 - 0 237-1083
Telephone No.
OSHKOSH WI 54902 - 8855 (920) 420-2400
Telephone No.
OSHKOSH WI 54902 - 0 230-2007 (office
Telephone No.
REDGRANITE WI 54970 - 0 361-4846
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
Space Htg 0 0 0 0 0 0
WaterHtg 0 00 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.
1064
Living Area
1064
352
o Seasonal
o Permanent 0 Municipal Utility
o Plus Basement 0 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, .expr ss or implied, on the Department or municipality; and certifies that all the above information is accurate.
;
Garage
DATE SIGNED
APPLICANT'S SIGNATUR
APPROVAL CONDITIONS
Failure to comply may result in suspension or
o Village 0 City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
~ Construction
o HVAC
o Electrical
o Plumbing
o Erosion
o
Name JOHN ZARATE
Date 6/27/2007
Total
SBD-5823 (R. 07/92)
$105.00
352331
Cert. No. 70330