HomeMy WebLinkAbout0127308-Building
~. . CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
No
127308
Job Address 2003 MOUNT VERNON ST Owner TIM MC BRAIR
Create Date
10/16/2007
Designer
Contractor TIM MCBRAIR
Category
110 _ New Single Family Plan 049-1007
Type
. Buildin
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size Irrg
Finished/Living
1156 Sq. Ft.
1156 Sq.Ft.
440 Sq.Ft.
Rooms
5
Height
19 Ft.
DProjection I
Unfinished/Basement
Bedrooms
3
Stories
Canopies
Garage
Baths
2
Signs
Foundation . Poure Concrete 0 Floating Slab
o Concr te Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Re, uired
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedication
No Required
# Dwelling Units
# Structures
Use/Nature NSFRI Ne single farnily*l story, 2 car attached garage and 12' x 12' patio and 20 wide concrete driveway.
of Work
HV AC Contractor
RANT SCHULTZ HEATING & COOLING
Plumbing Contractor SBS PLUMBING LLC
In the performance ef this work I agree to perform all work pursuant to rules governing the described construction.
While the City of 0 hkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pe mit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se ure a ecess approvals b fore starting such activity.
(
Plan Approval
$75.00 Permit Fee Paid
$361.00 Park Dedication
$0.00
Electric Contractor
Fees: Valuation
Issued By:
Date 10/17/2007
FinaIlO.P. 0010010000
D Permit Voided I
Parcelld # 1515420000
Signature
Date J(' /f)-I 7-07
Address
WI 54901 - 9787
Telephone Number
740-8423/231-3146
To schedule ins ections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. F oting, 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 inl pection is not performed within two business days from the time the project is ready.
Wisconsin Departmen~ of Industry,
Labor and Human Relations
Safety and BUildings dvision
P.O. Box 2509
Madison, WI 53701-25 9
Wisconsin Statues 101.63,101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0127308
Parcel No.
o HVAC DElee o Plbg ~ Erosion o Other:
Mailing Address Telephone No.
3760 PARK VIEW CT OSHKOSH WI 54901 - 0000
Plbg Lie/Cert # Mailing Address Telephone No.
853253 3760 PARKVIEW CT Oshkosh WI 54901 - 9787 740-8423/231-3
Lie/Cert # Mailing Address Telephone No.
950706 825 HARBORVIEW CT OSHKOSH WI 54901 - 1642 (920) 420-3751
Mailing Address Telephone No.
891206 55 CRIMSON LN OSHKOSH WI 54902 _ 7298 (920) 216-1616
Lie/Cert # Mailing Address Telephone No.
246943 4635 RED FOX RD OSHKOSH WI 54904 - 7784 920-410-5933
S . ft. 1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block No.
o 0
o 0
1156
Living Area 1156
Garage 440
~ Municipal Utility
~ Plus Basement 0 Private On-Site Well
The applicant agrees to c mply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no leg I liability, express or i lied, on the Department or municipality; and certifies that all the above information is accurate.
~ DATE SIGNED Y--.../O -;7 -0)
APPROVAL CONOI IONS 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 "STANDARD COND TIONS 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
-/ Construction
o HVAC
o Electrical
o Plumbing
~ Erosion
o
Name JOHN ZARATE
Date 10/16/2007
$105.00
352326
Cert. No. 70330
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