HomeMy WebLinkAbout0140192-Building CITY OF OSHKOSH No 140192
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 925 DOVE ST Owner MICHAEL ZESSIN Create Date 03/23/2010
Designer Contractor OWNER
Category 110 - New Single Family Plan UDC - 2950 -0310
Type • Building 0 Sign 0 Canopy 0 Fence Q Raze
Zoning R -1 Class of Const: 8 Size Irrg
Unfinished/Basement 1298 Sq. Ft. Rooms 3 Height 16 Ft. ❑ Projection
Finished /Living 1298 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 418 Sq. Ft. Baths 2 Signs
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family* 1 story, 2 car attached garage. No deck or patio.
of Work
HVAC Contractor MCM AIR INC Plumbing Contractor O'NEILL ENTERPRISES INC
Electric Contractor UNKNOWN ? ? ??
Fees: Valuation $78,500.00 Plan Approval $75.00 Permit Fee Paid $375.00 Park Dedication $0.00
Issued By: Date 03/25/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 1603040000
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 secure any necessary approvals before starting such activity.
I have read and unders / af re m ioned information.
Signature `�i` .4.1.4.--- Date >c
Agent/Owner
Address 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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0140192
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701 -2509
Wisconsin Statues 101.63, 101.73
►++ E • ..e ❑ Constr ❑ HVAC ❑ Elec ❑ Plbg Q Erosion ❑ Other.
Owner's Name Mailing Address Telephone No.
MICHAEL ZESSIN 2445 HICKORY LN OSHKOSH WI 54901 - 2521 920 -468 -2500
Contractor: Ni Con❑ Elec❑ HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
OWNER N/A Oshkosh WI 54901 - 0
Dwelling Contr. Qualifier Lic/Cert # The Dwelling Contr. Qualifier shall be an owner, CEO, COB or employee of
N/A N/A Dwelling Contr.
Contractor: ❑ Con Q Elec ❑ HVAC Plbg LicCert # Mailing Address Telephone No.
UNKNOWN ? ? ?? 171337
0 _0
Contractor: U Con Li ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNE WI 54986. 9780 920 - 582 -4402
Contractor: ❑ Con U Elec U HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
O'NEILL ENTERPRISES INC 225344MP 522 W 6TH AVE OSHKOSH wi 54902 - 5916 920 - 230 -2007
►+ e Lot Area Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
925 DOVE ST
Zoning District(s) Zoning Permit No. Front Rear Left Right
• rrr r� i i i i
K " - e a ••• �� + : OCCUP �1 r p 0 . + - - . - t a �j�j ; +j j 1
Q New Entrance Panel • • • .•.•.•.•+•.•.•.•
❑ Repair Q S ingle Family Entrl 4 Forced Air Fumace Nat Oil Elec. Solid Sole
El Alteration ❑ Raze — Two Family Size: 200 amp El Radiant Baseboard or Panel Fuel Ga -®
❑ Addition Garage Service: ❑ Heat Pump Space Htg 0 ❑ ❑ ❑ ❑ ❑
❑ Move ❑ Other (print): Q Overhead
❑ U nderground 11] Boiler Water Htg Q El ❑ El ❑ ❑
❑ Other: i ❑ Central Air Conditioning * ❑ Dwelling unit will have 3 kilowatt or
— .1517C2 j�I , ° 4 Other , more installed electric space heating a ui
'a • 1 1 Site Constructed MI Concrete p g q g
�` M Infiltration control option is: Ill Full sealing
Unfinished ❑ Manufactured ❑ Masonry Sewer ofjoints.
• .��. Treated Wood f1 ❑ Blower door test. ❑Exterior
Basement 1298 Sq. ft. • : • •+�_ +� Q Municipal air infiltration barrier.
1-Story ❑ Other •••• 1
Living Area 1298 Sq. ft. 0 ry- - , w f , El Septic
•.,�.��• � .�
Y+0i +0�+
Garage 418 S ft. ❑ 2 -Story Permit No. Envelope 21051 BTU /HR
❑ Other ❑ Seasonal + „ . ! Infiltration 16404 BTU /HR
0 Permanent Q Municipal Utility k = r a , : ,,,° _ _ i_ _ _ _ i
Q Plus Basement ❑ Other ❑ Private On -Site Well 124500
1 agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability,
express or implied, on the state or municipality; and certify that all the above information is accurate. If one acre or more soil will be disturbeb, I understand that this
project is subject to ch.NR 151 regarding additional erosion control and stormwater management. 1 expressly grant the building inspector, or the inspector's authorized agent,
permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to inspect the work which is being done.
❑� I vouch that I am or will be an owner-occupant • thii dwelling for which I am applying for an erosion control or construction permit w out a Dwelling
Contractor Certification and have read the caution it =garding . ntractor responsibility on the Building Permit Application. _ ■ _
APPLICANTS SIGNATURE DATE SIGNED // „,- 2 y d
APPROVAL CONDITIONS This per is issued pu a nt to the following conditions. Failure to comply may result in suspensi. or
revocation of this permit or other penalty
See attached "Standard Conditions of Approval" sheet
+ 4.0 + � + . + 4 ❑ Town El Village 0 City ❑ County ❑ State of: Municipality Number of Dwelling Location:
!.� City Of Oshkosh 7 0 - 2 6 6
►+ i+ i+ i ++ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i + ++ i+ i+ i+ i+ i+ i+ i+ i i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i + ++ i+ i+ i+ i+ i i+ i* i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i ++ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i+ i
Plan Review $75.00 0 Construction
Inspection ❑ HVAC Name John Zarate ii ,1 , 4
❑ Electrical
Wis. Permit Seal $35.00 ❑ Plumbing Date 3/24/2010
Other Q Erosion
Total $110.00 ❑ 381709 Cert. No. 70330
SBD -5823 (R. 07/92)
OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 7540
Name MICHAEL ZESSIN Address 925 DOVE ST Create Date 03/24/2010
Lot Block Ward
Subdivision Zone
Street Number 925 Dove Lot Dimensions U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 03/24/2010 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the t -' established before excavation
has commenced.
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CITY OF OSHKOSH
STANDARD CONDITIONS OF APPROVAL
Project Address car 9Z9 J ovE S r Permit #
Please read the following information and sign at the bottom to acknowledge that you have read
and agree to comply with these conditions.
1. All habitable rooms must be provided with 8% light and 3.5% ventilation. Bedrooms
located on the second floor or below ground level must be provided with egress windows
in addition to the light and ventilation requirements. Basement windows are also required
to have window well areas in accordance with COMM 21.03.
2. Garage spaces shall be separated from the dwelling unit in accordance with COMM
21.08. The door and frame assembly between the dwelling unit and an attached garage
shall be labeled by an independent testing agency as having a minimum fire- resistive
rating of 20 minutes. All drywall joints are required to be taped /sealed unless the
joints are fitted so that the gap is no more than a dimes thickness (1/20 -inch) and
backed by solid wood or drywall with the joints staggered.
3. All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, slits and holes in electrical boxes, gaps
around heating ducts, and holes in the return air spaces.
4. Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
detectors are required to be hardwired and interconnected with battery back -up. .
5. Hydromassage tubs are required to have an access panel to the motor. The access panel
must be accessible without removing the finish of the house.
6. The truss manufacturer must design all overframing, according to standards set by the
truss plate institute, or structural calculations must be provided prior to the rough building
inspection.
7. Truss plans must be submitted and approved prior to framing the roof.
8. Truss plans including the truss layout must be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all microlams with point loads on them.
9. Column caps are to be designed to ensure adequate beam bearing, provide a positive
connection to the beam without splitting the member, and provide lateral restraint.
I: \inspections \Forms \Printed Forms \Standard Conditions. of Approval Rev 11- 06.doc
10. The property owner and applicant is responsible for compliance with COMM 21.125
(Erosion Control). When installing access drives, a minimum of 2 " -3" diameter stone is
required in addition to a minimum of 6" depth, 30' -50' length, and 14' -20' width. Erosion
control measures must be maintained until the lawn is established.
11. All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the end of each workday. Repair any
siltation or erosion damage to adjoining surfaces and drainageways resulting from land
development or disturbing activities.
12. The building placard must be posted on site at all times. Once the rough framing is up
the placard must be posted on the patio door or on a kitchen window. If the placard is not
present at any inspection, stop work orders will be posted. Additional placards can be
obtained through our department if the cards are misplaced.
13. All mechanicals must be roughed in prior to requesting the rough building inspection. If
on the inspection the mechanicals are not roughed in, the inspection will fail and a $100
re- inspection fee will be charged.
14. Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid the $100 re- inspection fee per inspection.
15. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in place due
to the electrical inspector needing to look at the power serving the appliances
16. A 6' stepladder must be on site at the final inspection to provide access to the attic.
17. When requesting final inspections please note that a minimum of 2 days notice is needed
from the time the inspection is ready. At the final inspection no furniture or personal
belongings are allowed in the dwelling. If occupancy is required prior to the completion
of the house the applicant/owner is required to submit an application for a Temporary
Occupancy Permit along with the required fees. A Temporary Occupancy may be
approved provided that all health and safety issues are complete and approved.
18. The building placard must remain on the patio door or on a kitchen window until
occupancy is approved. Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
given.
19. All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor.
Signature of Applicant: , , 1 , Date: " Z y - 10 At_
I: \Inspections \Forms \Printed Forms \Standard Conditions of Approval Rev 11- 06.doc