HomeMy WebLinkAbout0070955-Building a CITY OF OSHKOSH No 0070955
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2615 MONTCLAIR PL Owner JEFFREY 0 THORKILDSEN Create Date 6/21/99
Designer Contractor GARRY H DECKER & CO 05/11/00
Category 111 - Single Family Addition Plan
Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size 20.5' x 20.5'
Unfinished /Basement 427 Sq. Ft. Rooms 1 Height Ft. Projection
Finished /Living 427 Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation Poured Concrete 0 Floating Slab O Pier 0 Other
Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature 1 ons ruc a..1 ion as per p ans su • mi' e•
of Work
HVAC Contractor TENTH ST STATION INC Plumbing Contractor
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation 7,5 .00 Plan Approval $0.00 Permit Fee Paid $100.00 Park Dedication $0.00
Issued By: Date 6/21/99 Final /O.P.
0 Permit Voided
In the performance of his wor I agree to perfor all rk pursu nt to rules governing the described construction.
Signature( m a Date
6a 9
Agent/Owner
Address 1113 OREGON ST OSHKOSH WI 54901 - 0 Telephone Number 235 -8035
CITY OF OSH OSH : 1JII,DING PERMIT APPLICATION
Owner's Name Mailing Address Phone No.
o.
Jeff & Debbie Thorkildsen 2615 Montclair Place, Oshkosh ( 92d 426 -2627
Contractor's Name: Mailing Address Lic /Cert # Phone No.
1113 Oregon St. ( 92d 235 -8035
Garry H. Decker & Co. Oshkosh, WI 54901 7739
Plumbing Contractor's Name: Mailing Address Lic /Cert # Phone No.
1303 Midway Road ( 800) 801 -8125
Watters Plumbing P.O. Box 118 6228
Menasha. WT 54957 _
Electrical Contractor's Name: Mailing Address Lic /Cert # Phone No. •
P.O. Box 749 (920) 231 -5946
Cumings Electric Neenah, WI 54957
HVAC Contractor's Name: Mailing Address Lic /Cert # Phone No.
924 Ohio St. (920) 236 -8770
Tenth Street Station Oshkosh, WI 54901
PROJECT LOCATION 1 story room addition do' to" x oO' 10" 6 S}ck 0,.easuie
- � is
Building Address Subdivision Name Lot No.
2615 Montclair Place
Zoning District Setbacks: Front Rear Left Right
ft. ft. ft. ft.
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PROJECT INFORMATION
OCCUPANCY AREA CONST. TYPE ,DORIES ELECTRICAL
-story Panel Size:
A Single Family Unfmished Basement 9� 7 - s q.ft. piSite Constructed ❑ 2 -Story
❑
427.75 ❑ Bi -lev 200 Am
❑ Two Family Living Area sq.ft. ❑ Manufactured ❑ Tri-level S p
❑ Quad -level Service:
❑ Other Garage sq.ft. ❑ Other - 911 Underground
_.� ❑ Overhead
FOUNDATION OE HVAC EOUIPMENT PLUMBING WATER
p4 Forced Air Furnace Sewer
W Concrete ❑ Seasonal ❑ Radiant Baseboard or Panel % Municipal % Municipal Utility
❑ Masonry )(Permanent ❑ Heat Pump ❑ Septic
❑ Treated Wood ❑ Other ❑ Boiler Permit No.
❑ Other ❑Private On -Site Well
o Central Air Conditioning ' r
❑ Other
ENERGY SOURCE HEAT LOSS EST. BUILDING COST
Choices: Natural Gas, L.P., Oil, Elec, Solid,
Solar Envelope Btu/Hr Without Mechanicals $
Space Htg Infiltration Btu /Hr With Mechanicals $ 3Q, 55° • c3
Water Htg •=_
APPLICANTS SIGNATURE: • DATE: / / --
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Building Permit Work Card
Job Address 2615 MONTCLAIR PL Permit Number 0070955 Create Date 06/21/1999
Owner JEFFREY 0 THORKILDSEN Contractor GARRY H DECKER & CO 05/11/00
Category 111 - Single Family Addition
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze J Plan
Zoning R -1 Class of Const: 8 Size 20.5' x 20.5' Value $27,550.00
Unfinished /Basement 427 Sq. Finished /Living 427 Sq. Ft. Garage Sq. Ft.
Ft.
Rooms 1 Bedrooms Baths 0 Projection
Stories Height Ft. Canopies Signs
Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other
Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Requirec
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature SFR/ Construct addition as per plans submitted
of Work
HVAC Contr TENTH ST STATION INC Plumbing Contr
Electric Contr CUMINGS ELECTRIC
Inspections:
Date 08/16/1999 Type Rough In Inspector Nicole Krahn L] Approved
No calcs on site
Date 08/18/1999 Type Rough In Inspector Nicole Krahn .± Approved
Rough In building re- inspect
Date 10/15/1999 Type Final Inspector Nicole Krahn U Approved
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ADDRESS: aU
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CONTRACTOR: \ -VQ.K Tune insp. Cast In 1
Date — 7 /�
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Time Insp. Needed
Requested By
Of
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Phone c C : ' 1
Project to to be Inspected Comtn/Res
Means of Access
BUILDING: / PLUMBING: ELECTRIC: HVAC EROSION CONTROL: PROPERTY MAINT.:
Footing Foundation ✓ Tat On Service F Silt Fence Unlicensed Veb.
. Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation SewevWater Temp Penn Fireplace EC Bales Dilapidated bid's,
Bsmt. Floor Reknit. UG OH Reinsp, Rcinsp. fences, etc.
Reinsp. Final Reinsp. Final Furst Eat. Mauu.
Final Other Final Other Other Other
'Other Other
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ADDRESS: tr kola CLIA-4,Z__ \4-00-/'"---- , Tune insp. ed nn q, i D O R
CONTRACTOR:
. Date - 1 � "t
Time Insp. Needed
Requested By .
Of •
Phone # •
Project to be Inspected Com( ). .
Means of Access "-
BUILDING: PLUMBING: ELECTRIC: HVAC: EROSION CONTRO PROPERTY MAINT.:
Footing / L: Rough Rough Rough Tracking Setback Park.
Foundation Tat On Service Furnace Silt Fence, Unliwtsed Veb.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation SewerrWmer Temp Perm Fireplace E.0 Bales. Dilapidated bids,
Bsmt: Floor Reinsp. UG OH Reinsp. Reinsp. fences, etc.
Reinsp. Final Reinsp. Final f ms1. Ext. Mainc..-----
Fiuul Other Final Other Other - Other
' Other Other
16 — 1 -1 / i
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