HomeMy WebLinkAbout0105470-BuildingOSHKOSH
ON THE WATER
.lob Address 1058 BISMARCKAVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DEL TRITT CONSTRUCTION
Contractor DEL TRITT CONSTRUCTION LLC
Category 110 - New Single Family
No 105470
Create Date 11/05/2003
Plan El-149-1103R
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size IRR
Unfinished/Basement 1110 Sq. Ft. Rooms 3 Height 18 Ft. ~ Projection
Finished/Living 1110 Sq. Ft. Bedrooms 2 Stories 1 Canopies
Garage 440 Sq. Ft. Baths 1 Signs
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/1 story home with a 2 car attached garage, 12'x9' covered patio.
of Work
HVAC Contractor MCM AIR INC Plumbing Contractor RASMUSSEN PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $80,000.00 Plan Approval $75.00 Permit Fee Paid $320.00 Park Dedication $200.00
Issued By: Date 11/25/2003 Final/O.P. 00/00/0000
Permit Voided
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.
Signature Date
Agent/Owner
Address 6228 COUNTY RD N PICKETT WI 54964 - 9533 Telephone Number 589-4209
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 0105470
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
DEL TRITT CONSTRUCTION 6228 COUNTY RD N PICKETT WI 0 - 0000 589-4209
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
DEL TRITT CONSTRUCTION LLC 665731 6228 COUNTY RD N PICKETT WI 54964 - 9533 589-4209
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
DEL TRITT CONSTRUCTION LLC 6228 COUNTY RD N PICKETT WI 54964 - 9533 589-4209
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNfW 54986 - 9780 (920) 582-4402
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
RASMUSSEN PLUMBING 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 920-233-6747
I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
1058 BISMARCK AVE Foster Heights 5
Zoning District(s) Zoning Permit No. Front ft. Rear Left Right
Setbacks ft. ft ft
~R~
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
[] Alteration [] Raze [] Two Family Size: 100 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other: [] Other
[] Site Constructed ~ concrete - more installed electric space heating equip.
Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1110 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 1110 Sq. ft. [] 1-Story · Other
Garage 440 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 25487 BTU/HR
[] Other [] Seasonal Infiltration 13586 BTU/HR
[] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] Plus Basement [] Other [] Private On-Site Well $125,000.00
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 implied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS
revocation of this permit or other penalty
see standard conditions of approval
I~I1'-,1~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~i~Bi~l~N City Of Oshkosh 7 0 - 2 6 6
~ Construction
Plan Review $75.00 _
HVAC Name Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 11/5/03
Other [] Erosion
Total $105.00 · 292240 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address
Subdivision Foster Heights
Building Permit Number
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
1058 BISMARCK AVE
DEL TRITT CONSTRUCTION
6228 COUNTY RD N
0105470
1
$200.00
Date 11/25/2003
PICKETT WI 0
Lot 5
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
OSHKOSH
ON THE WATER
Name DEL TRITT CONSTRUCTION
GRADE STAKE FORM
Address 1058 BISMARCK AVE
Lot 5 Block
Subdivision Foster Heights Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/06/2003 Set By
D.W.G. BK- 593, P-37
Grade Stake Number 7065
Create Date 11/05/2003
Ward
Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.