HomeMy WebLinkAbout0105920-BuildingOSHKOSH
ON THE WATER
.lob Address 2130 WHITE SWAN DR
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner L'ESPERANCE THOMAS
Contractor MATHWlG BUILDERS
Category 110 - New Single Family
No 105920
Create Date 12/29/2003
Plan E1-161-1203R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size Irrg
Unfinished/Basement 2005 Sq. Ft. Rooms 10 Height 32 Ft. L~ Projection J
Finished/Living 5575 Sq. Ft. Bedrooms 4 Stories 2 Canopies 0
Garage 1150 Sq. Ft. Baths 5 Signs 0
Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other
~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Required Flood Plain Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/ New single family, 3 car attached garage, 10' x 20' patio. The driveway shall not exceed 24' wide at the front property line.
of Work
HVAC Contractor MCM AIR INC Plumbing Contractor KOCH PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $634,500.00 Plan Approval $75.00 Permit Fee Paid $2,014.00 Park Dedication $200.00
Issued By: Date 01/02/2004 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 N2876 24TH RD WAUTOMA WI 54982 - 7916 Telephone Number 787-5606
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.
OSHKOSH
ON THE WATER
Name L'ESPERANCETHOMAS
GRADE STAKE FORM
Address 2130 WHITE SWAN DR
Lot 204 Block
Subdivision 5th Add't Nort Point Plat Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 12/29/2003 Set By
mb 12-30-03
Grade Stake Number 7084
Create Date 12/29/2003
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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0105920
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
~.~ei~~~ [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
L'ESPERANCE THOMAS 1945 CLIFFVIEW DR Oshkosh WI 54901 - 0000
Contractor: L~J Con~J Elecl~ HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
MATHWIG BUILDERS 6917 N2876 24TH RD WAUTOMA WI 54982 - 7916 787-5606
Contractor: ~J Con ~J Elecl~ HVACI~ Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX749 NEENAH WI 54957 - 749 920-722-1240
Contractor: ~J Con ~J Elecl~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 Lic/Cert # Mailing Address Telephone No.
KOCH PLUMBING 2005 DOTY ST OSHKOSH WI 54902 - 0 920-231-6661 or
Lot Area Sq. ft. 1/4, 1/4, Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
2130 WHITE SWAN DR 5th Add't Nort Point Plat 204
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft. ft ft.
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground
[] Other: [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other = more installed electric space heating equip.
<.2 ~RI~ i~E.D ~ [] Site Constructed ~ Concrete Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 2005 Sq. ft. ~{~ ~ ~Ri~ <:~ Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 5575 Sq. ft. [] 1-Story [] Septic
Garage 1150 Sq. ft. [] 2-Story x8 ~ ~[] Seasonal
Permit No. Envelope 67368 BTU/HR
[] Other Infiltration 52292 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $689,000.00
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" SHEET
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
,/ Construction
Plan Review $75.00 _
HVAC Name John Zarate
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 12/29/2003
Other [] Erosion
Total $105.00 · 306830 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address 1945 CLIFFVIEW DR
Subdivision 5th Add't Nort Point Plat
Building Permit Number 0105920
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
2130 WHITE SWAN DR
L'ESPERANCE THOMAS
Date 01/02/2004
Oshkosh WI 54901
Lot 204
1
$200.00
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date