Loading...
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