HomeMy WebLinkAbout2001-Building . � ..
CITY OF OSHKOSH No ooso�ss
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3850 WOOD DUCK CT Owner Create Date 10/24/2001
Designer Ross Contractor LITJENS CONSTRUCTION
Category 110-New Single Family Plan C9-109-1001R
Type � Building � Sign 0 Canopy C Fence � Raze
Zoning R1-PD Class of Const: 8 Size irrg � �
Unfinished/Basement 1000 Sq.Ft. Rooms 9 Height 25 Ft. ,�^;, Projection
Finished/Living 1756 Sq. Ft. Bedrooms 2 Stories 2 Canopies
Garage 1001 Sq. Ft. Baths 4 Signs
Foundation � Poured Concrete � Fioating Slab � Pier � Other
� Concrete 81ock � Post Q Treated Wood
Occupancy Permit Required Flood Plain Yes Height Permit Not Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature �,NSFR/New Single Family w/attached garage,deck,patio and driveway as per plans.
of Work I
HVAC Contractor BREWER HEATING Plumbing Contrector HANSON QUALITY PLUMBING
Electric Contractor CHARLES ELECTRIC
Fees: Valuation 0 Plan Approval $75.00 Permit Fee Paid $779.00 Park Dedication $100.00
Issued By: � � Date 10/24/2001 Final/O.P.
/
;_] Permit Voided .
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In the perfo!_--;J is work I agree to,Perform all work pursuant to rules governing the described construction.
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Signature� ,-.� , � � /�,_. Date — "?
%CJ ' %—c>/
��� Agent/Owner
Address 1549 SHEBOYGAN ST OSHKSOH WI 54904 - 0000 Telephone Number (920)231-4504
� GRADE STAKE FORM
OSHKOSH
ON THE wATER Grade Stake Number 6621
Name Address 3850 WOOD DUCK CT Create Date 10/24/2001
Lot 39 Block Ward
Subdivision North Shore Preserve Plat Zone
Street Number Lot Dimensions IRRG IJ Sidewalk Existing �
Building Grade Elevation Stakes Set At Site 00/00/0000 Set By
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. /�' ' ��/
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Wisconsin Departmentof Industry, WISCONSIN UNIFORM Application No.
LaSor and NUman Relations
SafetyandBuildingsDivision BUILDING PERMIT oos0795
P.O. Box 2509 APPLICATION Parcel No.
Madison,WI 5370'I-2509
Wisconsin StaNes 101.63, 101.73
;�: PERMIT REQUESTED t�� ❑� Constr [� HVAC [I Elec I] Plbg � Erosion � Other:
Owner's Name Mailing Address Telephone No.
Oshkosh WI 54901 - 0000
Contractoc .i Con J Elec HVAC� plbg Lic/Cert# Mailing Address Telephone No.
LITJENS CONSTRUCTION 15498 1549 SHEBOYGAN ST OSHKSOH WI 54904- 0000 (920)231-4504
Contractor. Con �✓ Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
CHARLES ELECTRIC 248863 935 CAROLINE STREET NEENAH WI 54956- 0000 (920)727-4826
Contractor. �� Con �, � Elec `; HVAC�._'� Plbg Lic/Cert# Mailing Address Telephone No.
BREWER HEATING 4220 N8804 N DOUGLAS STREET RIPON WI 54971 - 0000 (920)748-6494
Contractor: �� Con � Elec I_; HVAC J Plbg LiGCert# Mailing Address Telephone No.
HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON W I 54915- 0000 730-0205
;�PROJECT LOCATION�' �ot Area S .ft. t/a, ��a,Section ,7 N,R e(or)w
Building Address Subdivision Name Lot No. Block No.
3850 WOOD DUCK CT North Shore Preserve Plat 3g
Zoning District(s) Zoning Permit No. Front Rear Left Right
�1.PROJECT?�''�,� � �„��",i�;�3.OCCUPANCY r+�y6.ELECTRICAL �;�9.HVAC EQUIPMENT ''2?'�',^12. ENER(3Y SOURCE ,,,= ' =,'4
� New n, Repair � Single Famliy Entrance Panel I]✓ Forced Air Fumace Fuel Nat. L.P. Oil Elec Solid��Sola
_� Alteretion �J Raze ❑ Two Family Size: 200 am ❑ Radiant Baseboard or Panel Gas •
Addition ��i Move � Garage Service: ❑ Heat Pump Space Htg �✓ r, '] r !^ _
" — i�] Other(print): ❑ Overhead 'I] Boiler Water Htg j✓. ;J C'
_, Other �� Underground � Central Air Conditioning Dwelling unit will have 3 kilowatt or
` ?�4.CONST.TYPE ;,k�7.FOUNDATION �I Other
more installed electric space heating equip.
`"F,2.AREA INVOLVED ,$,r,I��� Site Constructed 0 Concrete ��10.PLUMBING „ „ z xs� In5ltretlon control option is:❑ FWI sealing
Unfinished ❑ Manufactured � Masonary Sewer of�oints. Blower door test.
Treated Wood � ❑ C Exterior
Basement 1000 Sq.ft. �5.STORIES �>�� [� Municipal air infiltralion barrier.
1-Sto ❑ �ther I� Septic ;.13.HEAT LOSS Calculated
Living Area 1756 Sq.ft. ❑ rY 1 ,�.tis�.�-'�.?F
�✓ 2-Story ��8•USE � � .?�? Permit No. Envelope 40735 BTU/HR
Garage �401 Sq.ft. Seasonal ..
[I Other �11.WATER ��?�`,vS;�9�� Infiltretion 29303 gTU/HR
[✓�, Permanent
� ; Other I� Municipal Utility .'�14. EST.BUILDING COST .
0✓ Plus Basement ❑ Private On-Site Well $261,674.00
The applicant agrees to comply with all applicable codes,statues�d ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, pFess plied,on the Department or municipality;and certifes that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED �cD 2 �f C% �.
APPROVAL CONDITIONS This permit is issued pursuant to th�following conditions. Failure to comply may result in suspensio br
revocation of this permit or other p�enalty �
See Plan Review
�`%�ISS(JING � . ❑ Town � Village �✓j' City � County � State of: Municipality Number of Dwelling Location:
��JURISDICTION City Of Oshkosh 7 0 - 2 6 6
r . ,
FEES � � - PERMIT(S) WIS UNIFORM PERMIT �` � �� � �' ,���$����
� �-��- ��� .PERMIT ISSUED BY: �� � �� �
rr,r'�nrz� ISSUED SEAL NO �'"` `�r,.';
�,`,.`<. , u,:�a+„` .� . . . .�S .. __k����.�C�zn.?`zn:.:r.,S�c2�`��.� ..s..,�. .,�-. r r '�,-
— '_ ��._.,�..,u� .
Plan Review $75.00 ✓ Construction
Inspection HVAC Name Brian Noe
Wis. PermitSeal �u30.00 EI@CtfIC81 Date 10/24/2001
omer Plumbinp
✓ Erosion
Total $105.00 �; 264798 Cert. No. 70266
SBD-5823(R. 07/92)
� . PARKLAND DEDICATION FEE COLLECTION RECORD
OSHKOSH
ON THE WATER
Job Address 3850 WOOD DUCK CT Date 10/24/01
Name
Address Oshkosh WI 54901
Subdivision North Shore Preserve Plat Lot 39
Building Permit Number 0090795
Number of Dwelling Units 1 Number of Structures 1
Fee Required 5�00.00� Fee Paid
Owner's Signature " �i.L Date � o`
Inspector's Signature � � �,���-, ✓-�-;� ��. Date �G ��- 2 y -c?!�
L/
.. �
20NING/LAND USE COMPUANCE CHECKLiST I
JOB LOCATION: �� ;�'� >`t� IV�rv�. 5 h�-� �w�ZONING��I i��
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction Addition Alteration
7YPE OF CONSTRUCTION: (i.e. fence, pool, pariting bt, sign, etc.) � vrhi ���C.� ����
�,.A.�4.�ni.�
COMPLIANCE CHECKLIST
DEFICIENT COMMENTS
Use �.��:5 N—C�mZ �y h�.�� ��t.,��<� i�S � �;:��-� 1�t��a�j��f3�n��
Lot Width
Lot Area � �,�w��r��w,-..� w:\ 6^�� -h? ;����„� ��� �,n✓�
Lot Area Per Family
Floodplain �i. �vc�. � v��•,n �u-wa^u-y. = {— �u,nti ��,,.�� ,'�,wl�
Front Yard , � � p �
(r� '�li 7Th�e.i'�u 1�C„ ��v� F�.�� ��I'rl�u. !W"'FiI� 4' :.tw �+-��5.1���
Front Yard Side Street `� � �
Rear Yard ��l.i u-,,.Y�r;k..h:�r- �.�;U H� �k9 ��:��'�+.4: ��,,�w�oi -�rw'� ��'�
Side Yards - ��� ��„y ,�� ��� ;
Building Area �'�^�% ��'"� ��' `'� `�'���"� �'��
Parking Standards �-p :Y 4;y'� � �ra i„ ,
Off-Street Loading Standards
Vision Clearence �. ���� � � ���� w�� �, � ��_� ,w �,� ,�
Trensitional Yard Standards �
Landscape Standards
Height
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Qirector of Community Development, or
designee, must approval all plans, except the following: (1) Afterations or interior work when the use is
confortning and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc.,
when the use is confortning and when no change is proposed.
� APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: � � i _� DATE: Il� - ��1��,' 1
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