Loading...
HomeMy WebLinkAbout0108818-BuildingOSHKOSH ON THE WATER .lob Address 3120 QUAIL RUN DR Designer C KABAT CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner PAWEL & JILL GALAZKA Contractor LEGACY BUILDERS INC Category 110 - New Single Family No 108818 Create Date 06/21/2004 Plan F1-O60-O604R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: VB Size 42'X56' IRRG Unfinished/Basement 1343 Sq. Ft. Rooms 6 Height 34 Ft. ~J Projection Finished/Living 4116 Sq. Ft. Bedrooms 4 Stories 2 Canopies Garage 873 Sq. Ft. Baths 2 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/New single family with attached garage, driveway, patio, and pool as per plans. of Work HVAC Contractor MCM AIR INC Plumbing Contractor GERRITTS PLUMBING INC Electric Contractor ZWIERS ELECTRIC Fees: Valuation $485,600.00 Plan Approval $75.00 Permit Fee Paid $1,567.00 Park Dedication $200.00 Issued By: Date 06/21/2004 Final/O.P. 00/00/0000 Permit Voided I Parcel Id # 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 N8078 HWY 149 FOND DU LAC WI 54935 - 0000 Telephone Number 920-927-1385 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 .lob Address 3120 QUAIL RUN DR Designer C KABAT CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner PAWEL & JILL GALAZKA Contractor L & L HOME IMPROVEMENT Category 110 - New Single Family No 108818 Create Date 06/21/2004 Plan F1-O60-O604R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: VB Size 42'X56' IRRG Unfinished/Basement 1343 Sq. Ft. Rooms 6 Height 34 Ft. ~J Projection Finished/Living 4116 Sq. Ft. Bedrooms 4 Stories 2 Canopies Garage 873 Sq. Ft. Baths 2 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/New single family with attached garage, driveway, patio, and pool as per plans. of Work HVAC Contractor MCM AIR INC Plumbing Contractor GERRITTS PLUMBING INC Electric Contractor ZWIERS ELECTRIC Fees: Valuation $485,600.00 Plan Approval $75.00 Permit Fee Paid $1,567.00 Park Dedication $200.00 Issued By: Date 06/21/2004 Final/O.P. 00/00/0000 Permit Voided I Parcel Id # 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 N8078 HWY 149 FOND DU LAC WI 54935 - 0000 Telephone Number 920-927-1385 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 PAWEL & JILL GALAZKA GRADE STAKE FORM Address 3120 QUAIL RUN DR Lot 19 Block Subdivision 1st Add Quail Run Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 06/21/2004 Set By Grade Stake Number 7170 Create Date 06/21/2004 Ward IRRG ~J 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 o1o8818 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. PAWEL & JILL GALAZKA LARSEN WI 54947 - 0000 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. L & L HOME IMPROVEMENT 666661 N8078 HWY 149 FOND DU LAC WI 54935 - 0 920-927-1385 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. ZWIERS ELECTRIC 170545 N4189 MURPHY RD KAUKAUNA WI 54130 - 0 920-788-2533 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. GERRITTS PLUMBING INC MP7214 709 DEERVIEW DR APPLETON WI 54913 -0 920-739-1399 I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 3120 QUAIL RUN DR 1st Add Quail Run 19 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: 200 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 1343 Sq. ft. · Treated Wood [] Municipal air infiltration barrier. Living Area 4116 Sq. ft. [] 1-Story · Other Garage 873 Sq. ft. [] 2-Story ~ [] Septic Permit No. Envelope 46733 BTU/HR [] Other [] Seasonal Infiltration 38420 BTU/HR [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~ [] Plus Basement [] Other [] Private On-Site Well $590,000.00 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 Brian NoB Inspection Electrical Wis. Permit Seal $30.00 [~ Plumbing Date 6/21/04 Other [] Erosion Total $105.00 · 306898 Cert. No. 70266 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER .lob Address 3120 QUAIL RUN DR Name PAWEL & JILL GALAZKA Address Subdivision 1st Add Quail Run Building Permit Number 0108818 Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD Date 06/21/2004 LARSEN WI 54947 Lot 19 1 $200.00 Number of Structures Fee Paid Owner's Signature Inspector's Signature Date Date ZONING/LAND USE COMPLIANCE CHECKLIST PROPERTY OWNER/CONTRACTOR: ~.~'-©.~'~ C? CONSTRUCTION DATA.~New Construction [] Addition [] Alteration TYPE OF CONSTRUCTION: {i.e. ence, poo, parking lot, sign, etc.) COMPLIANCE CHECKLIST DEFICIENT DEFICIENT DEFICIENT [] Use [] Lot Width [] Lot Area [] Lot Area Per Family [] Flood Plain [] Front Yard [] Front Yard Side Street COMMENTS: r--i Rear Yard [] Side Yards r-1 Building Area [] Parking Standards t--1 Off-Street Loading Standards [] Vision Clearance ~1 Transitional Yard Standards [--~ Landscape Standards [] Height [] Conditions of Approval [] Compliance with P.C. or BZA Conditions of Approval [] Signage Standards [] Mechanical Equip. Screening [] Parking Lot Lighting REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: __ 2003 N 3120 Quail Run Drive S 87"57'56" £ 9.06' 82°41' N 89'17'30' W 80.05' Lot 19, First Addition to Quail Run Farms, City of Oshkosh 1" = 30'-0"