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Home My WebLink About0108796 B(~ CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1240 W SOUTH PARKAVE Owner HAROLD R SALZER JR Designer J ROSS Contractor SALZER SIDING Category 110 - New Single Family No 108796 Create Date 08/18/2004 Plan F1-059-0804R Type 10 Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: Size 35' X 88' sq ft Unfinished/Basement 0 Sq. Ft. Rooms 4 Height 18 Ft. ~ Projection I Finished/Living 1100 Sq. Ft. Bedrooms 3 Stories 1 Canopies 0 Garage 528 Sq. Ft. Baths 0 Signs 0 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, and patio as per plans. of Work HVAC Contractor MCM AIR INC Plumbing Contractor WELLNITZ PLUMBING Electric Contractor SECKAR ELECTRIC Fees: Valuation $80,000.00 Plan Approval $75.00 Permit Fee Paid $349.00 Park Dedication $200.00 Issued By: Date 06/18/2004 Final/O.P. 00/00/0000 Permit Voided Parcel Id # 9130725010 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 PO BOX 825 OSHKOSH WI 54903 - 0825 Telephone Number (920) 231-5025 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 HAROLD R SALZER JR GRADE STAKE FORM Address 1240 W SOUTH PARK AVE Lot Block Subdivision Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 06/18/2004 Set By Grade Stake Number 7169 Create Date 06/18/2004 Ward 60' x 155.88' ~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 0108796 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. HAROLD R SALZER JR OSHKOSH WI 54903 - 0000 410-0494 CELL Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. SALZER SIDING 7351 PO BOX 825 OSHKOSH WI 54903 - 825 (920) 231-5025 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. SECKAR ELECTRIC 689404 5920 COURTNEY PLUMMER RD WINNECONNf WI 54986 - 0 920-582-4909 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. WELLNITZ PLUMBING 223819 4810 AMBERWOOD LN APPLETON WI 54915 -0 (O)231-7390 'lLotArea sq. ft. 1/4, 1/4,section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1240 W SOUTH PARKAVE 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 more installed electric space heating equip. concrete Infiltration control option is: [] Full sealing [] Site Constructed Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 0 Sq. ft. · Treated Wood [] Municipal air infiltration barrier. Living Area 1100 Sq. ft. [] 1-Story · Other Garage 528 Sq. ft. [] 2-Story ~ [] Septic Permit No. Envelope 21381 BTU/HR [] Other [] Seasonal Infiltration 13415 BTU/HR [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~ [] Plus Basement [] Other [] Private On-Site Well $112,000.00 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 Plan 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 6/18/04 Other [] Erosion Total $105.00 · 306897 Cert. No. 70266 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address Subdivision Building Permit Number Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD 1240 W SOUTH PARKAVE HAROLD R SALZER JR Date 06/18/2004 OSHKOSH WI 54903 Lot 0108796 1 Number of Structures $200.00 Fee Paid Owner's Signature Inspector's Signature Date Date 60' SILT FENCE 35'-0" -- 26' HOUSE PLAN# RAN- 1100-60~1 J GARAGE 22' 60' COh~Uf~ U..H.R. 21.125. I.i..H,R 21.1& ANO ~ ~ ~ ~ 1240 W SOUTH P~K ~: ,'-~ I~ HARRY RA/7FR 12'-6"' oo I WEST SOUTH PARK DRIVEWAY AND GRAVEL ACCESS DRIVE 24' MAX @ LOT LINE