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Home My WebLink About0110072-Building(~ CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1925 SURGERY CENTER DR Owner OSHKOSH AREA HUMANE SOCIETY Designer Contractor R J ALBRIGHT INC. Category 222 - Addition Offices, Banks, Professional No 110072 Create Date 06/02/2004 Plan L9-43-0604 Type 10 Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning Class of Const: Size Unfinished/Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ~J Projection Finished/Living 0 Sq. Ft. Bedrooms 0 Stories 1 Canopies Garage 0 Sq. Ft. Baths 0 Signs Foundation ~ Poured Concrete ~ Floating Slab ~ Pier O Other ~ Concrete Block ~ Post ~ Treated Wood Occupancy Permit Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 Use/Nature Addition and alterations to convert building into an Animal Shelter.* Note: CUP Condition 2 must be complied with prior to occupancy. Provide of Work ~ variety of evergreen trees or shrubs in the areas adjacent to the cul-de-sac and along the east fence line. HVAC Contractor Electric Contractor Fees: Valuation Issued By: Plumbing Contractor $481,000.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $1,507.00 Park Dedication $0.00 Date 08/18/2004 Final/O.P. 00/00/0000 Parcel Id # 1519370400 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 5711 GREEN VALLEY RD OSHKOSH WI 54904 - 0000 Telephone Number 231-8635 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. ZONING/LAND USE COMPLIANCE CHECKLIST PROPERTY OWNER/CONTRACTOR: ZONING: CONSTRUCTION DATA: [] New Construction [] Addition [] Alteration TYPE OF CONSTRUCTION: (i.e. ~ence, pool, parkina 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 [] Rear Yard [] Side Yards [] Building Area J~ Parking Standards [] Off-Street Loading Standards [] Vision Clearance [] Transitional Yard Standards [] Landscape Standards [] Height [] Conditions of Approval FI Compliance with P.C. or BZA Conditions of Approval [] Signage Standards F-I 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 i~ems, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. APPROVED Plan Commission Action Required [] DENIED __ Variance(s)Required//~//~-~ REV,EWED / DATE: 2003 ZONING/LAND USE COMPLIANCE CHECKLIST PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: I-~ New Construction ~Addition ZONING: -~lteration TYPE OF CO. NSTRUCTION: (i.e. fence, pool, parking' lot, sigl~, etc.) COMPLIANCE CHECKLIST DEFICIENT DEFICIENT DEFICIENT [] Use [] Lot Width [] Lot Area [] Lot Area Per Family [] Flood Plain [] Front Yard [] Front Yard Side Street [] Rear Yard [] Side Yards [] Building Area [] Parking Standards ~--} Off-Street Loading Standards [] Vision Clearance [] 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 COMMENTS: 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: 2003 NOVEMBER 11,2003 (CARRIED ~"'~] 03-461 RESOLUTION LOST LAID OVER WITHDRAWN ) PURPOSE: GRANT CONDITIONALUSE PERMIT/1925SURGERY CENTER DRIVE INITIATED BY: OSHKOSH AREA HUMANE SOCIETY, PETITIONER PLAN COMMISSION RECOMMENDATION: Found to be consistent with Section 30-11(D) and approved BE IT RESOLVED by the Common Council of the City of Oshkosh that a conditional use permit is hereby granted under Section 30-11 of the Oshkosh Zoning Ordinance for an animal shelter operation, per the attached, with the following conditions: 1) The landscaping eliminated by the proposed building addition shall be replaced with similar species and approved by the Dept. of Community Development as part of a landscape plan to be submitted with or pdor to the building permit application. 2) The proposed fence shall be screened with an evergreen variety of trees or shrubs in the areas adjacent to the cul-de-sac and along the east property line. ....... FENCE t · Socie~ · RUNS ~ E ~ , S.I T_.E. ' .PLAN .1" = 40'-0~ LARSoN · MEYER Subject Site DOCTOR'S CT. DISCLAIMER This m~p is neither ~ legally Fe~orded map nor and information located in various city, county purposes oniy. The City of Oshkosh is not re~ Close Up View 1925 Surgery Center Dr. City of Oshkosh Wisconsin Community Development 150 0 150 Feet O./HKOJ'H Created by - VP, N 10-13-03 Document Number STATE BAR OF WISCONSIN FORM I - 2000 WARRANTY DEED ThisDeed, made between Stephen S. Dudley, Grantor, and Oshkosh Area Humane Society, Inc., a Wisconsin non-stockt non-profit corporation Grantee. Gran~5 ~r a valuable considermion, conveys to Grantee the ~llowing described mai estate in Winnebago ComaU, Stme of Wisconsin Che "Property") (if mom space is needed, please a~ach ~dendum): Lot i of CERTIFIED SURVEY MAP NO. 3604 filed in Volume 1 of Certified Survey ~aps on Page 3604 as Document No. 957624; being part of the South West 1/4 of the South East 1/4 of Section 12, T18N, R16E, in the Fifteenth Ward, City of Oshkosh, Winnebago County, Wisconsin. Recording Area iNameandReturnAddress J. Thomas McDermott P.O. Box 617 Oshkosh, WI 54903 915-1937 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except any easements or restrictions of record. Dated this /¢/'~ day of ...~C~,~?~ 2004 . *Stephen S. Dudley AUTHENTICATION Signature(s) ~4: ~ ,~}, I,a.~. 17~.}~ o~, authenticated this /Fl-4 day of ~t,e,.~ ~,/- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY J. Thomas McDermott (Signatures may be authenticated or acknowledged. Both are not necessa~.) ACKNOWLEDGMENT STATE OF WISCONSIN ) County. ) Personally came before me this day of the above named to me known to be the person who executed the foregoing instrument and acknowledged the same. Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE IlAR OF WISCONSIN FORM No. 1-2000 helnhilber, Swanson, Mares, Marone 107 Church Ave, Oshkosh WI 54901 Phone: (920) 426-0456 Fax: (920) 4264530 Douglas K. Marone Produced with ZipFormTM by RE FormsNet, kkC 18025 FEteen Mile Road, Clinton Township, Michigan 48035, (800) 383-9805 T4288492 ZFX STAPLE ATTACHMENTS HERE Wisconsin Real Estate Transfer Return - Confidential To complete see Instructions for Real Estate Transfer Return PE~5OOA. Submit original form to Register of Deeds with document(s) to be recorded. Completely i/II in all appropriate areas. TYPE or PRINT clearly in BLACK INK, and use ALL UPPERCASE LETTERS. if typing form, type through vertical character lines. I. GRANTOR (Seller) If more than ONE (1) grantor, check box at left and list on attached addendum. Note: Lines 67-72 must be completed with grantor's address Your Last Name or Company Name Note: For this purpose a married couple is one gran~i if same last name (see line 21 DHDLE¥ YOUT First Name(s} and Middle Initiat(s} - If a married couple, show both fimt names and middle initials STE?HEN S. 3, Social Security Number or FEIN 390-40-7621 II. GRANTEE (Buyer) If more than ONE (1) grantee, check box at left and list on attached addendum. 4. YOUr Last Name or Compar~y Name Note: For this purpose a married couple is one grantee if same last name (see line 5). OSHKOSH AREA HUMANE SOCIETY, INC. §. Your First Name(s) and Middle initial(s) - If a married couple, show both first names and middle initials 7. Street or Fire Number, if any 7a. Street Name, PO Box, or Other Address (enter "PO Box" ann Box Number) 2895 ALGOMA BOULEVARD 8. City OSHKOSH TO RECEIVE TAX ]BILL AT ANOTHER ADDRESe, check here and complete Section X, pane 2. 9. State WI 0. Social Security Number or FEIN 39-1709813 I0, Zip Code 54901 III. PROPERTY TRANSFERRED ~. Indicate: X cgy Village Town 12* Name of the CRy/Village/Town 13. County Name OSHKOSH WINNEBAGO 14. Physical Property Address or Road Address (description) DOCTOR' S COURT 15, Tax Parcel Number as it appears on properly Tax bill (see instructions} 915-1937 16. Property Description: lot - block - plat, Codified Survey Map (CSM), or other designation; if description wig not fit here, add afl. ach merit (see i.structions) SEE ATTACHED ~Ta. Section (primary) 17b. Township (primary) 17c. Range (primary) Check if additional parcels and llst on attached addendum. Check he e mo e hen one lot and block or if tegal description is metes and bounds or certified survey map; X attach legal description as an addendum (s~a instructions). IV. COMPUTATION OF FEE OR STATEMENT OF EXEMPTION 18. Total value of REAL ESTATE IN WHOLE transferred (round up to the $ 1 0 1, 6 0 0 DOLLARS nearest $100) 20. Transfer Exemption 20a.lf you enter "000" or "017," it is Number, SEC 77.2S mandatory to provide your previous document number. {line ~0 X.003) $ 304 80 20b. Date of Original Land Contract 21. Value of personat propett IN WHOLE 22, Value of property exempt from local property tax transferred but EXCLUDEY0 $ DOLLARS INCLUDED on line from tine 18. YEAR IN WHOLE DOLLARS V. TO BE COMPLETED BY AUTHORIZED COUNTY/LOCAL OFFICIAL 23. DocumentNumber 24. Vo~umelJacket 20, Page/Image 26. DateRecorded 28, Conveyance Warranty/ Land Code Condo Deed Contract 29. County (~) 30. Municipality(l) 31. County(2} 34, Enter number of acres for each 1 (ResidentiaD parcel classification and check a preceding box to show predominant classification. 35, Assessment Year 36. Land $ MONTH DAY YEAR Quit Claim Other Deed (explain) -) 32. MunicipaiRy (2) Check if more than two (2) munlcipali- ties; If so, refer to instructions 2 (Commercial) 3 (Manufacturing) 4 (Agdcultural) 2 3 4 37,1mplovements $ 27, Date of Conveyance MONTH DAY 33. IS this a sprit parcel? (see instructions) 5 )Swamp&Waste) 6 {Forest) 38, Total Assessment $ YEAR Yes NO I PE-500 (R ~ 2OOO) Continued ") Wisconsin Real Estate Transfer Return VI. TRANSFER If Family or Other, Sxplain Other {explain)-) PART EXCHANGE/PART GIFT VJJ. GRANTEE'S FINANCING Financialinstitution- FinancialinstJtution- 0btainedfrom Assumedexrsting Other3rdparty X Nofinanbing VIII. PHYSICAL DESCRIPTION AND GRANTEE'S PRIMARY USE OF PROPERTY VACANT 48, MFL/PFC/WTL Acres 46b, Check if Grantee's PrJr, ary Reside,ce X OR 1 5 IX. ENERGY Yes 51. ExclusJon Code ") IfW-11, 52 IfW-f2providedocumentnumberwhererecorded 49 Feet of Water Frontage X. C E RTIFICATIO N-We declare under penalty of law, this return has been examined by us and to the best of our knowledge and belief it is true, correct and complete 57 City 58, Grate 59. ZipCode 60, Preparer'$ Name or Firm Name J. THOMAS MCDEP~MOTT $1, Telephone Number 920 426-0456 SEND TAX BILL TO: 62 Name 63 Street or F~re Number, if any 63a. Street Name, PO BOX, or Other Address (enter "PO Box" and Box Number) $5, State 66, ZipCode 67. Grantor's Street or Fire Number. if any 3355 68 City OSHKOSH 71 Dated 920 235-8506 67a, Grantor (where g~antor can be reached in the future} Street Name, PO Box, or Other Address (enter "PO l~ox" and Box Number) WALDEN LANE 69. State 70. Zip Code WI 54904 74. Da:ed 75. Telephone Number MONTH DAY YEAR AREA CODE 76. Signature of Grantee or Grantee's Agent (PLEASE ATTEMPT TO KEEP GIGNATURE WITHIN BOX) ADDENDUM TO TRANSFER RETURN FOR STEPHEN S. DUDLEY TO OSHKOSH AREA HUMANE SOCIETY, INC. Legal Description: Lot 1 of CERTIFIED SURVEY MAP NO. 3604 filed in Volume 1 of Certified Survey Maps on Page 3604 as Document No. 957624; being part of the South West 1/4 of the South East 1/4 of Section 12, T18N, R16E, in the Fifteenth Ward, City of Oshkosh, Winnebago County, Wisconsin.