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Home My WebLink About0111558-Building . . ��GA,;, � CITY OF OSHKOSH ,�� "`oNo 111558 �. '��s OSHKOSH BUILDING PERMIT -APPLICATION AND RECOR�r� ON THE WATER «� Job Address 645 tn/5TH AVE Owner HAROLD SALZER Create Date 11/05/2004 Designer Contractor SALZER SIDING Category 110-New Single Family Plan F1-120-1004R Type � Building 0 Sign � Canopy � Fence � Raze � Zoning R-2 Class of Const: 8 Size Unfinished/Basement 1216 Sq.Ft. Rooms 5 Height 20 Ft. � Projection I Finished/Living 1216 Sq.Ft. Bedrooms 2 Stories 1 Canopies 0 Garage 504 Sq.Ft. Baths 1 Signs 0 Foundation � Poured Concrete � Floating Slab � Pier � Other � Concrete Block 0 Post � Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required : Park Dedication Required #Dweliing Units 1 #Structures 1 Use/Nature �N�FR� New single family 1 story with 2 car attached garage. Driveway will be 21'wide. 12'x 12'patio. of Work ' � HVAC Contractor MCM AIR INC Plumbing Contractor WELLNITZ PLUMBING Electric Contractor SECKAR ELECTRIC Fees: Valuation $92,000.00 Plan Approval $75.00 Permit Fee Paid $385.00 Park pedication $200.00 Issued By: Date 11/08/2004 Final/O.P. 00/00/0000 � Permit Voided I Parcel Id#9060220010 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 be e starti such Signature - �� Date � � Agent/O 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. � ,,��;,A nd� - � /^'� � `'s OSHKOSH GRADE STAKE FORM , ON THE WATER � Grade Stake Number 7232 Name HAROLD SALZER Address 645 W 5TH AVE Create Date 11/05/2004 Lot 2 Block Ward Subdivision Zone Street Number Lot Dimensions Sidewalk Existing Building Grade Elevation Stakes Set At Site 11/05/2004 Set By ' Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established before excav ' has commenced. � Wisconsin Departmentof Industry, WISCONSIN UNIFORM AppliCation Na Labor and Human Relations Safetyand Buildings Division BUILDING PERMIT o111558 GA i`. P.O.Box2509 APPUCATION Parcel No. � �,� Madison,WI 53701-2509 ' F N2��s � Wisconsin Statues 101'.63, 101.73 "� , ❑✓ Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other: . Owner's Name Mailing Address Telephone No. HAROLD SALZER PO BOX 825 Oshkosh WI 54903- 0000 Contractor: ✓ Con� Elec� HVAC Plbg LiGCert# Mailing Address Telephone No. SALZER SIDING 7351 PO BOX 825 OSHKOSH WI 54903-825 (920)231-5025 Contractor: Con ✓ Elec HVAC Plbg LiGCert# Mailing Address Telephone No. SECKAR ELECTRIC 689404 5920 COURTNEY PLUMMER RD WINNECONNE WI 54g86 -0 920-582-4909 Contractor. Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone No. MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNf WI 54986 -9780 920-582-4402 Contractor. Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No. WELLNITZ PLUMBING 223819 4810 AMBERWOOD LN APPLETON WI 54915 -0 (0)231-7390 Lot Area S .ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 645 W 5TH AVE 2 Zoning District(s) Zoning Permit No. Front Rear Left Right - � , . m. ... .�.., _ - _ � �� _ �� . � � 1+1 �; � = �,. __..�. � ✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Fumace Nat. L.P. Oil Elec. Solid Sola � Alteration Two Family Size: 200 am ❑ Radiant Baseboard or Panel Fuel Gas • � Raze � Addition Garage Service: � Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑ � Move � Other(print): � Overhead � goiler Water Htg ❑✓ � � � � � ` �✓ Underground ❑ Other: ,._ � Central Air Conditioning * Dwelling unit will have 3 kilowatt or = .�. _. � ' ` i Other more installed electric space heating equip. 0✓ Site Constructed Concrete � � �.,� �� , � � � ,� , Unfirnshed ❑ Manufactured ❑ Masonry Infiltration control option is:❑ Full sealing � Treated Wood Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 1216 Sq.ft. � ` �` �✓ Municipal air infiltr tion barriec ✓ 1-Sto ❑ Other Se tic � Living Area 1216 Sq.ft. ry ❑ p� �: , , � � 2-Story - ` Permit No. Envelope 23887 BTU/HR Garage 504 Sq,ft, � Seasonal BTU/HR ❑ Other Infiltration 14884 �✓ Permanent � Municipal Utility � �� Plus Basement ❑ Other � Private On-Site Well $107,000.00 The applicant agrees to comply with all applicable codes,statues and ordinances and ' he conditions of this permit,understands that the issuance of the permit creates no legal liability,express or implied,on the De ment or munic' lity;a d certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED �/.�� . APPROVAL CONDITIONS This permit is issued rsuant t the fo 'n co itions. Failure to comply may result in suspension or revocation of this permit or other pena SEE"STANDARD CONDITIONS OF APPROVAL"SHEET � Town � Village �✓ City � County State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 Plan Review $75.00 � Construction HVAC Name JOHN ZARATE Inspection Electrical Wis.PermitSeal $30.00 � Plumbing Date 11/5/04 Other �✓ Erosion Total $105.00 ❑ 326573 Cert.No. 70330 SBD-5823(R.07/92) � f�G.A�:� � PARKLAND DEDICATION FEE COLLECTION RECORD ;� �`'�'2;; c OSHKOSH <� ON THE WATER � � �� _ Jdb Address 645 W 5TH AVE Date 11/08/2004 Name HAROLD SALZER Address PO BOX 825 Oshkosh WI 54903 Subdivision Lot 2 Building Permit Number 0111558 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 Fee Paid Owner's Signature c�s%''9�// Date � � / Inspector's Signature Date •ai!J"'��:.°� �. �` • ��S , ^ , � �%_F . � 5TH STREET DRIVEWAY AND N GRAVEL ACCESS DRIVE ' 24' MAX O LOT LINE 56.75' ILT FENCE � ILT _ FEN E Q I in N 2�� . 19.5' � �,^9� GARAGE �� ' �.� � r s:" HOUSE 00• b � d' M PLAN#RAN-1216-1 Q04 � � �ri N � 16. 5 ' � � PATIO 1 1.25 7'-8° � 12' ^ - 40' ,� � °' STOCK � � � PILE "' M � ` � � 56.65' R s TMc aonnwcroa�s �tn�r�o erei�e � Eao�oN ooM� er usE oF su F�cMa. arwrEt.�ocESS sroc�oo ao� � sc s�o� arE a�ss aR oo�� IID40�1Y OR O�1l�R APPRd11ED 1E1N0� /11 tA�'N.M111i0W1Y. wI1H A TANP. 010610N 0011'IROL BFMLL�BE PLAICED/tT OOM! �LAPE OOIi�ILT LL.M.R. Z1.1?�6. I.LNR 21.13�. lll� tAOAL BI��NO Of'11E SIOd�E Nl�:IOR FCR AIiY qtlE'$IION3 � .,�,... sa5 sixrH AvE, , � ' �a�s-o4 � HA RY SALZER �, (qpp) ,��