HomeMy WebLinkAbout0111586 BOSHKOSH
ON THE WATER
.lob Address 815 821 W PACKER AVE
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner KURTA KOEPPLER
Contractor D B CURTISS LTD
No 111586
Create Date 10/18/2004
Category 120 - New Duplex Plan F1-114-1004R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-2 Class of Const: 8 Size Irrg
Unfinished/Basement 1198 Sq. Ft. Rooms 4 Height 18 Ft. L~ Projection
Finished/Living 1198 Sq. Ft. Bedrooms 2 Stories 1 Canopies
Garage 400 Sq. Ft. Baths 0 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 2 # Structures 1
Use/Nature New Duplex/new 1 story side by side duplex with 2 - 2 car attached garage. NO DECK OR PATIO.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
BREWER HEATING
SCHOMMER ELECTRICAL CONTRACTING I
Plumbing Contractor FIELDS PLUMBING
$135,000.00 Plan Approval $75.00 Permit Fee Paid
Permit Voided
$514.00 Park Dedication $330.00
Date 11/11/2004 Final/O.P. 00/00/0000
Parcel Id # 1219742300
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 40 W 6TH AVE OSHKOSH WI 54902 - 0000 Telephone Number 426-1973
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 KURTA KOEPPLER
GRADE STAKE FORM
Address 815 821 W PACKER AVE
Lot 42 Block
Subdivision Sarres Plat Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 10/18/2004 Set By
D.W.G. BK-601, P-27
Grade Stake Number 7221
Create Date 10/18/2004
Ward
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 0111586
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
~.~ei~~~ [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
KURTA KOEPPLER 40 W 6TH AVE OSHKOSH WI 54902 - 6036
Contractor: L~J Con~J Elec~J HVAC ~ Plbg Lic/CeK¢ Mailing Address Telephone No.
D B CURTISS LTD 1066 40 W 6TH AVE OSHKOSH WI 54902 - 0 426-1973
Contractor: ~ Con ~ Elec~ HVAC~ Plbg Lic/CeK¢ Mailing Address Telephone No.
SCHOMMER ELECTRICAL CONTRACTING INC 170465 N164 TWO MILE RD APPLETON WI 54914 - 9121 920-731-2299
Contractor: ~ Con ~ Elec~ HVAC ~ Plbg Lic/CeK¢ Mailing Address Telephone No.
BREWER HEATING 4220 N8804 N DOUGLAS ST RIPON W 54971 - 0 920-748-6494
Contractor: ~ Con ~ Elec ~ HVAC ~ Plbg Lic/CeK¢ Mailing Address Telephone No.
FIELDS PLUMBING 131540 1939 SOUTHLAND LN NEW LONDOk WI 54961 - 0 920-982-5813
Lot Area Sq. ft. 1/4, 1/4, Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
815 821 W PACKER AVE Sarres Plat 42
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft. ft ft.
~ New ~ Repair ~ Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
~ Alteration ~ Raze ~ Two Family Size: 200 amp ~ Radiant Baseboard or Panel Gas ,
~ Addition ~ Garage Se~ice: ~ Heat Pump Space Htg ~ ~ ~ ~ ~ ~
~ Move ~ Other (print): ~ Overhead
~ Boiler Water Htg ~ ~ ~ ~ ~ ~
~ Underground
~ Other: ~ Central Air Conditioning * ~ Dwelling unit will have 3 kilowatt or
~ Other = more installed electric space heating equip.
!2 ~RE ~E.D ~ ~ Site Constructed ~ Concrete Infiltration control option is: ~ Full sealing
Unfinished ~ Manufactured ~ Masonw Sewer of joints. ~ Blower door test. ~ E~erior
Basement 1198 Sq. ft. ~ ~ ~Ri~ ~ ~ Treated Wood ~ Municipal air infiltration barrier.
Other
Living Area 1198 Sq. ft. ~ 1-Stow ~ Septic
Garage 400 Sq. ft. ~ 2-Sto~ x8 ~ ~~ Seasonal
Permit No. Envelope 15671 BTU/HR
~ Other Infiltration 14664 BTU/HR
~ Permanent ~ Municipal Utility
~ Plus Basement ~ Other ~ Private On-Site Well $185,000.00
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 Depa~ment or municipality; and ce~ifies 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" SHEET
~ Town ~ Village ~ City ~ County ~ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
~ Construction
~lan 8eview $75.00 _
HVAC ~ame ~OH~ ZA~AT~
Inspection
Wis. ~ermit Seal $30.00 ~ Plumbin~ Date ~ ~/~ 0/2004
Other ~ ~rosion
lotal $~0S.00 ~ 32~5~7 Ce~. ~o. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 815 821 W PACKER AVE
Name KURTA KOEPPLER
Address 40 W 6TH AVE
Subdivision Sarres Plat
Building Permit Number 0111556
Number of Dwelling Units 2
Fee Required $330.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 11/11/2004
OSHKOSH WI 54902
Lot 42
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date