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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