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HomeMy WebLinkAbout0109148-BuildingOSHKOSH ON THE WATER Job Address 659 FREDERICK ST CITY OF OSHKOSH No 109148 BUILDING PERMIT - APPLICATION AND RECORD Owner HABITAT FOR HUMANITY OF OSHKOSH iNC Create Date 06/14/2004 Designer Category Type Zoning Keminger Putman Architects Contractor HABITAT FOR HUMANITY OF OSHKOSH INC 110 - New Single Famiiy Plan F~1;05~6:~)~6.0_4_R__- __ _~_B_ui_~di~n_g .... ~ Sign O Canopy O Fence _.~_ R_~_e. ..... R-1 Class of Const: VB Size 24'x 46' Unfinished/Basement 1104 Sq. Ft. Rooms 2 Height 24 Ft. ~ ~r~jection Finished/Living 1104 Sq. Ft. Bedrooms _~3 Stories I Canopies Garage 0 Sq. Ft. Baths 1 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 Not Required # Dwelling Units 1 # Structures 1 Use/Nature qSFPJ New single family residence with driveway and 18' x 18' parking area, and a 8' x 10' shed as per plans. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ STEINBRUNER HEATING & COOLING VAN ERT ELECTRIC $54,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided Plumbing Contractor DRUCKS PLUMBING $271.00 Park Dedication $0.00 Date 07/07/2004 Final/O.P. 00/00/0000 Parcelld # 0704290000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction, While the Ci[y 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 ~licatico within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to sec.~, an~~//~/~/~/~..//~'~nec~'~a~r°/~ls before starting such activity. Signature , Date Agent/Owner Address PO BOX 1021 OSHKOSH W] 54903 - 1021 Telephone Number 235-3535 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 GRADESTAKEFORM Grade Stake Number 7168 Name HABITAT FOR HUMANITY OF OSHKOS? Address 659 FREDERICK ST Create Date 06/14/2004 Lot 16 Block Ward Subdivision Reuben Parkinson Zone Street Number Lot Dimensions PI Sidewalk Existing Building Grade Elevatfon Stakes Set At Site 06/15/2004 Set By d.w.g. Department of Public Works I, the undersigned, owner or agent of the above described property agree to have_the grade esta. blished before excavation has commenced. ~,/~~~.~/ Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division P.O. Box 2509 Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION ~Application No. 48 No. [] Constr i? HVAC ,~ Elec [] PIbg ~ Erosion [] Other: Mailing Address Telephone No. PO BOX 1021 OSHKOSH WI 54903 - 1021 235-6920 Telephone No. OSHKOSH Wi 54903- 1021 235-3535 Mailing Address Telephone No. 2000 PROGRESS WAY KAUKUANA Wi 54130 - 0 920-766-3888 e: Mailing Address Telephone NO. 600 OREGON ST OSHKOSH WI 54902 - 0 (920) 426-1830 Mailing Address Telephone No. MENASHA WI 54952 - 0 426-2654 1/4, 1/4,Section ,T N,R E(or)W Subdivision Name Lot No. Block No. Reuben Parkinson 16 Owner's Name HABITAT FOR HUMANITY OF OSH Contractor:~] Con[] HABITAT FOR HUMANITY OF OSHKOSH iNC Contractor: VAN FRT ELECTRIC Contractor: ;TEINBRUNER HEATING & COOLING Contractor:~ Con- DRUCKS PLUMBING Building Address 659 FREDERICK ST Mailing Address ;PO BOX 1021 Permit No Front Rear Left Right b~ Repair Single Family Entrance Panel Forced Air Furnace I] Two Family Size: Radiant Baseboard or Pan Alteration [] Raze Garage Service: Heat Pump Addition [] Move [] Other (print): Overhead Boiler [] Other: Underground Central Air Conditioning Site Constructed Concrete Manufactured Masonry Sewer Basement 1104 Sq. ft. Treated Wood [] Municipal iving Area 1104 Sq. ft. 1-Story Other [] Septic Garage 0 Sq. ft. [] 2-Story Permit No. [] Other [] Seasonal [] Permanent [] Municipal Utility [] Plus Basement i_~ Other [] Private On-Site Well $79,000.00 Fuel Space Water Htg unit wilt have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: [] Full sealing of joints. [] Blower door test. [] Extedor air infiltration barrier. Envelope ..... 1999~6 BTU/HR Infiltration 13464 BTU/HR The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understand& that ~he issuance of the permit creates no legal liability, expre.~r imp~li~d/~o/~e Department or municipality; and certifies that all the above informati~ is ~curate. APPLICANT'S SIGNATURE 4¢~/~//~/~_/¢¢Z~//~r~ DATE SIGNED -//7//~¢~ ~ This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this 2ermit or other penalty See Standard Conditions of Approval Town -_. Village i¢_.i City [~ County LJ state o~: City Of Oshkosh Municipality Number of Dweliing Location: 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name Brian Noe Inspection Electrical Wis. Permit Seal $30.00 Plumbing Date 6/21/04 Other Erosion Total $105.00 306923 Cert. NO. 70266 SBD-5823 (R. 07/92) ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ~:~-~C[ ~~. (~V[__. CONSTRUCTION DATA: [] New Construction [] Addition OF CONSTRUCTION: ,(i.e. fence, pool,, parking lot, sign, etc.) ZO.iNG: [] Alteration 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 I~ 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 DATE: 2O03 I~LIILE I I SET LINE