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
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