HomeMy WebLinkAbout0111166-Building
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OS"HKOSH
ONTHEWATE'R
GRADE STAKE FORM
Grade Stake Number
7209
Name JAMIE R BROWN
Address 54 LAKE ST
Create Date 09/30/2004
Lot
2
Block
Ward
Subdivision com 4410
Zone
Street Number
Lot Dimensions
irr9
1,/1 Sidewalk Existing
Building Grade Elevation Stakes Set At Site
09/30/2004
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 established before excavation
has commenced. ~.. ~
/../ ,/:/ A_~ ¿~ -¿ ...~
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.
0111166
Parcel No.
I!'J Constr
0 HVAC 0 Eiec
Mailing Address
0 Pibg
I!'J Erosion
0 Other:
Mailing Address
PO BOX 738
Mailing Address
N164 TWO MILE RD
Mailing Address
N8804 N DOUGLAS ST
Mailing Address
550 N BLUEMOUND RD
RIPON
Telephone No.
NEW LONDON WI 54961 - 0000
Telephone No.
OSHKOSH WI 54903 - 738 426-8600
Telephone No.
APPLETON WI 54914 - 9121 920-731-2299
Telephone No.
920-748-6494
Telephone No.
730-0205
WI 54971
-0
APPLETON
WI54914 -0
Lot Area
S . ft.
Subdivision Name
com 4410
1/4,
1/4,Section
Lot No.
2
Rear Left
,T
N,R E(orW
Block No.
Building Address
54 LAKE ST
Zoning District(s)
Unfinished
Basement ~ Sq. ft.
Living Area 2512 Sq.ft.
Garage 560 Sq. ft.
Front
Ri9ht
'£
,/ New
0 Alteration
0 Addition
0 Repair
0 Raze
0 Move
~~
,/ Forced Air Furnace
0 Radiant Baseboard or Panel
0 Heat Pump
0 Boiler
Central Air Conditioning
Other
Nat. loP. Oil Elec. Solid Sola
Ga
Space Htg I!'J 0 0 0 0 0
WaterHtg I!'J 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Fuel
0 Other:
tEJ
37748 BTU/HR
13481 BTU/HR
$250,000.00
DATE SIGNED
APPROVAL CONDITIONS
Failure to comply may result in suspension or
Inspection
Wis. Permit Seal
Other
$30.00
,/ Construction
HVAC
Electrical
D Plumbing
0 Erosion
0
Date
10/15/04
Total
SBD-5823 (R. 07/92)
$105.00
326561
Cert. No.
70266
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OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Name
54 LAKE ST
JAMIE R BROWN
Date 10/18/2004
Job Address
Address
NEW LONDON
WI
54961
Subdivision com 4410
Lot 2
Building Permit Number
0111166
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature (1 ./.-
Inspector's Signature /-' <'), /
/f
f--n L d~
Date
/£1 /! 5' / óLj'
( I
Date
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION:
c:;'"\
LA--l
PROPERTY OWNER/CONTRACTOR:
5-+.
j¿-2.
ZONING:
CONSTRUCTION DATA: ~ NewConstruction - Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc,)~ '2> f' a...
COMPLIANCE CHECKLIST
DEFICIENT
_Use
- Lot Width
Lot Area
- Lot Area Per Family
=== Flood Plain
- Front Yard
- Front Yard Side Street
- Rear Yard
- Side Yards
Building Area
=x= 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
COMMENTS
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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
Plan Commission Action Required
~ DENIED
Variance(s) Required :7.-
REVIEWED BY: 7 ~ -.
¿
DATE:
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31'+~
63'+~
Close Up View
DISCLAIMER
lake St.
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a 'omy ,"d it ¡, 00' io",dcd to bc u"d "uoc.
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thc "" ,howo ,"d it i, to hc u"d fo, """0"
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'po",iblc fo, aoy io"cu",i" h",io cootalocd.
Ir dimcpcod" '" fouod, pl"'c cootact thc
Ci'y of O,hko'h.
City of Oshkosh Wisconsin
Community Development
ON THE WATER
N
A
30
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0
30 Feet
,
Created by- VR
8-16-04
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FORM NO. 9SS.A
!j!!!S,!""'"'
Stock No. 26273
PAGEIOP3
CERTIFIED SURVEY MAP NO.
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BEING ASUBDMSION OF A PARCEL OF LAND DESCRIBED AS THESOU'I'l! 117.7FEETOFLOT 13, BLOCK 31, LEACH'S MAP OF
THE 8TH WARD, ALL IN THE NORTHWEST QUARTER OF SECTION 30, TOWNSHIP 18 NORTH, RANGE 17 EAST,
CITY OF OSHKOSH, WINNEBAGO COUNTY, WISCONSIN
SURVEY fOR: GREG C. SEIBOLD
Northwest Corner--
Section 3()"18-17
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SURVEY DATED: 10108/;9'1'1
Point on North Line
Northwest Quarter
Section 3()"18-17
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FOUndl'j
Q3B' Southn Pipe
O/lnreiine
LEGEND
0 . WINNEBAGO COUNTY BERNTSEN MONUMENT, FOUND
0 .1"IRON PIPE, FOUND
. .3/4" X 24" IRON REINF. BAR.
WEIGHING 1.502 LBS.lFT., SET
EÐ -CROSS CUT IN CONCRETE DRIVEWA Y
( ) - PLATTED OR RECORDED MEASUREMENTS
ON 1935 RANDALL SURVEY PLAT OF PROPERTY
FRUEHCONSUi liNG SERVICES, liC
P. O. Box 282, Oshkosh Wisconsin 54903
TELEPHONE (920) 235-0279