HomeMy WebLinkAbout0113013-Building
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OSHKOSH
ON THE WATER
Job Address 54 GIBSON CT
CITY OF OSHKOSH
No
113013
BUILDING PERMIT - APPLICATION AND RECORD
Owner
ELIZABETH A LAHM
Create Date
03/02/2005
Designer
Contractor
J & D CONSTRUCTION
Category
110 - New Single Family
Plan G1-002-0305
Type
18 Building
R-2
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
VB
Size 42' x 64'
Unfinished/Basement
1518 Sq.Ft.
~ Sq. Ft.
Rooms 4 Height 21 Ft.
Bedrooms 3 Stories 1
Baths 3
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
NSFR/ New single family with attached garage, driveway, and 8' x 18' patio as per plans.
Use/Nature
of Work
HVAC Contractor
TENTH STREET STATION INC
Plumbing Contractor
WATTERS PLUMBING
Electric Contractor
VAN ERT ELECTRIC
Fees: Valuation
$101,926.00
Plan Approval
$75.00 Permit Fee Paid
$415.00 Park Dedication
$200.00
Issued By:
Date 03/15/2005
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1413344500
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
Address
2948 FOND DU LAC RD
Agent/Owner
Oshkosh
WI 54902 - 0000 Telephone Number
920-410-4106
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.
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7242
Name ELIZABETH A LAHM
Address
54 GIBSON CT
Create Date 03/02/2005
Lot
11
Block
Ward
Subdivision Stoney Beach West
Zone
Street Number
Lot Dimensions
IRRG
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
03/04/2005
Set By
MB BK - 597, P 28
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 0113013
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other:
Owner's Name Mailing Address Telephone No.
ELIZABETH A LAHM Oshkosh WI 54901 - 0000 Spec Home
Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
J & D CONSTRUCTION 983707 2948 FOND DU LAC RD Oshkosh WI 54902 - 0 920-410-4106
Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No.
VAN ERT ELECTRIC 170921 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 920-766-3888 e>
Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No.
TENTH STREET STATION INC 3615 924 OHIO STREET OSHKOSH W 54902 -0 236-8770
Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
WATTERS PLUMBING PO BOX 118 MENASHA WI 54952 -118 920-733-81 25
PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
54 GIBSON CT Stoney Beach West 11
Zoning District(s) I Zoning Permit No. Front I Rear Left Right
~ ft. ft. ft. ft.
1. PROJECT 3. OCCUPANCY 9. HVAC EQUIPMENT 12. ENERGY SOURCE
~ New D Repair 0 Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
D Alteration D Two Family D Radiant Baseboard or Panel Gas *
D Raze Size: 200 amp
D Addition D Garage Service: D Heat Pump Space Htg 0 D D D D D
D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D
D Other: 0 Underground D Central Air Conditioning * U Dwelling unit will have 3 kilowatt or
4. CONST. TYPE 7. FOUNDATION - 0 Other - more installed electric space heating equip.
2. AREA INVOLVED 0 Site Constructed U Concrete 10. PLUMBING Infiltration control option is: D Full sealing
Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior
Basement 1518 Sq. ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier.
Living Area 1900 Sq.ft. 0 1-Story D Other D Septic 13. HEAT LOSS (Calculated)
8. USE
D 2-Story Permit No. Envelope 0 BTU/HR
Garage 483 Sq. ft. D Other D Seasonal 11. WATER Infiltration 0 BTU/HR
0 Permanent 0 Municipal Utility 14. EST. BUILDING COST
D Plus Basement D Other D Private On-Site Well $0.00
The applicant aç¡rees 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 Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
See
~~S~~ND~CTION D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 a - 2 6 6
FEES: PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY:
ISSUED SEAL NO.
Plan Review $75.00 EI Co"",",,;O"
HVAC Name
Inspection Electrical
Wis. Permit Seal $30.00 D Plumbing Date 3/4/05
Other 0 Erosion
Total $105.00 D 0 Cert. No. 0
SBD-5823 (R. 07/92)
0
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
54 GIBSON CT
Date 03/15/2005
Name
ELIZABETH A LAHM
Address
Oshkosh
WI
54901
Subdivision Stoney Beach West
Lot 11
Building Permit Number
0113013
Number of Dwelling Units
Number of Structures
Fee Required
l/tf1P
OWner's Signature ~
Inspector's Signature ~ .1.1\
DateY- Y--/f-or
Date
10
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City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
O HK H Oshkosh WI 54903-1130
Office 920-236-5050
ON 7HE WATER Fax 920-236-5084
Project Address: 54 Gibson Ct
Submitted By: J&D Construction
Plan Number: G1-002-0305
Reviewed By: Brian Noe
Phone: 236-5051
PLAN REVIEW
Date Reviewed: March 8, 2005
Result of Plan Review:
® Conditionally Approved
^ Withheld Pending Approval of Additional Information
^ Not-Approved, Plans Returned for Revisions
^ Mailed
^ Faxed
® Delivered with Permit
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Conditions Noted on Plan Review
1. 21.04 Effective 1/1/05 Guardrail opening size has been changed to a maximum of 4 inches.
2. 21.02 Complete truss plans and layout are required to be onsite at time of rough inspection
3. 21.09 Smoke detectors are required to be provided in each bedroom and adjacent to all
sleeping areas. (2 required in common area due to bedroom separation)
4. Comm 21.25(1)(b) Bracing. Exterior walls shall be braced at the corners.
1. Nominal l inch by 4 inch continuous diagonal members set into the face of the studs
at an angle between 45° and 60°; or
2. Four feet by 8 feet plywood sheathing panels not less than 5/,~-inch thick for 16-
inch stud spacing and not less than'/8 inch thick for 24-inch stud spacing; or
3. Preformed metal T-bracing not less than 22 gage (.0296 inches) thick and 1'/, inch
wide; or
4.Other approved wind bracing materials.
5. No structure is permitted within any Easement located on the property.
6. 21.05 Safety glass is required in sidelights adjacent to door, window within 2 feet of door,
and adjacent to whirlpool tub.
7. The drainage will be required to be completed in compliance with the approved grading and
drainage plan.
8. Heat loss calculations are required to match the actual construction.
The submittal described above has been reviewed for conformance with the State of Wisconsin Uniform Dwelling
Code. The submittal has been CONDITIONALLYAPPROVED. This is a limited review. Ultimately it is the
applicant/owners responsibility to comply with all applicable codes, statues and ordinances, and the conditions of
this approval.
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9. Garage spaces shall be separated from dwelling unit in accordance with Comm 21.08.- The
door and frame assembly between the dwelling unit and an attached garage shall be listed an
labeled by an independent testing a eg ncy (i.e. UL, E~rL, vvF-i,) as having a minimum fire-resistive
rating of 20 minutes. ALL drywall joints are required to be taped /sealed unless the joints
are fitted so that the gap is no more than 1/20th of an inch (a dimes thickness) and backed by
solid wood or drywall with joints staggered.
10. All Penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in studs
used for return air spaces.
11. The property owner and applicant is responsible for compliance with Comm 21.125 (Erosion
Control). When installing access drives, a minimum of 2"-3" diameter stone is required for a
minimum 6 inch depth, 14'-20' wide, and 30'-50' in length. Erosion control measures are
required to be maintained until the permanent lawn has been established.
12. All storm sewer inlets must be protected with approved erosion control devices. Tracking
(sediment) must be removed from the street at the end of each work day. Repair of any
siltation, or erosion damage to adjoining surfaces and drainage ways resulting from land
development or disturbing activities.
13. All site grading must be done in accordance with the approved drainage plan on file in the
public works office -located on 3Td floor City Hall.
Sr~~na;tus~.of~4ppzrrarct: D~ 1~` /f v tJJ'
The submittal described above has been reviewed for conformance with the State of Wisconsin Uniform Dwelling
Code. The submittal has been CONDITIONALLYAPPROYED. This is a limited review. Ultimately it is the
applicant/owners responsibility to comply with all applicable codes, statues and ordinances, and the conditions of
this approval.
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