HomeMy WebLinkAbout0133829-BuildingCITY OF OSHKOSH No 133829
OSHKOSH
ON THE WATER
Job Address 1240 CAMDEN LN
Designer
Category 110 -New Single Family
Type ~ Building Q Sign
Zoning r1
Unfinished/Basement 2059 Sq. Ft.
Finished/Living 2059 Sq. Ft.
Garage 837 Sq. Ft.
Plan 039-1108
Q Canopy Q Fence Q Raze
Class of Const: 8 Size in-eg
Rooms 6 Height 22 Ft. ^ Projection
Bedrooms 3 Stories 1 ; - Canopies
Baths 2 ~ Signs
Foundation, ..~ poured Concrete Q Floating Slab , Q Pir?r Q Other ,;~ • - : . ~. -
~_ . . a.. _
.-s, . ~ _,
:.•.
,' . Q foncrete Block Q Post Q Treated Wood _ _ .
Occupancy Permit Required Occupancy Fee $0.00 Fiood Plain No ~ Height Permit Not Required
Park Dedication Not Required # Dwelling Units 1 # Structures 1
Use/Nature
of Work
BUILDING PERMIT -APPLICATION AND RECORD
Owner TONY & JOAN JAWORSKI Create Date 11/04/2008
Contractor TEMPO HOMES INC
Family House
HVAC Contractor
Electric Contractor
Fees: Valuat'
Issued By: ~~
837 sf attached garage, 16x16
Plumbing Contractor WATTERS PLUMBING
COMINGS ELECTRIC INC
(~$~211~,73~0.0~0 Plan Approval $75.00 Permit Fee Paid $769.00 Park Dedication $0.00
1 Lj'f Date 11/05!2008 Final/O.P.00/00/0000
^ Permit Voided
Parcelld #
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 thi p rmit application withi n easement, the Ciry strongly urges the permit applicant to contact the easement
holder(s) and t s re any ne ry p als before starting such activity.
I have read an u nd a ore ned information. /
Signature ~ Date /
Agent/Owner
Address 01 REGON ST STE D7 OSHKOSH WI 54902 - 0000 Telephone Number 231-4920
To schedule inspections please call the Inspection Request line at 238-5128 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.
MCM AIR INC
OSHKOSH
ON THE WATER
Name TONY & JOAN JAWORSKI
ZONING/LAND USE COMPLIANCE CHECKLIST
Address 1240 CAMDEN LN
Construction Data New Construction Addition Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. New SFR with Att. Garage.
Compliance Checklist
Deficient Comments
Create Date 11/4/2008
Use
Lot Width
Lot Area
Lot Area Per Family
Flood Plain
Front Yard
Front Yard Side Street
Rear Yard
Side Yard
Building Area
Parking Standards
Off-Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height
Conditions of Approval No park fee required per Planning (Jeff Nau)
Compliance with P.C. or BZA Conditions of Approv
Signage Standards
Drainage Plan -Storm Drainage -City Easements
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 0 Denied
Plan Commission Action Required
Variance(s) Required
Reviewed By Allyn Dannhoff
Date 11/04/2008
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OSHKOSH
ON THE WATER
Name TONY 8 JOAN JAWORSKI
Lot
Subdivision
Street Number
GRADE STAKE FORM
- Grade Stake Number 7513
Address 1240 CAMDEN LN Create Date 11/04/2008
Block
Zone
Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/04/2008 Set By
Ward
Sidewalk Existing
Department of Public Works
1, the undersigned, owner or agent of the above described property agree to hav the ade est ed f excavation .., :- • ,~
has commenced.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0133829
P.o. Box 25os
Madison, WI 53701-2509 APPLICATION
_ Parcel No.
Wisconsin Statues 101.63, 101.73
^ Constr ^HVAC ^ Elec ^ Plbg ; ~ :Erosion ` , ,^ Other:
Owner's Name Mailing Address Telephone No.
TONY ~ JOAN JAWORSKI 291 S WESTFIELD ST OSHKOSH WI 54902 - 0000
Contractor. Con Elec HVAC Plbg Lic/Cert # Mailing Address Telephone No.
TEMPO HOMES INC 8244 601 OREGON ST STE D7 OSHKOSH WI 54902 - 0 231-4920
Dwelling Contr. Qualifier Lic/Cert # The Dwelling Contr. Qualifier shall be an owner, CEO, COB or employee of
JAMES F CONDOR 9245 Dwelling Contr.
Contractor. ^ Con ^/ Etec ^ HVAC^ Plbg Lic/Cert # Mailing Address Telephone No.
COMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH V1It :54957 - 749 (920) 722-1240
Contractor: Con Elec / HVAC Plbg LirJCert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M r . ~WINNECONNE WI 54986 _ 9780 920-582-4402_
Contractor: Con Elec HVAC / Plbg LiGCert # Mailing Address Telephone. Na
WATTERS PLUMBING PO BOX 118 MENASHA WI 54952 - 118 920-733-8125
Lot Area S . ft. 1/4, I'1/.4,Section ,T N R ` E(or)W ;
. Building Addresg , , ~ ~ _
.: .Sub~hyision Name %..., , 1_ot No.
Black No
1240 CAMDEN LN , .
.
; ,
Zoning District(s) Zoning Permit No. Front Rear Left Right
/ New ^ Repair / Single Family Entrance Panel / Forced Air Furnace
Nat. L.P. Oil Elec. Solid Sola
Fuel
^ Alteration ^ Raze Two Family Size: 200 am ^ Radiant Baseboard or Panel Ga
^
Garage ^ p g 0 ^ ^ ^ ^ ^
Addition
^ Move Service: Heat Pum Space Ht
^
^ Other (print): ^ Overhead ^ Boiler Water Htg ^/ ^ ^ ^ ^ ^
^ Other: ^/ Underground ~ Central Air Conditioning Dwelling unit will have 3 kilowatt or
/ Concrete Other more installed electric space heating equip.
^/ Site Constructed
~
~ Infiltration control option is: ^/ Full sealing
Mason 59
Unfinished ^ Manufactured ^ ry Sewer of joints
^ Blower door test
^ Exteri
r
.
.
o
Basement 2059 S ft. ^ Treated Wood
q• ~ Municipal air infiltration barrier.
^ Other
~
1-Story
^ Septic
Living Area 2059 Sq. ft. '
Garage 837 Sq ft ^ 2-Story Permit No. Envelope 37428 BTU/HR
^ Seasonal
^ Other
Infiltration 26623
BTU/HR
^/ Permanent ^/ Municipal Utility
^/ Plus Basement ^ Other ^ Private On-Site Well 281170
I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permft creates no legal liability,
express or implied, on the state or municipality, and certify that all the above information is accurate. If one acre or more soil will be disturbeb, I understand that this
project is subject to ch.NR 151 regarding additional 'on control and stormwater management. I expressly grant the building inspector, or the inspectors authorized agent,
permission to enter the premises for which this it is ught at all reasonable urs for any proper purposg to inspect the work which is being done.
^~ I vouch that I am or will be an owner cu
ant o this dwells r
I
l
p
w
app
ying for an erosion control or construction permit without a Iling
ConUactor Certification and have read the flonarX s ent r ing t r responsib li on the Building Permit Application.
~ O
APPLICANT'S SIGNATURE DATE SIGNED ~~
APPROVAL CONDITIONS This p it ' issued pursuant to the following conditions. Failure to comply may result in suspension or
rev i'on f this permit or other penalty
Submit header/beam celcs prior to rough g inspection. Provide proper post to beam connects (king beam, front porch} and proper post to fdn
connect (front porch.)
^ Town ^ Village ^/ City ^ County ^ State of: Municipality Number of Dwelling Loption:
City Of Oshkosh 7 0- 2 6 6
Plan Review $75.00 / Construction
Inspection ^HVAC Name Allyn Dannhoff
^ Electrical
WiS. Permit Seal $30.00 ^ Plumbing Date 11/4/2008
Other ^/ Erosion
Total $105.00 ^ 381695 Cert. No. 70264
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