HomeMy WebLinkAbout0067668-Building CITY OF OSHKOSH No 0067668
OSH' OSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 374 WINDINGBROOK DR Owner DONALD KATHY KRUEGER Create Date 11/17/98
Designer Contractor DRAMATIC DESIGN
Category 110 New Single Family Plan C6- 132 -1198R
Type Building O Sign 0 Canopy 0 Fence Raze
Zoning R -1 Class of Const: 8 Size IRR 60'X74'
Unfinished /Basement 1848 Sq. Ft. Rooms 10 Height 27 Ft. Projection
Finished /Living 2666 Sq. Ft. Bedrooms 4 Stories 2 Canopies
Garage 760 Sq. Ft. Baths 2 Signs
Foundation Poured Concrete O Floating Slab O Pier o Other
Concrete Block O Post O Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required Dwelling Units 1 Structures 1
Use /Nature NSFR/ 2 story w/ 3 car attached garage, NU DLUK UR PA 110
of Work
HVAC Contractor MCM HEATING Plumbing Contractor WATTERS PLBG- OSHKOSH
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuati n $152,000.00 Plan Approval $40.00 Permit Fee Paid $455.00 Park Dedication $100.00
Issued By: Date 12/9/98 Final /O.P.
U Permit Voided
In the performance of is work I agree to perform all work pursuant to rules governing the described construction.
Signature GSA
Date
Agent/Owner
Address 0 0 Telephone Number
OSHOSH
GRADE STAKE FORM
ON THE WATER Grade Stake Number 6064
Name DONALD KATHY KRUEGER Address 374 WINDINGBROOK DR Create Date 11/17/98
Lot 38 Block Ward
Subdivision Sawyer Creek Zone
Street Number Lot Dimensions I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 11/17/98 Set By D.W.G. BK 535, P 59
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 Division WISCONSIN UNIFOP:IVI BUILDING Application No.
of Safety and Buildings PERMIT APPLICATION
Wisconsin Stats. 101.63, 101.73 Instructions on back of white ply. The information you provide may be Parcel No.
used by other government agency programs (Privacy Law, s. 15..1 (m)
7 t e ms, nstr HVAC Elec Plbg Erosion Other:
O er's Nam Mailing Address Tel.
Contractor's Name: ❑lle ❑HVAC Plbg Lic/Cert# Mailing Address Sticky4 Tel.
b -1 )7ZS )l-v 33 ForesA- Vi Q bJ FAX
Contractor's Name: ❑Con DElec ❑HVAC Plbg Lic/Cert# ailing Address Tel.
FAX
Contractor's Name: ❑Con DElec OHVAC 0 Plbg Lic /Cert# Mailing Address Tel.
FAX
Contractor's Name: ❑Con ❑Elec ❑HVAC Plbg Lic/Cert# Mailing Address Tel.
FAX
P mp Lot area
Sq. ft. 1 of Section T N, R E (or) W
Building :1 s d j Subdivision Name I Lot No. I Block
IAJt Zo District(s) Zonii ermit No Setbacks:
1 !t J 3.00 a T I Front ft. I Rear ft. I Left ft. I Right
ft.
6,.1 131:iE[ ri iCji 9 I VAC EQtJ EPME1�I t 12. ENERGY Ga sC
Re pair gle Family Entrance Panel F orced A ir Furnace F ue l Na t Gas LP Oil Elec Solid Solar 1 1
Alteration Raze Two Family Amps: Radiant Basebd/ Panel Space Htg
Addition Move Garage )(Underground Heat Pump Water Htg
Other: Other: Overhead Boiler Dwelling ugas 3 kilowatt or more electric space
7. FOUNIDATION Central Air Cond. heating equip. Infiltration control option is Sealing of all
2 O NED 4 CONST"'I TYPE Concrete Other: joints Blower door test. Exterior air infiltration barrier
Unfin. Built Masonry 13:i HEAT LOSS Ca1CUlated)
Bsmt F L "O Sq Ft Mfd: UDC HUD Treated Wood 10. SEINTE t j
Living grouts ❑Other nicipal Envelope -1 BTU/HR
Area Sq Ft 1 -Story I. USE Septic Permit No.:
Garage
N-- 1(6Z Sq Ft ry Seasonal 11, 'J gyp" 14 Infiltration BUILDING ;I BTU/HR
Other: )4.fmicipal Utility CO
Deck Sq Ft. 1 Plus Basement Private On -Site Well C )b`)'
I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability,
express or implied, on the state or municipality; and certify that all the above information is accurate. If I am an owner applying for an erosion control or construction permit,
I have read the cautionary statement regarding contractor financial responsibility on the reverse side of the pink ply.
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.
smN Town Village YCjty State of Municipality Number of Dwelling Location
TI D3 tf Ji,p v
4.1 ISSUED WISi I' IS ED BY:
Plan Review 6onstruction (For New UDC A n
Inspection HVAC Homes Only) Name '�i .�l �t
Wis. Pennit Seal Electrical r
Other 0 Plumbing Date 1cA
Total of i 1
rosion n0)Cbho� Cert No. p �"�Ch 1b J
SBD- 5823(R.11/97) WHITE Issuing Jurisdiction YELLOW State, if new dwelling GREEN Inpsector PINK Owner /Agent 1!
OS OSH PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 374 WINDINGBROOK DR Date 12/9/98
Name DONALD KATHY KRUEGER
Address 1500 MARICOPA ST Oshkosh WI 54904
Subdivision Sawyer Creek Lot 38
Building Permit Number 0067668
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature Date
Inspector's Signature LiJx Date
g ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name DONALD KATHY KRUEGER Address 374 WINDINGBROOK DR Create Date 11/17/98
Construction Data New Construction 0 Addition 0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR/ 2 story w/ 3 car att gar, NO DECK OR PATIO
Compliance Checklist
Deficient Comments
L_-J Use
Li Lot Width
Li Lot Area
Li Lot Area Per Family
Li Flood Plain
Li Front Yard
Li Front Yard Side Street
Li Rear Yard
Li Side Yard
Li Building Area
Li Parking Standards
Li Off- Street Loading Standards
Li Vision Clearance
U Transitional Yard Standards
U Landscape Standards
Li Height
Li Conditions of Approval
Li Compliance with P.C. or BZA Conditions of Approv
1I Signage Standards
[J Drainage Plan
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.
le Approved O Denied
Plan Commission Action Required
I Variance(s) Required
Reviewed By Nicole Krahn Date 11/17/98
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