HomeMy WebLinkAbout0068415-Building `CITY OF OSHKOSH No 0068415
OSH' OSH BUILDING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 454 WINDINGBROOK DR Owner ROBERT TOSIC Create Date 1/25/99
Designer Contractor GTS CONSTRUCTION
Category 110 New Single Family Plan C7- 011 -299R
Type 0 Building O Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size IRR 54'X64'
Unfinished/Basement 1105 Sq. Ft. Rooms 7 Height 23 Ft. U Projection
Finished/Living 2583 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 668 Sq. Ft. Baths 2 Signs
Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other
Concrete Block 0 Post 0 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, NO DECK OR PATIO
of Work
I
HVAC Contractor HEWITT HEATING AIR CONDITIONIN Plumbing Contractor TOM PLUFF PLUMBING INC
Electric Contractor ACTION ELECTRIC
Fees: Valuation $138, 00.00 Ian Approval $40.00 Permit Fee Paid $420.00 Park Dedication $100.00
Issued By: L Q Date 2/9/99 Final /O.P.
L Permit Voided
In the performance of this work I agree to perform all work ant to es governing the described construction.
Signature Date p--
gent/Owner
Address P• BOX 466 NEENAH WI 54956 0 Telephone Number 707 -5532
e) OSH' OSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6097
Name ROBERT TOSIC Address 454 WINDINGBROOK DR Create Date 01/25/99
Lot 31 Block Ward
Subdivision SAWYER CREEK Zone
Street Number Lot Dimensions IRR Sidewalk Existing
Building Grade Elevation Stakes Set At Site 01/26/99 Set By D.W.G. BK 542, P 4
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 0068415
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
t:• Constr HVAC Elec Plbg Erosion Other:
Zwne s 'ame Mailing Address Telephone No.
ROBERT TOSIC 1166 APPLE BLOSSOM DR NEENAH WI 54956 0000 725 -6438
contractor: x Con Elec HVAC 7 Plbg Iic/Cert Maiiing Address 1 elephone No.
GTS CONS I KUU I TUN 272415 PO BOX 466 NEENAH WI 54956 0000 707 -5532
'Contractor: I Con Z Elect _1 HVAC •1 Plbg pc/Cert Mamng Adaress 1 eiepnone No.
ACTION Lte IRK.: N 3986 CONRAD STREET KAUKAUNA WI 54130 0000 788 -4020 MOBI
t.ontractor: I Con Elec M HVAC Plbg lic/Cert Wining Address 1 eiepnone NO.
HEWITT HbA I INCi AIR CONUI 1 I 634 AIRPORT RD MENASHA WI 54952 0000 725 -5073
'Contractor: 1 Con Elec p HVAC X Plbg tic/Cert marring Address i eiepnone No.
TOM PLUFF 1-'LUMt31NC, INU W9478 LUCY LN HORTONVILL WI 54944 9999 MOBIL: 366 -373
t• Lox rea Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
ui ing ress Subdivision Name Lot No. BIOCk No.
454 WINDINGBROOK DR SAWYER CREEK 31
Zoning District(s) Zoning Permit No. Front Rear Lett Right
Setbacks ft. ft. ft. ft.
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Z iri s u w.. •_c, o L
000 i• :O� :%O
Z New Repair Z Single Family n rance •ane Forced Air Furnace Fuel ar
Alteration 1 I Raze Two Family Size: 200 amp Radiant Baseboard or Panel
Addition Move Garage Service: E Heat Pump Space Htg 1 H H
Other (print): 1 Overhead E Boiler Water Htg x ri L L E
Other Underground Central Air Conditioning
Dwelling unit wil have 3 ki owatt or
.�u ^.o; El Other more installed electric space heating equip.
r Site Constructed Concrete
Infiltration control option is: 1 Full sealing
Unfinished n Manufactured n Masonary Sewer of joints. f Blower door test. H Exterior
Basement 1105 Sq ft Treated Wood Municipal air intntra ion barner.
U Other
Living Area 2583 Sq. ft. 1 -Story t Septic 3 1 i
Garage 668 Sq, ft. 2-Story 1 e t• Permit No Envelope BTU /HR
Other 7619 Infiltration BTU /HR
Permanent •.t. •to•
Other Municipal Utility
Z Plus Basement Private On -Site Well $165,000.00
The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions oTthiis permit, understands that the issuance of
the permit creates no legal liability, express or implied, on e Department m icipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE 41002 DATE SIGNED 2 ff'
APPROVAL CONDITIONS 1 is permit is issued p uant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
SL t S IANDARD CONUI 1 IONS OF APPROVAL
Town 7 Village Z City County State of: Municipality Number of Dwelling Location:
•t 7 0 2 6 6
City Of Oshk
L000 0 0 00. 0• tt•••t••••••••••••••••••••••••• X ,*:•:•:•:•K OJO•••tt••••••t•••t•••••••t ••J• O•
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Plan Review $40.00 Construction Name Nicole Krahn
Inspection HVAC
Wis. Permit Seal $30.00 Electrical Date 02/02/99
Other Plumbing
4 Erosion
Total $70.00 215053 Cert. No. 248101
SBD -5823 (R. 07/92)
g OSH'OSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 454 WINDINGBROOK DR Date 2/9/99
Name ROBERT TOSIC
Address 1166 APPLE BLOSSOM DR NEENAH WI 54956
Subdivision SAWYER CREEK Lot 31
Building Permit Number 0068415
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature 7 Date 2-, i
Inspector's Signature LOA__ Date
ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name ROBERT TOSIC Address 454 WINDINGBROOK DR Create Date 01/25/99
Construction Data New Construction o Addition o 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
Use
Lot Width
Lot Area
Lot Area Per Family
Flood Plain
Front Yard
Front Yard Side Street
Rear Yard
J Side Yard
Building Area
Parking Standards
Off Street Loading Standards
Vision Clearance
Transitional Yard Standards
Li Landscape Standards
Height
Conditions of Approval
LJ Compliance with P.C. or BZA Conditions of Approv
U Signage Standards
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.
Approved Q Denied
Plan Commission Action Required
Vanance(s) Required
Reviewed By NRK Date 01/25/99
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