HomeMy WebLinkAbout0068136-Building { CITY OF OSHKOSH No 0068136
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1722 BERNHEIM ST Owner DAVID AND CONNIE CAULK Create Date 1/4/99
Designer Contractor PORTSIDE PROPERTIES INC 5/7/98
Category 110 - New Single Family Plan C7- 003 -199R
Type • Building 0 Sign fl Canopy 4) Fence 4) Raze
Zoning R -1 Class of Const: 8 Size IRR 70'x68'
Unfinished /Basement 2079 Sq. Ft. Rooms 10 Height 27 Ft. 1 Projection
Finished /Living 3045 Sq. Ft. Bedrooms 4 Stories 2 Canopies
Garage 777 Sq. Ft. Baths 3 Signs
Foundation Poured Concrete O Floating Slab O Pier Q Other
Concrete Block O Post 0 Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature i1SFR/ 2 story w/ 3 car attached garage, 20'x26'6" deck
of Work
HVAC Contractor MCM HEATING Plumbing Contractor TOM PLUFF PLUMBING INC
Electric Contractor HARV'S ELECTRIC
Fees: Valuation ,00.00 Pla ' pproval $40.00 Permit Fee Paid $512.50 Park Dedication $100.00
Issued By: "a_ ', Date 1/14/99 Final /O.P.
U Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature g � / �
Si L
Agent/Owner
Date �- I q -
Address 923 S MAIN ST OSHKOSH WI 54901 - 0 Telephone Number 426 -1544
OSH'OSH
g'01 GRADE STAKE FORM
ON THE WATER Grade Stake Number 6092
Name DAVID AND CONNIE CAULK Address 1722 BERNHEIM ST Create Date 01/04/99
Lot 74 Block Ward
Subdivision 7th Add to Fox Chase Zone
Street Number Lot Dimensions X Sidewalk Existing
Building Grade Elevation Stakes Set At Site 01/06/99 Set By UNABLE TO SET REAR PL (TREES)
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 0068136
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
•• ® Constr 0 HVAC 0 Elec 0 Plbg ® Erosion 0 Other:
•wne s , ame Mailing Address Ilephone No.
DAVID AND CONNIE CAULK 1728 LOMBARD AVE Oshkosh WI 54901 - 0000 303 -9786
on ra or: Con ❑ Elec ❑ HVAC El Plbg Lic/Cert # Mailing Address Telephone No.
PORTSID rrcurtrc I Itb !NU OW 6461 923 S MAIN ST OSHKOSH WI 54901 - 0000 426 -1544
Contractor: Con ® Elec El HVAC D Plbg Lic/Cert # Malting Adaress r elepnone No.
HARVS EtM; i Rio 401 MILWAUKEE STREET KEWAUNEE WI 54216 - 0000 (920) 388 -3699
c.ontractor:D Con D Elec IN HVAC Q Plbg tic/Cert # nnaiiing Address I elepnone No.
MCM HEA i INca 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 582 -4402
contractor:fl Con Elec El HVAC Plbg Lic/Cert # lviamng Address i elepnone No.
TOM PLUFF t-LUMbIN , INL. W9478 LUCY LN HORTONVILL WI 54944 - 9999 MOBIL: 366 -373
:.: :::' t ' ��; • Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
ui • ing . • • ress - Subdivision Name Lot No. Block No.
1722 BERNHEIM ST 7th Add to Fox Chase 74
Zoning District(s) - Zoning Permit No. Front Rear - Left Right
Setbacks ft. ft. ft. ft.
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to <.�,�a. �..:; ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ _♦_ _♦..' ... � �k • ♦•� 3 ; � ♦_♦ � � �- ♦ ♦ O♦ � �I ♦• •O: ❖:•i i : ❖i: ♦: ❖:O ♦•i
® New El Repair : Single Family n ranee • ane • • Forced Air Furnace Fuel oar
El Alteration 0 Raze _ Two Family Size: 200 am• Radiant Baseboard or Panel
���
E:I Addition Move Garage Service: Heat Pump Space Htg 0 0 0 ❑ ❑ ❑
Other (print): II Overhead Boiler Water Htg ® 0 0 0 ❑ 0
4 Underground Central Air Conditioning
El Other ��� g 0 Dwelling unit wil have 3 ki owatt or
���� ' ;♦ I t:•- Other more installed electric space heating equip.
:„,_ � � .• X Site Constructed C Concrete :: t ' s r 3 v -•• f • R f R •p :i:E:K::
�-��� -- - � -��� =s •••• »• 1� �!•: ♦:;;:;;;;.; ♦.♦ .♦ Infiltration control option is:0 Full sealing
Unfinished ❑ Manufactured Masonary Sewer of joints. f Blower door test. 0 Exterior
Basement 2079 Sq. ft. : # i ♦♦vv Treated Wood Municipal air intiltrafion barrier.
�.:. ..:..... Other
Living Area 3045 Sq. ft. 1-Story Septicr : : :•.
P' ; ,•;•.-.•;•:•;,•;,•;•;•;•;•;• ♦ ♦♦•♦
Garage S
2 -Story . ���- �.� - - -• - •... ❖.•. Permit No. Envelope � • BTU /HR
q. ft. ; 43987
Other easona ;•;•;•;•;•;•;•;•;•;•;•;•;•;•;•;•;• Infiltration BTU /HR
" Permanent _: :•.:::::::::.
Other Municipal Utility I
Z Plus Basement ® Private On -Site Well $205,000.00
The applicant agrees 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 Depa ent or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE - -A4 ,l DATE SIGNED I --1 '1 9 9
APPROVAL CONDITIONS 1 his permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
SEES 1 ANDARU CONDI 1 IONS OF APPROVAL
" *.: ; ♦; Town 0 Village ® City County 0 State of: Municipality Number of Dwelling Location:
::K. 0 - 2 6 6
•.: Ci ty Of Oshkosh
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Plan Review $40.00 X Construction Name NICOLE KRAHN
Inspection HVAC
Wis. Permit Seal $30.00 Electrical Date 01/13/99
Other
2 Plumbing
Erosion
Total $70.00 215045 Cert. No. 248101
SBD -5823 (R. 07/92)
OSH'OSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 1722 BERNHEIM ST Date 1/14/99
Name DAVID AND CONNIE CAULK
Address 1728 LOMBARD AVE Oshkosh WI 54901
Subdivision 7th Add to Fox Chase Lot 74
Building Permit Number 0068136
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature U Date j — q - GI
Inspector's Signature / Date
ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name DAVID AND CONNIE CAULK Address 1722 BERNHEIM ST Create Date 01/04/99
Construction Data New Construction O Addition O Alteration
Type of Construction (Le. fence, pool, parking lot, sign, etc. Nsfr/ 2 story w/ 3 car att gar, 20'x26' deck
Compliance Checklist
Deficient Comments
u Use
Li Lot Width
U Lot Area
U Lot Area Per Family
U Flood Plain
I_.1 Front Yard
U Front Yard Side Street
Li Rear Yard
U Side Yard
Li Bullring Area
Li Parking Standards
U Off- Street Loading Standards
Li Vision Clearance
6__.i Transitional Yard Standards
U Landscape Standards
Li Height
Li Conditions of Approval
Li Compliance with P.C. or BZA Conditions of Approv
U Signage Standards
L 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 O Denied
Plan Commission Action Required
Vanance(s) Required
Reviewed By NRK Date 01/04/99
CITY OF OSHKOSH CORRECTION NOTICE:
CONTRACTOR: l Time Insp. Called In
_ Date
ADDRESS: , V 1 Time Insp. Needed
Requested By
flLE C
Of
Phone #
Project to be Inspected ! Com 121)
Means of Access
BUILDING: PLUMBING: ELECTRIC: HVAC: EROSION CONIROL: PROPERTY MAINT.:
Footing Rough Rough Rough Tracking Setback Park.
Foundation Test On Service Furnace Silt Fence Unlicensed Veit.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation Sewer/Water Temp Perm Fireplace E.C. Bales. Dilapidated bld's,
Bsmt. Floor Reinsp. UG OH Reinsp. fences, etc.
Final Reinsp. Final _ Final Ext. 4180 Other Final Oft ter Other Other
Other Other
ITEM# CODE INSPECTION RESULTS
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P 021 ( irt iltxtE, r4
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE ONCEALMENT AND /• R OCCUPAN Y!!
COMPLIANCE DATE: /4 01 /U / 1
Action Taken: 0 Not Approved/ Inspection Report left on site , I '
,.Not Approved/ Inspection Report given to 5
Signed lJ1cth / (93
Inspection Services Division Date Of Inspection Phone Number
CITY OF OSHKOSH CORRECTION NOTICE:
CONTRACTOR: ---- I '--_ Time Insp. Called In
Date
ADDRESS: 1 ~3 -N ' Time Insp. Needed
Requested By
Of
Phone #
Project to be Inspected Com'
Means of Access
BUILDING: PLUMBING: ELECTRIC: HVAC: EROSION CONTROL: PROPERTY MAINT.:
Footing Rough Rough Rough Tracking Setback Park.
Foundation Test On Service Furnace Silt Fence Unlicensed Veh.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation Sewer/Water Temp Perm Fireplace E.C. Bales. Dilapidated bid's,
Bsmt. Floor Reinsp. UG OH Reinsp. fences, etc.
Reins.. Final Reinsp. eitil Final Ext. Maint.
..011> Other Final • i er Other Other
Other Other
ITEM# CODE INSPECTION RESULTS
CO-- ' id - Sil. r )5 C 6 2 - 1)3 L 7 "C_Q% - RH— en10 C? h -ve__
VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND /OR OCCUPANCY!!
COMPLIANCE DATE:
' Z
Action Taken: 0 Not Approved/ Inspection Report left on site 1'�'�t� a
Q of Approved/ Inspection Report given to
Signed Ie kAajj—__—. ( 41Z% / c_�7
Inspection Services Division Date Of Inspection Phone Number
CITY OF OSHKOSH CORRECTION NOTICE:
CONTRACTOR: 74 Time Insp. Called In
Se.rn helrn St. Date
ADDRESS: 1 72.E 13. wrmiievi Time Insp. Needed
Requested By
Of
Phone #
Project to be Inspected /496 Co
Means of Access
BUILDING: PLUMBING: ELECTRIC: HVAC: EROSION CONTROL: PROPERTY MAINT.:
Footing Rough Rough Rough Tracking_ Setback Park.
Foundation Test On Service Furnace Silt Fence Unlicensed Veh.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation Sewer/Water Temp Penn Fireplace E.C. Bales Dilapidated bid's,
Bsmt. Floor Reinsp. UG OH Reinsp. Reinsp. fences, etc.
Reinsp. L. Final Reinsp. Final Final Ext. Maint.
Final Other Final Other Other Other
Other Other - .
ITEM CODE INSPECTION RESULTS
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND/OR OCCUPANCY!!
COMPLIANCE DATE:
Action Taken: of pproved/ Inspection Report left on site
0 Not proved/ Inspection Report given to
_. . ~7 � i'i -4 99 '3/...r5Z2Si