HomeMy WebLinkAbout0069806-Building CITY OF OSHKOSH No 0069806
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1916 MICHIGAN ST Owner KERRY SCHMIDT Create Date 4/21/99
Designer Contractor MICHAEL P BERNIER 12/98
Category 110 - New Single Family Plan c7- 57-499
Type • Building Q Sign 0 Canopy O Fence 0 Raze
Zoning r1 Class of Const: 8 Size IRREG
Unfinished /Basement 1440 Sq. Ft. Rooms 7 Height 16 Ft. Projection
Finished /Living 1504 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 960 Sq. Ft. Baths 2 Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Flood Plain Height Permit Not Required
Park Dedication Not Required # Dwelling Units 1 # Structures 1
f
Use /Nature New SFR/ New 1504 sf home with 960 sf attached garage. Includes 12x12 patio or deck.
of Work
HVAC Contractor TENTH ST STATION INC Plumbing Contractor KOCH PLUMBING
Electric Contractor SECKAR ELECTRIC
Fees: Valuation $95,700.00 Plan Approval $40.00 Permit Fee Paid $315.00 Park Dedication $0.00
Issued By: Date 4/26/99 Final /O.P.
Permit Voided
—
In the performance of this work I agreo perform all work pursuant to rules governing the described construction.
Signature it j i ` _ Date y -,1 G --Q9
Agent/Owner f
• Address Oshkosh WI 54901 - 0 Telephone Number 920 - 233 -3438
OSHOSH
GRADE STAKE FORM
ON THE WATER Grade Stake Number 6156
Name KERRY SCHMIDT Address 1916 MICHIGAN ST Create Date 04/21/99
Lot Block Ward
Subdivision Zone
Street Number Lot Dimensions >I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 04/23/99 Set By NO DRAINAGE PLAN FOR THIS AREA
Department of Public Works
1, 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 0069806
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
♦Ok E @ ' ' ' f ® Constr HVAC Elec Plbg Z Erosion — Other:
1wner s • ame Mailing Address I elephone No.
KERRY SCHMIDT 1933 MICHIGAN ST Oshkosh WI 54901 - 0000 233 -3992
Contractor: Ii Con Elec HVAC Plbg Lic/Cert # Mailing Address telephone No.
MICHAEL P BERNIER 12/98 13519 Oshkosh WI 54901 - 0000 920- 233 -3438
Contractor: f Con X Elec HVAC _] Plbg tic/Cert # � 9 Address I eiepnone No.
SECKAR ELE(: I RIC 1302 CONGRESS OSHKOSH WI 54901 - 0000 231 -2237
Contractor:: Con Elec N HVAC Plbg Lic/Cert # Wig Address i eiepnone NO.
TENTHS S I A I IUN INC: — 924 Ohio St Oshkosh WI 54901 - 0000 236 -8770
Contractor: Con I Elec HVAC Plbg tic/Cert # mailing Address i eiepnone No.
KOCH PLUMt3INCi 315 LAMPERT ST OSHKOSH WI 54901 - 0000 BUTCH (C)585-
•••• ° � u3 ':O /Area ❖ �� , ♦ ♦, Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
- ui . ing ' .. ress Subdivision Name Lot NO. BIOCK NO.
1916 MICHIGAN ST
Loning District(s) Zoning Permit No. Front - ear Left Right
Setbacks ft ft. ft ft .
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N New I I Repair Z Single Family n rance •ane ® Forced Air Furnace Fuel o ar
E Alteration Raze Two Family Size: 200 am. L Radiant Baseboard or Panel
���
Addition Move Garage Service: Heat Pump Space Htg Z L I I fl H
Other (print): LJ Overhead H Boiler Water Htg z ❑ U ❑
Other U Central Air Conditioning Dwelling unit wil have 3 ki owatt or
a• W' k` p@.� "a. g; ♦♦ . W t A B C ;,. Other +_�e ♦ ! e
♦♦: :� :� more installed electric space heating equip.
, , nN;•; : z Site Constructed Z Concrete K ♦♦♦♦♦ „ Infiltration control option is X Full sealing
Unfinished LJ Manufactured E Masonary Sewer of joints. Blower door test.
I El Exterior
Basement 1440 Sq. ft. . ♦- ovvv♦. Treated Wood z Municipal air intiitration barrier.
w ._._....♦.♦.♦♦♦ n ft. ® Other S tic ^ & s F"?
Living Area 1504 Sq. 1 Story P . � m "�, _ f. :.g;:;:;:;:::::;:;:;:::
Permit No. Envelope • • BTU /HR
Garage 960 Sq ft. ._ 1 ry
Other El easona : '..;•;•;;;•;•;•;•;•;•;.:•:•;:;:;•;•; Infiltration 20000 BTU /HR
M Permanent :: • ❖♦•..♦ ••••••• .
Other ® Municipal Utility , , s _ m Zt::: ®® *;:
Z Plus Basement Private On -Site Well $118,700.00
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 DD artmentt or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE j - . 14 — DATE SIGNED 9 — 99
APPROVAL CONDITIONS I his permit sued pursuant to the tollowing conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
Maintain 6'8" headroom in basement stairs (Section view not clear)
I
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:;� l :• :♦v :�:• ❖ � Village Il Vi lla e Z City County .. .. Y I State of Municipality Number of Dwelling location:
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.;.. City Of Oshkosh
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Plan Review $40.00 C onstruction
Inspection HVAC Name Allyn Dannhoff
Wis. Permit Seal $30.00 Electrical Date 04/21/99
Other , Plumbing
Erosion
Total $70.00 215096 Cert. No. 70264
SBD -5823 (R. 07/92)
OSH'OSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 1916 MICHIGAN ST Date 4/26/99
Name KERRY SCHMIDT
Address 1933 MICHIGAN ST Oshkosh WI 54901
Subdivision Lot
Building Permit Number 0069806
Number of Dwelling Units 1 Number of Structures 1
Fee Required $0.00 Fee Paid
Owner's Signature 1 r Date Y (a
Inspector's Signature Date
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