HomeMy WebLinkAbout2011-Building 61 CITY OF OSHKOSH No 146124
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 108 PROSPECT AVE Owner ANDREW J /STEVEN J KEMPS Create Date 05/27/2011
Designer Contractor KEMPS CONSTRUCTION INC
Inspector John Zarate
Category 110 - New Single Family Plan UDC - 3290 -0511
Type • Building Q Sign Q Canopy Q Fence Q Raze J
Zoning Class of Const: 8 Size
Unfinished /Basement 1050 Sq. Ft. Rooms 4 Height 19 Ft. ❑ Projection
Finished /Living 1050 Sq. Ft. Bedrooms 2 Stories 1 Canopies
Garage 460 Sq. Ft. Baths 2 Signs
Foundation • Poured Concrete Q Floating Slab Q Pier Q Other
Q Concrete Block Q Post Q Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New single family* 1 story 2 car attached garage. No deck or patio. Driveway shall be asphalt or concrete upon completion of the
of Work project.
HVAC Contractor LEHR HEATING AND PLUMBING INC Plumbing Contractor STERR CONSTRUCTION
Electric Contractor A & S ELECTRIC LLC
Fees: Valuation $60,500.00 Plan Approval $75.00 Permit Fee Paid $321.00 Park Dedication $0.00
Issued By: 5 4- Y - Y1 -../
Date 05/31/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1007920000
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 this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
I have read and underst d the afore m ioned information.
Signature Date �¢ /��
Agent/Owner
Address 4112 ALIDA LANE OSHKOSH WI 54904 - 0000 Telephone Number (920) 233 -4002
To schedule inspections please call the Inspection Request line at 236 -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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0146124
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701 -2509
Wisconsin Statues 101.63, 101.73
�� ❑ Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other:
Owner's Name Mailing Address Telephone No.
ANDREW J /STEVEN J KEMPS 4112 ALIDA LN OSHKOSH WI 54904 - 9390
Contractor: Con. Elec 0 HVAC • Plbg Lic/Cert # Mailing Address Telephone No.
KEMPS CONSTRUCTION INC 17566 4112 ALIDA LANE OSHKOSH WI 54904 - 0 (920) 233 -4002
Dwelling Contr. Qualifier Lic/Cert # The Dwelling Contr. Qualifier shall be an owner, CEO, COB or employee of
Steve Kemps 1011012 Dwelling Contr.
Contractor: ❑ Con ® Elec ❑ HVAC ❑ Plbg LiGCert # Mailing Address Telephone No.
A & S ELECTRIC LLC 247129 13113 TRAXEL POINT LANE WHITE LAKE WI 54491 - 0 715 - 276 -3770
Contractor: • Con I. Elec /,1 HVAC II Plbg Lic/Cert # Mailing Address Telephone No.
LEHR HEATING AND PLUMBING INC 9643 PO BOX 36 WAUTOMA WI 54982 _ 0 920 - 787 -3426
Contractor: III Con • Elec . HVAC Plbg Lic/Cert # Mailing Address Telephone No.
STERR CONSTRUCTION 224254 W2579 ZION CHURCH RD MAYVILLE wi 53050 - 0 920- 387 -3200
Lot Area
S•. ft. 1/4, 1 /4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
108 PROSPECT AVE
Zoning District(s) Zoning Permit No. Front Right
.
New ❑ Repair /,1 Single Family Entrance Panel / ∎ Forced Air Furnace Nat. IM1 Oil Elec. Solid Sola
❑ Alteration Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Fuel Ga
❑ Raze — Garage ID Gara Addition 9 Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑
❑ Move ❑ Other (print): ❑ Overhead ❑ Boiler Water Htg ►i1 ❑ ❑ ❑ ❑ ❑
►./ Underground
❑ Other: ❑ Central Air Conditioning * 1 Dwelling unit will have 3 kilowatt or
.I��� I�1 Other more installed electric space heating equip.
,. ,u, , u .. . Site Constructed ►.1 Concrete - -
Infiltration control option is: ❑ Full sealing
Unfinished ❑
Manufactured ❑ Masonry
Sewer of joints. ❑ Blower door test. ❑ Exterior
Basement 1050 Sq. ft r9 ❑ Treated Wood ® Municipal air infiltration barrier.
Living Area 1050 Sq. ft. ®1 -Story ❑ Other Septic uti
9 q u uu r ❑ P
a 460 g ft. ❑ 2-Story Permit No. Envelope 18780 BTU /HR
Garage q• Seasonal ,
❑ Other l
Infiltration 7185 BTU /HR
® Permanent ® Municipal Utility .d, „, tia., 2
® Pius Basement ❑ Other ❑ Private On -Site Well 81000
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 one acre or more soil will be disturbeb, I understand that this
project is subject to ch.NR 151 regarding additional erosion control and stormwater management. I expressly grant the building inspector, or the inspector's authorized agent,
permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to inspect the work which is being done.
Ell I vouch that I am or will be an owner-occupant of this dwelling for which I am applying for an erosion control or construction permit without a Dwelling
Contractor Certification and have read the cautionary statment regardi ,g contractor responsibility on the Building Permit Application.
APPLICANT'S SIGNATURE �'-- - DATE SIGNE • ,. 5 —
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
See attached "Standard Conditions of Approval” sheet
❑ Town ❑ Village ® City ❑ County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh
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Plan Review $75.00 ►'1 Construction
Inspection
❑ HVAC Name John Zarate
❑ Electrical
Wis. Permit Seal $35.00 ❑ Plumbing Date 5/27/2011
Other ® Erosion
Total $110.00 ❑ 381738 Cert. No. 70330
SBD -5823 (R. 07/92)