HomeMy WebLinkAbout0155233-Building (driveway) �, CITY OF OSHKOSH No 155233
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 530 GRAND ST Owner SHANE M/ROSEMARY L KEALEY Create Date 04/24/2013
Designer Contractor OWNER
Inspector John Zarate
Category 256-Residential Driveway Plan
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-2PD Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection �
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths _ Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/Replace gravel drive with new concrete driveway,patio area and front walkway(work being done by Affordable Concrete) '*check
of Work 572
HVAC Contra I tor Plumbing Contractor
Electric Contractor
Fees: Valua ' $4,000.00 Plan Approval $0.00 Permit Fee Paid $89.00 Park Dedication $0.00
: Issued By: o Date 04/24/2013 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id#0404590000
Cautionarv Statement to Owners Obtaininq Buildinq Permits
101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654(2)(a),the following consequences might occur:
(a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work perFormed under the building permit.
(b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
In the performance of this work I agree to perform ali 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 understand the aforementioned information.
Signature ��/�,���Z� Date y��t/— ),3
AgenUOwner
Address 530 GRAND ST OSHKOSH WI 54901 - 5014 Telephone Number
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.
_ P O Box 1130
� �'lt � OS���S!� Oshkosh,WI 54903-1130
y ,f Phone: (920)236-5050
� Fax: (920)236-5084
Building Permit Application WWW���.oshkosh.W;.�s
Project C) �1
Address �� ��`�n� c�( �
Applicant Owner� Contractor Tenant Other(describe)
Owner/ Name S`1Gi /1�C. iCDSz�-►u� �� ' �
Tenant >' �`� �'� Phone �Zo- .}1 Z`- ����
Address �J �J �%��r'� � Email
Contractor Company Name Phone
Contact Email
Address
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteratio
Project � �
O C/�c' �P �Fi v L,/�: . Gl.�t� � i J
Descripdon
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ j� ���0� ��
� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check #{�'�. _ Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms.
Name: ����►e /�P�i��`' (Please print) Date: �����/3
Signatur : C
' � i
. � • ZONING/LAND USE COMPLIANCE CHECKLIST
OSHKOSH
ON THE WATER
Name SHANE M/ROSEMARY L KEALEY Address 530 GRAND ST Create Date 4/24l2013
Construction Data � New Construction � Addition Alteration
Type of Construction (i.e.fence,pool,parking lot,sign,etc. New Concrete Driveway, Patio and Walkway
Compliance Checklist
Deficient Comments :
Use
Lot Width
Lot Area '
Lot Area Per Family
Flood Plain
Front Yard
Front Yard Side Street I
Rear Yard
Side Yard I 6"drive setback-Substandard Lot
Building Area
Parking Standards
Off-Street Loading Standards
Vision Clearance '
Transitional Yard Standards �
Landscape Standards
Height
Conditions of Approval �
Compliance with P.C.or BZA Conditions of Approvs
Signage Standards
Drainage Plan-Storm Drainage-City Easements
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 0 Denied
Plan Commission Action Required I
Variance(s)Required
Reviewed By David Buck Date 04/24/2013
. �
��� �
PLAN APPROVED ;
BY CITY OF OSHKOSH �.
' ' Staff: �°''''� � '
� Date: �+��� C�
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The City of Oshkesh creates and maintains GIS maps and data for its own use. They may show the
approximate relative location of property, boundaries and other feature from a vanery of sources. Printing Date:4/24/2013 O.IHKOIH
These map(s)/datasets are provided for infamation purposes only and may not be suficient or
appropriate for Iegal, engineering, or surveying purpeses. They are provided "AS-IS" without onn�ew.�a
warranties of any kind and the City of Oshkosh assumes no liability for use a misuse.
Prepared by:City of Oshkosh,WI
J:1GISIGIS_Base_MapslPianning Base Map.mxd User.deborahf