HomeMy WebLinkAbout0044305-Building . � ►o
� CITY OF OSHKOSH N°- 44305
� PERMIT - APPLICATION AND RECORD
TYPE: BLDG,� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ADDRESS ��I O ����'C� � �2� PLAN NO�— �� 3 ��� �
OWNER �' �� �` �-'��
DESIGNER
USE/NATURE OF WORK _ IvE�� �l'1J�-L-� ���� . �TI�A�--�'��—� �l�`�-`S�
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BUILDING CON7RACTOR � � � ���
Size �` � Sq. Ft. �y�3 # Rooms �+��2 # Stories Height ��
Foundation ����� Class of Const.� Occupancy Permit�_
HEATING CONTRACTOR W�
Heat ❑ A/C ❑ Vent ❑ FueVSystem Heat Loss BTU'S
ELECTRIC CONTRACTOR �VM���S
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ������
_BT —WH _Disp —WSoft —CBasin
_Lav —Sh _DW —DF —San. Sewer
_WC _FDr _SP —Ur —Storm Sewer
_Sink —LTub _Eject —SS —Water
Other
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FEES: Valuati ���� Permit Fee Paid $ ��• � Park Dedication $
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ISSUED BY Date 3��`�-s FinaUO.P. �
In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction.
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SIGNATURE
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AGENT/OWNER DATE
ADDRESS
TELEPHONE A�
�33- c�a� 3�S � .
WisconsinDepartmentoflndustry, WISCONSIN UNIFORM BUILDING APP�icationNo. ;
Labor and Human Relations pERMIT APPLICATION �-�,��� `
Safety and Buildings Division �
P.O.Box 7969 (See instructions on back of pink copy) Parcel No.
Madison,WI 53707 The information you provide ma be used by other government agency
Wisc nsin Stat te 101.63 101 J3 pro rams IPnvac Law,s. 15.04�)(m)].
' ,p�R��'���'U��T�� Constr �F-_��eE ,,�Erosion ❑Other: <:
Owner's Name Mailin Address Telephone No. ;
_............. �
�C �(Z. /�� l � � f'T l ,Z3 S d�'a3 ;
Contractor's Name: ❑ConRf Elec ❑HVAC ❑Plbg idCert# M�in�Address � ��S 'rt �e�ph�on�e�o. rQ �
G C� � ts�<� .� �
Contrado�Na : ❑Con ❑EIe�HVAC ❑Plbg idCert# Mai i Addr ss�, � �, ,� ���.�� �e�e�h�ne,�o. � � `
N��$� rl y � _
Co tr ctor's Name: ❑Con Elec ❑HVAC�'Plbg iUCert# iling ddress Telephone No. T
��. �oy� ►� � Y�t,�Q.r„�_ S�l qs=- '` 7 3 ��/ S�;
Contrador's Name� Con Elec ❑HVAC ❑Plbg LiUCert# Mai►ing Address Te�lephone No. '
- c .� C c� /! 0 G o J'T, a fN a S c ' ��.3 S'-�o �
������.���.�.��� Lot Area
Sq.ft. 1/4, 1/4,Section ,T N,R E(or)W
B �ding Address �p EE � Subdivis n Name Lot No. elock No.
l O y� '�� �- �M� � s ��
Zoning District s) Zoning Permit No. Front Rear Left �/ Right
� / Setbacks �� ft. S/ ft. � Z ft. � ft.
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ew ❑Repair Single Family Entrarue Panel orced Air Furnace Nat L P Oil Elec Solid Solar s
❑Alteration ❑Raze ❑Two Family Size:Lo D amp ❑Radiant Baseboard or Panel Fuel Gas * E
❑Addition �Move ❑Garage Service: ❑Heat Pump °
❑Other(print): nderground ❑Boiler Spate Htg ❑ ❑ ❑ ❑ ❑ ;
❑Overhead entral Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ i
❑Other ❑Other ❑Dwelling unit will have 3 kilowatt or
� ��$�'�� � `��������' more installed electric space heating e uip
rte Constructed Concrete �� :�€������ : � q
❑Manufactured ❑Masonry ' ' ;: nfihration control option is:�Full sealing
�; J��i�1,:����:���_. : Sewer of�omts. ❑Blower door test. ❑Extenor :
......
❑Treated Wood air infiltration barner °
;...
Munici al
X
Unfinished Basementl {rt <�.l. .$����E��t::>::>.:::::>': ❑Other P ;.:.:;:. . ;:.::.:. ... :.:.:.:...:.: .::.. .
Se tic ':.';:;::<.;'��:^>H�►T;:�.!C���::::����i�F����;:;::>::, ;
t� t-Stor ❑ P ...�... U/HR
...
(� Y ;�+..: . Permit No nvelo e BT �
Living Area �/ /� Sq.ft. �2_Story ❑Seasonal P
9 ��� q ��j �{���:; filtration BTU/HR �
❑Other Permanent - '
Gara e 5 ft. " �
❑Other uniupalUtilrtY ��...��Jt�:.����:,����a:���...:.. .. �
Plus Basement ❑Private On-Site Well $ / b � U � ;
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The applicant agrees to comply with all applicable codes,statutes and ordinances and with the conditions of this permit;understands that the issuance of
the permit creates no legal liabifity,express or implied, n e partment or mumcipality;and certifies that all the above informatio is accur e.
APPLICANT�S SIGNATUR DATE SIGNED � �-3 � '�—
APPROVAL�ONDITIONS This permrt is issued pursuant to the following conditions. Failure to comply may result in suspension or `
revocation of this permit or other penalty. :
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t�,����� ❑Town ❑Vlllage ty ❑County ❑State of: Muniupalrty Number of Dwelling Location: `
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OS4�kos�
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Plan Review $��O onstruction �
Inspedion $ ]�HVAC Name
Wis.Permrt Seal $_�� ❑Eledncal `
Other $ Plumbing Date �jl �S
rosion ���r.�
Total $�_ ����� Cert.No. �C�Jp
SBD-5823(R.06/94) WHITE-Isswng Junsdiction YELLOW-DILHR GREEN-Inspettor PINK-OwneNAgent `
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ZONING/LAND USE COMPLIANCE CHECKLIST
3or o ;� � �-
JOD LOCATI�N: � �� C�►�E� �., Z�NING
PROPERTY OWNER/CONTRACTOR: �s 1 �� �-�-��Z
CONSTRUCTION DATA: _� New Construction Addition Alteration -
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
��� �1+�� �A�\�� , �'�'AC.:ci�� �`1�0��. ��1��
COMPLIANCE CHECKLIST ��5�� \�-1,�3-�z
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DEFICIENT COMMENTS
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off-Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height
Conditions of Approval
Compliance with P.C. or ,f ¢T,
cv "'__v
BZA Conditions of Approval .— (����-.-!i ,/ ���
Signage Standards �" '
Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, o ::
designee, must approval 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.
L� APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
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REVIEWED BY� ��'� DATE:
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GATE � �%� �J
NAME ��s F1(�-(��1 �U'E.h il-�,� �OQRE55 _
LOT I I� 3 LCCK f,r
SU80 I V. �S - ��-�tz,e. �Z,��NE
ST�EET rv0. �% L%2:E'�c/C— L�T �I MENS I GP�S
SIOE'nALK EXISTlNG �� YES � NO
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8U I LD I�G G�OE ELE�iaTl O�vS ST�KES SET AT S I TE� �f , i g � � �Y
FEE; ;�5.00 . -
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OE�ART�"c`:T OF ���c L I C '�VGrtK:
I , the undersigned, owner or agent oi the aoove dascrioed pr�per;y �gree ro ha��e �he
grade es±aaiis;�ed before excavation has commenced. �
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City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECOP.D
Address ��Q �u.y..1-� � — ��.-
Owne�'s Name �� �. i���
Name of Subdi vi si on �� `M�b�I�L�.3 S
Lot � � � B1 dg. �ermi t # `�[`�t 3dS
No. ofi Units �
Fee Req u i red `� ��
Fee Paid � ��
�Owner's signature r Gate
Inspector's signature ) ate � � S
Parks Subdivision :
impravement
r1Ci:i$ . Rec. . .`�Fv'�-J`r 1
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OWPIER 9 R� �wD�ss �O �*A=��Z �`�,Z r--��
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, DATE a°I�9.� PERMIT #�_��,� USE �S� — AC'�T- G�Sv, ��p f
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GENERAL CONTRACTOR �,2� �.�-��� �
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MASON .CONTRA�CTOR � ZONE �
Width o! lot DATE INSPECTIONS #
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Front of lot G ADD S ;
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CODE ENFORCEMEVT DIVISION
DEPART�EN? OF COMMUNI?Y DEVELOPME�T '
CITY OF OSHKQSH , ; WISCONSIN
.
VIOLATION / CORRECTION NOTICE
DATE INSPEC?ED ,'"
4�1'
OCCUPANCY INSPECTED �� c��,,,/ 1+r�;�..:�,
ADDRESS J � ( F�
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OWNERS NAME ���• \� �t-� �f,-
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A.DDRESS
NOTI�E DELIVERED/EXPLAINED T0: F--�-�-;~=_- ��
CC:
I?EM # ORDER FINDINGS OF INSPECTION
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DEFICIENCTES MUST 3F CORRECTED AND APPROVED BEFORE
CONCEALMEN' . CALL i�+i4) 236-5050 FOR INSPECTION.
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COMPLIANCE DATE: 4����.:,�' �; n �.��hy1�,,� INSPECTOR: (��''�
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CODEENFORCEMENT DIVISION
"" DEPART�IENT OF COMMUNI2Y DEVELOPME�T
. CITY OF OSHKCSH , WISCONSIN
•
VIOLATION / CORRECTION NOTICE
DATE INSPECTED f��(�"'�l`�
OCCUPANCY INSPECTED \� ��, �.� �y �,��
ADDRESS ~ � �� � �_��'A. �
OWNERS NAME ��;,r, � �� 1�1Q.._(�
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ADDRESS
NOTI�E DEL IVERED/EXPLAINED TO: '��"�,�-�:c_�
cc:
ITEM � ORAER FINDINGS OF INSPEC?ION
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DEFICIENCI::S MUST 3F CORRECTED AND APPROVED BEFdRE
CONCEALMEN" . ���LL i�►i/+) 236-5050 FOR INSPECTION.
COMPLIANCE DATE: ���� '�`� ����� 1, ' INSPECTOR: � �
NOTIC
E
THIS BUILDING SHALL NOT �E
OCCUPIED UNTIL FINAL INSPECTIONS
HAVE BEEN MADE AND TH � � CARD
SIGNED BY T� . �' �" �" � r"'�' � �`� �
INSULaTlO�'
INSPE �PPR �
� /�i� City of ��T� _8.�1 - �'''� =;�
O r�l•' ,��� OSHICOSH INSP __��
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SECTION 7-32 CERTIFICATE OF OCLc :^vY TO BE ISSUED
(A) NO BUILDINO OR PART THEREUF SHALL 8E OCCUPf�D UNTIL SUCH
CERTIFICATE HAS BEEN 13SUED. NOR SHALL ANY BUIL�9ING B� OCCUPIED
IN ANY MANNER WHICH CONFLICTc WITH THE CONOITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
PRLSENT THIS CARD Code �nforcement Division
Room 205, City Half
�OR OC�UPAfVCY P�RMIT TO Oshkosh, Wisconsin 54S01
ROUGH ELECTRICAL WIRING
APPROVE r
City of DATE � � ` � ANGED BY CALLfNG 236-5050.
OSHKOSH INSP
<-�_��,�,� �� ���'
BUILDING ��.ti'" � DA�'i"
�l y'��'t, �r� 1 �/ �`3
ELECTI�ICAL ��°TE
HEATIN ; , '�� :, � I)A1''�� '� `��
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PLUMBING ��" � �� � �
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FII�E 236-5241 � �� ,��
NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS
SANITARIAN 236-5030 _ �A�'E .
Only for Buainesaea that Requi�e a Permit from the City Heaith Departmerst,
CITY SEALEA _, DATE
Only for Busin�+,saes whare Scalea, Pumpa or Scannfn9 Reflisters are usad.
CITY HALL
215 Church Avenue
P. 0. Box 1130
Oshkos 5 902-�1130 City of Oshkosh
�
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�'��H Approved: January 12, 1996
Issued: January 25, 1996
G H Decker
1113 Oregon Street
Oshkosh, WI 54901
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the New Single Family
Residence with attached garage located at 3010 Sawyer Creek Drive,
Oshkosh, WI 54904 as described in Building Permit Application
number(s) 44305 .
This building is to be used as a Single Family Dwelling only and
is located in the R-1 Single Family Residence District.
LIMITATIONS:
Maximum Floor Loading: 40 lbs. per square foot live load
Maximum persons and/or living units : One living unit
CONDITIONS :
1) Per ILHR 21 . 125, soil erosion measures shall remain in place
� until the disturbed area is stabilized.
2) Gravel front stoop to within 8" .
3) Make patio door inoperable or install temporary steps .
A new Certificate of Occupancy shall be required prior to occupancy,
' should additional building(s) be erected, or should any buildings
mentioned above be altered or moved. The use of land, or buildings,
shall not be changed until a Certificate of cupancy is issued for
that occupancy. All conditions noted above t�st be complied with in
• order for this certificate to be valid.
� ��
BUIL ING INSPECTOR