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� CITY OF OSHKOSH No 0097144 :
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2450 SECURITY DR Owner SCOTT LUDWIG/KASI KRAUSE Create Date 09/04/2002
Designer Contractor SALZER SIDING
Category 110-New Single Family Plan D1-130-0802R
Type � Building 0 Sign � Canopy � Fence _ � Raze �
Zoning R-1 Class of Const: 8 Size Irrg ;
Unfinished/Basement 125 Sq.Ft. Rooms 7 Height 21 Ft. ❑ Projection �
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Finished/Living 1864 Sq.Ft. Bedrooms 3 Stories Bi-level Canopies 0 '
Garage 637 Sq.Ft. Baths 2 Signs 0
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block � Post � Treated Wood y
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature NSFR/ New bi-level with 2 car attached garage and 10'x 25'deck. -
of Work ��
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HVAC Contractor OWNER Plumbing Contractor UNKNOWN
Electric Contractor HOMEOWNER
Fees: Valuation $98,800.00 Plan Approval $75.00 Permit Fee Paid $377.00 Park Dedication $100.00 ;
Issued By: ��j Date 09/09/2002 Final/O.P. 00/00/0000
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In the performance of this work I agree to perform all work pursuant e ov ' g the described construction. �
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Signature .• t"� � -��' % -f� Date '' 7 � G
AgenU er
Address PO BOX 825 OSHKOSH WI 54903 - 0825 Telephone Number (920)231-5025
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OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6814
Name SCOTf LUDWIG/KASI KRAUSE Address 2450 SECURITY DR Create Date 09/04/2002
Lot 63 Block Ward
Subdivision COUNTRYSIDE ESTATES NOI Zone
Street Number Lot Dimensions ✓ Sidewalk Existing
Building Grade Elevation Stakes Set At Site 09/05/2002 Set By D.W.G.
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excav '
has commenced. � '`�� // !�
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Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. _
Labor and Human Relations k
Safety and Buildings Division BUILDING PERMIT oos�144 �
P.O.Box 2509 APPLICATION Parcel Na F
Madison,WI 53701-2509
Wisconsin Statues 101.63, 101.73
�✓ Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other. �:
Owner's Name Mailing Address Telephone No.
SCOTT LUDWIG/KASI KRAUSE 339 N WESTHAVEN DR Oshkosh WI 54904- 0000 �
Contractor: ✓ ConO Elec� HVAC Plbg Lic/Cert# Mailing Address Telephone No.
SALZER SIDING 7351 PO BOX 825 OSHKOSH WI 54903-825 (920)231-5025 �
Contractor: Con ✓ Elec HVAC Plbg LiclCert# Mailing Address Telephone No.
HOMEOWNER OSHKOSH WI 54901 -0
ConVactor. Con Elec ✓ HVAC Plbg LicJCert# Mailing Address Telephone Na i
WNER OSHKOSH WI54901 -p F
Contractor: Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
UNKNOWN Oshkosh WI54901 -0 :
Lot Area S .ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No. _
2450 SECURITY DR COUNTRYSIDE ESTATES NOR 63 '
Zoning District(s) Zoning Permit No. Front Rear Left Right '
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✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Fumace Nat. L.P. Oil Elec. Solid Sola =
� Alteration Two Family Size: 200 am ❑ Radiant Baseboard or Panel Fuel Gas *
� Raze �
� Addition Garage Service: � Heat Pump Space Htg ❑✓ ❑ ❑ ❑ ❑ ❑ ;
� Move � Other(print): � Overhead � goiler Water Htg ❑✓ ❑ ❑ ❑ � � a
❑✓ Underground �
� Other: � Central Air Conditioning * Dwelling unit will have 3 kilowatt or �
Other more installed electric space heating equip. �
�✓ Site Constructed Concrete Infiltration control option is:❑ Full sealing �:
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Manufactured ❑ Masonry
Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ Exterior �
Basement 125 Sq.ft. ❑ Treated Wood a Municipal air infiltraGon barrier. �
Living Area 1864 Sq.ft. 1-Story ❑ Other � Septic '+�il �
Garage g 3 7 Sq ft ❑ 2-Story Permit No. Envelope 22449 BTU/HR �
� Other ❑ Seasonai Infiltration 12173 €
✓ Permanent BTU/HR �.
Bi-level � �✓ Municipal Utility :
� Plus Basement ❑ Other � Private On-Site Well $113,000.00 `
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The applicant agrees to comply with all appiicable codes,statues and ordinances and with the conditions of this permit,understands that the issuance of ;
the permit creates no legal liability,express or i lied,on the Department or municipality• nd certifies that all the above information is accurate.
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APPLICANT'S SIGNATURE //' DATE SIGNED ��-��/"
APPROVAL CONDITIONS This permit is issued pursu e follo ' ditions. Failure to comply may result in suspension or E
revocation of this permit or other penalty
SEE"STANDARD CONDITIONS OF APPROVAL"SHEET f
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� Town � Village �✓ City � County State of: Municipality Number of Dwelling Location: �
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City Of Oshkosh 7 0 - 2 6 6 t
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Plan Review $75.00 � �nstruction i
HVAC Name JOHN ZARATE
Inspection Electrical
Wis.Permit Seal $30.00 � p�umbing Date 9/4/02
Other �✓ Erosion
Total $105.00 ❑ 275808
Cert.No. 70330 �
SBD-5823(R.07/92)
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OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER �
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Job Address 2450 SECURITY DR Date 09/09/2002 x
Name SCOTT LUDWIG/KASI KRAUSE 4
Address 339 N WESTHAVEN DR Oshkosh WI 54904
Subdivision COUNTRYSIDE ESTATES NOF Lot 63
Building Permit Number 0097144 `
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Number of Dwelling Units 1 Number of Structures 1 '
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Fee Required $100.00 Fee Paid '
Owner's Signature �- � Date �i� ������
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Inspector's Signature Date ;
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COWSULT ILHR 21.12a. I.LH.R Z1.13. IVO lOfiAL BU�OR10 OF 7!� STOCI�E.
MISF'ECTOR fOR M�1Y Ql1F'SIIOf�S.
p� � SECURITY DRIVE LOT3 COUNTRY SIDE ESTATES NORTH �
� � CO°��°� HARRY SALZER �' ��� �-1�
8-3-C2 !'AX �0 48�-990.9
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� City of Oshkosh s
� Division of Inspection Services
215 Church Avenue `
PO Box 1130 �
O HK I--I Oshkosh WI 54903-1130 `
Office 920-236-5050 s
ON THE WATER Fax 920-236-5084
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PLAN REVIEW
Project Address:2450 Security Dr Date Reviewed: 9/4/02
Submitted By:HARRY SALZER Phone Number: 920-231-5025
Plan Number:Dl-130-0802R ❑Mailed
Reviewed By: JZ ❑ Faxed
Phone: 920-236-5119 � Delivered Date: h
Result of Plan Review:
� Conditionally Approved $
� Withheld Pending Approval of Additional Information �
❑Not-Approved, Plans Returned for Revisions =
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Conditions Noted on Plan Review �
1) Complete combustion air worksheet for water heater in lower utility room.
� 2) Provide drainage plan showing correct direction of storm water flow.
3) Tempered glass is required within 2'of all exterior doors along the same wall.
4) Pull down ladder assembly shall be fire rated.
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CITY OF OSHKOSH
STANDARD CONDITIONS OF APPROVAL
Project Address Z4SV Sec��r�" � ,�Y� Permit#
Please read the following information and sign at the bottom to acknowledge that you have read
and agree to comply with these conditions.
1. All habitable rooms must be provided with 8%light and 3,5% ventilation. Bedrooms
located on the second floor or below ground level must be provided with egress windows
. in addition to the light and ventilation requirements. Basement windows are also
required to have window well areas in accordance with ILHR 21.03.
2. Garage spaces shall be separated from the dwelling unit in accordance with ILHR 21.08.
The door and frame assembly between the dwelling unit and an attached garage shall be
labeled by an independent testin�a ency as having a minimum fire-resistive rating of 20
minutes. All drywall joints are required to be taped/sealed unless the joints are fitted so
that the gap is no more than a dimes thickness ( 1/20-inch)and backed by solid wood or
drywall with the joints staggered.
3. All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in the
return air spaces.
4. Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
detectors are required to be hardwired and interconnected.
5. Hydromassage tubs are required to have an access panel to motor. The access panel must
be accessible without removing the finish of the house.
6. All overframing must be designed by the truss manufacturer, according to standards set
by the truss plate institute, or structural calculations must be provided prior to the rough
building inspection.
7. Truss plans must be submitted and approved prior to framing the roof.
8. Truss plans including the truss layout must be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all microlams with point loads on them.
9. Calculations must be provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10. The property owner and applicant is responsible for compliance with ILHR 21.125
(Erosion Control). When installing access drives, a minimum of 2"-3" diameter stone is
required in addition to a minimum of 6" depth, 30'-50' length, and 14'-20' width. Erosion
control measures must be maintained until the lawn is established.
11. All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment)must be removed from the street at the end of each workday. Repair any
siltation or erosion damage to adjoining surfaces and drainageways resulting from land
development or disturbing activities.
, 12. The building placard must be posted on site at all times. Once the rough framing is up
the placard must be posted on the patio door or on a kitchen window. If the placard is not
present at any inspection, stop work orders will be posted. Additional placazds can be
obtained through our department if the cards are misplaced.
13. All mechanicals must be roughed in prior to requesting the rough building inspection. If
on the inspection the mechanicals are not roughed in, the inspection will fail and a$100
re-inspection fee will be charged.
14. Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
15. When requesting final inspections please note that a minimum of 2 days notice is needed
from the time the inspection is ready. Furniture is only allowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final inspection no furniture or personal belongings are allowed in the
house. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electrical inspector needing to look at the power serving the appliances.
A 6' stepladder must be on site at the final inspection to provide access to the attic.
16. The building placard must remain on the patio door or on a kitchen window until
occupancy is approved. Occupancy is not allowed prior to the placazd having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
given.
17. All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor.
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� CORRECTION NOTICE / FIELD INSPECTION REPORT � ;
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JOB LOCATION: Z�,SD ��GUr l"�
Ciry of Oshkosh
Inspection Services Division CONTRACTOR: S��„�E'�
215 Church Avenue,PO Box 1130 1\
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED: �P,iJ �-tp ri1,�
Phone:(920)236-5050
Fax(920)236-5084 TYPE OF INSPECTION: �Q�� ��✓��,
Violations must be conected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections,the owner/contractor/agent must sign and date at the bottom of this notice '
and return it to the Inspection Services Division by the Compliance Date of
, I!i'EM# CODE INSPECTION RESULTS �
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Signed � ZZ Z. 2.��0�s��9
pecrion Services Division ate o Inspection Phone#
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Print Name Company
Signature: Date