HomeMy WebLinkAbout0073606-Building � GITY OF OSHKOSH No oo�3sos
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2490 SECURITY DR Owner SECURITY HOMES Create Date 08/23/1999
Designer Contractor SECURITY HOMES OF WISCONSIN INC
Category 110-New Single Family Plan C7-121-899r
Type � Building 0 Sign � Canopy � Fence � Raze
Zoning R-1 Class of Const: 8 Size IRR42'X65'
Unfinished/Basement 1540 Sq.Ft. Rooms 6 Height 18 Ft. ❑ Projection
Finished/Living 1540 Sq.Ft. Bedrooms 3 Stories 1 Canopies
Garage 502 Sq.Ft. Baths 2 Signs
Foundation Poured Concrete 0 Floating Slab � Pier � Other
Concrete Block � Post � Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature SFR/1 story w/2 car attached garage,NO DECK OR PATIO.
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor JIM'S PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $67,000.00 Plan Approval $40.00 Permit Fee Paid $242.50 Park Dedication $100.00
Issued By: Date 10/14/799� Final/O.P.
� Permit VoidedJl
In the performance of t ' rk I ee t orm all p rsuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 100 N WESTHAVEN DR OSHKOSH WI 54901 - 0000 Telephone Number 414-426-2045
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OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6233
Name SECURITY HOMES Address 2490 SECURITY DR Create Date 08/23/99
Lot 67 Block Ward
Subdivision Countryside Estates North Zone
Street Number Lot Dimensions Sidewalk Existing
Building Grade Elevation Stakes Set At Site 08/24/99 Set By D.W.G. BK-546, P-37
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the ra sta hed be re xcavation
has commenced. "
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Wisconsin Department of Industry, WISCONSIN'UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0073606
P.o.aoX�sss APPLICATION Parcel No.
Madison,WI 53707
Wisconsin Statues 101.63, 101.73
�✓ Constr � HVAC � Elec � Plbg �✓ Erosion � Other:
Owner's Name Mailing Address Telephone No.
SECURITY HOMES 100 N WESTHAVEN DR Oshkosh WI 54901 - 0000 426-2045
Contractor: ✓ Con Elec HVAC� Plbg LiGCert# Mailing Address Telephone No.
SECURITY HOMES OF WISCONSI 8549 100 N WESTHAVEN DR OSHKOSH WI 54901 - 0000 414-426-2045
Contractor: Con ✓ Elec HVAC Plbg Lic/Cert# Mailing Address Telephone No.
CUMINGS ELECTRIC PO BOX 749 NEENAH WI 54957- 0749 231-5946 (Dick
Contractor. Con Elec ✓ HVAC Pibg LiGCert# Mailing Address Telephone Na
BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1-748-6494
Contractor: Con Elec HVAC ✓ Plbg Lic/Cert# Mailing Address Telephone No.
JIM'S PLUMBING W-6166 GREENVILLE DRIVE GREENVILLE WI 54942- 0000 757-5258 OR 7
Lot Area S .ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
2490 SECURITY DR Countryside Estates North 67
Zoning District(s) Zoning Permit No. Front Rear Left Right
_ : :
�✓ New � Repair ❑✓ Single Family Entrance Panel �✓ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola `
� Alteration � Raze ❑ Two Family Size: 200 am ❑ Radiant Baseboard or Panel Ga *
� Addition � Move ❑ Garage Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑
� Other(print): ❑ Overhead � Boiler Water Htg �✓ � � � �
�✓ Underground Central Air Conditioning Dwelling unit will have 3 kilowatt or
❑ Other '
Other more installed electric space heating equip.
❑✓ Site Constructed �✓ Concrete Infiltration control option is:❑ Full sealing
Unfinished ❑ Manufactured ❑ Masonary Sewer of'oints. Blower door test.
Basement 1540 Sq.ft. � ❑ Treated Wood ✓ Munici al � � ❑Exterior
Other � p air infiltration barrier.
Living Area 1540 Sq.ft. ❑`� �-Story � ❑ Septic �
❑ 2-Story Permit No. Envelope 31785 BTU/HR ;
Garage 5�2 Sq.ft. Seasonal �
� Other Infiltration �8� BTU/HR
�✓ Permanent :
� Other �✓ Municipai Utility
�✓ Plus Basement � Private On-Site Well $100,000.00
The applicant agrees to comply with all applicabl ,sta and ordinances nd with the conditions of this permit,understands that the issuance of
the permit creates no legal liability,express ' p' , n epartm o i yf��,and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE � DATE SIGNED �lY
APPROVAL CONDITIONS This permit is iss d pursuant to th following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
see standard conditions of approval
� Town � Village �✓ City � County � State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $ao.00 ✓ Construction
Inspection
HVAC Name Nicole Krahn
Wis.Permit Seal $30.00 Electrical Date 08/23/99
Plumbinq
Other ✓ Erosion
Total $70.00 221332 Cert.No. 248101
SBD-5823(R.07/92)
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OSHKOSH PA►RKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 2490 SECURITY DR Date 10/14/1995
Name SECURITY HOMES
Address 100 N WESTHAVEN DR Oshkosh WI 54901
Subdivision Countryside Estates North Lot 67
Building Permit Number 0073606
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature � Date G�r( 7 � ` � '
Inspector's Signature Date
� ZONING/LAND USE COMPLIANCE CHECKLIST
OSHKOSH
ON THE WATER
Name SECURITY HOMES Address 2490 SECURITY DR Create Date 08/23/99 ,
Construction Data New Construction Addition Alteration
Type of Construction (i.e.fence,pool,parking lot,sign,etc. NSF/1 story w/2 car att gar,NO DECK OR PATIO
Compiiance Checkiist
Deficient Comments
Use
Lot Width
Lot Area
Lot Area Per Family
Flood Plain
Front Yard
Front Yard Side Street
Rear Yard
Side Yard
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 Approv
Signage Standards
Drainage Plan
Review Authority
As per Section 30-5 Enforcement of the Ciry 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
Variance(s)Required
Reviewed By NRK Date 08/20/99
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CONTRACTOR: ��"�`-" r`�i Time Insp. Called In :
� Date
ADDRESS: ;�l`�lU `fL�� Time Insp.Needed
Requested By
Of
Phone#
Project to be Inspected Comm/Res
Means of Access
BUILDING: PLUME3ING: ELEC"I fi1C: HVAC: EROSION CON IROL: PROPERTY MAINT.:
Footing Rough Rough Rough Tracking Setback Park.
Foundation Test On Scrvice Fumace Silt Fence Unlicensed Veh.
Rough � Underfloor Amps Ph A/C Stonc Access Garbage
Insulation cwer/Water Temp Perm Fireplace E.C.Bales Dilapidaud bld's,
Bsmt.Floor Reinsp. UG OH Rcinsp. Reinsp. fences,etc.
Reinsp. Final Reinsp. Final Final Ext.Maint.
Final Other Final Other Other Other
Other Other
IT q CODE INSPECI'ION RESULTS
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND/OR OCCUPANCY!!
COMPLIANCE DATE:
Action Taken: ot Approved/Inspection Report left on site
O Not Approved/Inspection Report given to
Signed /`"`� � �i /�(� L" `'` ��"''"�,'�.i
Inspection Services Division Date Of Inspection Phone Number
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CONTRACTOR: ��- ���-S Time Insp. Called In
, ��` Date
ADDRESS: �`'�� Time Insp.Needed
Requested By
Of
Phone# 1
Project to be Inspected n� C es
Means of Access
BUILDWG: PLUMQING: ELEC'fR1C: HVAC: EROSiON CON 1ROL: YROPERTY MAINT.:
Footing Rough Rough Rough Trackin� Setback Park.
Foundation Test On Scrvice Fumace Silt Fence Unlicensed Veh.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation Scwer/Water Tcmp Perm Fircplacc E.C.Bales Dilapidattd bld's,
Bsmt.Floor Reinsp. UG OH Reinsp. Reinsp. fences,etc.
Reinsp. Final Reinsp. Final Final Ext.Maint.
Final ' Other Final Olher Other Other
Other Other
ITEMq CODE INSPECTION RESULTS
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND/OR OCCUPANCY!!
COMPLIANCE DATE:� `
Action Taken: Not Approved/Inspection Report left on site
�Not Approved/Inspection Report given to
Signed � Q�� ��� "' �
Inspection Services Division Date Of Inspection Phone Number
n CORRECTION NOTICE / FIELD INSPECTION REPORT /�
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City of Oshkosh JOB LOCATION: ,��� S`� ° '�i�/�/
Inspection Services Division
215 Church Avenue,PO Box 1130 CONTRACTOR' �� � �/V�.J�
Oshkosh,W154903-1130
Phone:(920)236-5050
FaX(920)236-5os4 PROJECT TO BE INSPECTED: (��
BUILDING: }IVAC ELECTRIC: PLUMBING: EROSIOV CONTROL: PROPERTY MAINT.:
Footing Rough Rouoh Rough _ Tracking Setback Park.
Foundation Furnace Service Test On Silt Fence Unticensed Veh
Rough AiC Temp Perm UnderFloor Stone Access Garbage
Insulation Fireplace UG OH Sewer/Water Shaw Bales Dilapidated bld's,fences,
Re-insp.� Re-insp._ Re-insp. Re-insp.__ _ ___ __ Re-insp._ etc.
Final Final Final Final Final Ext.Maint.
ITEM# CODE INSPECTION RESULTS �
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VIOLATIONS MUST f3E CORRECI'GD AND APPROVED WITHIN 30 I)AYS UNLFSS O"l HF.RWISG NOTGD. CALL FOR RE-INSPECTIONS PRIOR TO
CONCEALMENT AND/OR OCCUPANCY. WHEN CORRECTIONS ARE C0�1PLF.TED THF,OWNF.WCOVTRACTOR IS REOUIRED TO SIGN&DATE THIS
NOTICE AND RETURN IT TO THE INSYECTION DIVISION WHF,1 RF,OUF,STING A RE-INSPECTION.
COMPLIANCE:DATF:
ACTION TAKEN:
❑Not Approved/ nsp. Report left on site t Approved/Insp. Report given to ' ❑ Mailed/Faxed
Signed , �, �� - �� � ���' ,� �
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Inspection Services Division Date of Inspection Phone#
I hereby certify that the violations at the above address have been corrected.
CONTRACTOR/OWNER SIGNATURE DATE