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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 t � ' � 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. " / ` 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) � , . 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 cn �., a� c � �� �.g�� j � � � N � �g��Ys��1� � � w c� � .� p $� ���h �fi� o Y3 � N w +� t N W �ES.������ n � (/J � J z � � J ��'���E�•��� II � � C a � N � ,� � � o���g..��. � $ �' � � o � o �;��g��'�h� � � � � � Z .� � ��$�����h� � y v U U � � ��g g� ��� N � ' 0 � � � � � 9 C� � 9 � � � � � , � � , 0 0 � � � �; 0� �. . � i � � � � . Co f V � 4 \ V x � � h � N O ^ " o�N . ? � N � ^ �J , o � ti. O ' _ � / , OZ � � � � � . N � , � . . . . 0 � ITY F HK RRE TI N N TI E: � • `, c� o os osH co c o o c ♦,, ` �1 , � ,C, ,� ' 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 � 1`� . S � � ��c� ' �- `z `r.�L1 �—��� `�..t�.�� � f� --�I`�-r�-- 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 � � ITY F HK RRE TI N N TI E: � `, C O OS OSH O C O O C ♦, , 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 � ��� {� (���-� �-�Z PsmCj ���5' z � ,D� �► 1.-�►�`g 2'' v�Z" U� E�� - � �'� i� • 1 � '�l,� � 'l.� - � CSI � D � y �1•� � ' ��Q�1.�.1�..o r.c.� `t'� v� �o.fi�. � \ � 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 /� ` 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 � � ��'�.�1 c� �5-�-�1-��t.�� ��u-� � t=� `�TtAZ Z �Z.L�'�Y'��'h �7 1��"�L ��l�\ �CZ.r '�1:���'�':!��,�� t�t."�Z�'T �'�G /uLJ- � �" �.c..��.,--;�" �s " ��S ��-..S . .. 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 , �, �� - �� � ���' ,� � �� Inspection Services Division Date of Inspection Phone# I hereby certify that the violations at the above address have been corrected. CONTRACTOR/OWNER SIGNATURE DATE