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� CITY OF OSHKOSH No oossaos
OSH OSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1205-1209 W MURDOCK AVE Owner CLASSIC HOMES BY KUBA Create Date 1/8/97
Designer KUBA Contractor CLASSIC HOMES BY KUBA, LTD.
Category 120-New Duplex Pian 65-001-197R
Type w ing ign anopy ence aze
Zoning R2 Class of Const: 8 Size IRREG 54X28
Unflnished/Basement 0 Sq.Ft. Rooms 10 Height 20 Ft. ro�e ion
Finished/Living 2166 Sq.Ft. Bedrooms 4 Stories Bi-level Canopies
Garage 636 Sq.Ft. Baths 2 Signs
Foundation poured Concrete � Floating Slab � Pier � Other
Concrete Block � Post O Treated Wood SKOTZKE
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 2 #Structures 1
Use/Nature . �
of Work
HVAC Contractor Plumbing Contractor LARRY HANSEN PLBG
Electric Contractor ��.Ja
Fees: Valuation $50,000.00 Permit Fee Paid $240.00P� ��.OD park Dedication $0.00
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Issued By: �fO� ,30,lQ�ate 1/14/97 Final/O.P.
ermi oi e
In the perfor ce of this work I agree to perfo all work pursuant to rules governing the described construction.
Signature ` � Date .--) �r�
AgenUOwner
Address 1551 WESTHAVEN CIRCLE OSHKOSH WI 54904 - 0000 Telephone Number 414-426-8600
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BuILOiuG G�AOE ELE�iaTIOVS STAKES SET AT SITE , i9 9Y �
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FEE; �i5.00
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�E?a�T��c.�;T OF ��,,c L l C WGrtK�
I , the undersigned, owner or agent of the above dascribed proper^� agree ro have `ne
graae estaaiis�ed befor? excavation has cormmenced.
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isconsi epa men o n us ry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT o000000
P.O.Box 7969 APPLICATION Parcel No.
Madison,WI 53707
Wisconsin Statues 101.63, 101.73
� Constr � HVAC � Elec � Plbg � Erosion � Other:
wne s ame ai ing ress e ep one o.
CLASSIC HOMES BY KUBA 1551 WESTHAVEN CIRCLE Oshkosh WI 54904- 0000 426-8600
Con� Elec� HVAC Plbg i e ai ing ress e ep one o.
CLASSIC FiVMtJ tfT KUtiH,��u. 1551 WESTHAVEN CIRCLE OSHKOSH WI 54904- 0000 414-426-8600
on ec g � e •
on ec g i ert .
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LARRY IVJtN YLtSIi N-1044 TOWER VIEW DR GREENVILLE WI 54942- 0000 MOBILE:585-93
Sq.ft. 1/4, 1/4,Section ,T N,R E(or)W
w ing ress u ivision ame o o. oc o.
1205-1209 W MURDOCK AVE 12-674 3Z
omng is ri s onmg ermi o. ron ear e ig
Setbacks ft. ft. ft ft.
� New � Repair Single Family n rance ane Forced Air Furnace Fuel a. . i ec. o i o ar
� Alteration � Raze Two Family Size: 200 am Radiant Baseboard or Panel Gas *
� Addition � Move Garage Service: Heat Pump Space Htg ❑ ❑ ❑ � ❑ ❑
Other(print): Overhead Boiler Water Htg � � ❑ � ❑ ❑
� Other Underground Central Air Conditioning e mg unit wi ave i owatt or
Other more installed electric space heating equip.
� Site Constructed Concrete Infiltration control option is:� Full sealing
Unfinished Manufactured Masonary Sewer of joints. n Blower door test. �Exterior
Basement 0 Sq.ft. Treated Wood Municipal air mtiltra�ion barner.
1-Sto Other � Septic „ �I; ' , ,'q�',
Living Area 2166 Sq.ft. rY ����,�� �
2-Story Permit No. Envelope BTU/HR
Garage 636 Sq.ft. Other easona Infiltration BTU/HR
Bi-level Permanent
Other Municipal Utility
� Plus Basement � Private On-Site Well $70,000.00
e app ican agrees o comp y wi a p ica e co es,sta ues an or inances an wit t e con i�ons o t is permi,un erstan s t a t e issuance o
the permit creates no legal liability,ex re s or implied,on e D ment or municipaliry;and certifies that all the above info�atio��urate.
APPLICANT'S SIGNATURE DATE SIGNED � �
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APPROVAL CONDITIONS �s permi is issue pursuan o e o owing con i ions. ai ure o comp y may resu in suspension or
revocation of this permit or other penalty
m perm ra ing o vapor arner is. perms or mi min ire separa ion per . m require ven i a ion is c ro s an ma e up air is
ired
� Town � Village � City � County � State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
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Plan Review $40.00 COf1St�uCtl011
Inspection
HVAC Name Darryn Burich
Wis.Permit Seal $30.0o ElectriCal Date 01/08/97
Otner Plumbing
Erosion
Total $70.00 185903 Cert.No. 5935
SBD-5823(R.07/92)
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Wistonsin Departmentof Industry, WISCONSIN UNIFORM APP���ation No.
LaborandHumanRelations BUILDING PERMIT
Safety and Buildings Division
P.O.eox 7969 APPLICATIDN Parcel No.
Madison,WI 53707
Wisconsin Statutes 101.63,ioi.�3 (See instructions on back of pink copy)
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�>><���� � � ����� Constr HVAC Elec Ptb Erosion Other:
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0
��Owner's Name � �� Mailing Address Telephone No.(indude area code)
J� M 1�� 1�51 �J�s r G 23 -
Contractor's Name Mailing Address Telephone No.(include area code)
� � 11 I 1 11
>':;:;:; Lot Area
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..:':`����::����������`� S .ft. 1/4, t/4,Section ,T N.R E(or)W
��Building Address��� � � ►A�v�Q� Subdivision Name Lot No. � Block No.
Zoning Distrid(s) Zoning Permit No. front� Rear Zr� Left ��S Right �
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Setbacks "�„3 ft. ft. ft. ft.
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w ❑Repair ❑Single Family Entrance Panel ' ❑Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
teration ❑Raze �Fwo Family Size:2GQamp ❑Radiant Baseboard or Panel Gas :
❑Addition ❑Move OTiarage Servite: ❑Heat Pump
❑Other(print): ❑Underground ❑Boiler Space Htg ❑ ❑ ❑ ❑ �
verhead Water Ht
❑Central Air Conditioning 9 ❑ ❑ ❑ ❑ ❑
❑Other ❑Other *❑Dwelling unit will have 3 kilowatt or
`�"����"� �''``�"'�������' ...:.,more installed elertric s ace h atin e ui .
p Site Constructed ❑Concrete p 9 q P
i'�. �>':�!'�:����»"::;::>;;:::'::;>::i:�<:»::::[:Infiltrati n n r I
❑Manufadured ❑Masonr °�� � �•• ° • ••• •••� o co t o option is:�Gull sealing
'• �� � ' ° ' ��� ''' y of joints. ❑Blower door test. ❑Exterior
<�r<:9��t������`��?..�.'..<.':%.<'..ii'.».:'•.'>:<'. . ❑Treated Wood Sewer air infiltration barrier.
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nici al
#':5�>::'!!`�`��� ;:E>::::E<:::>;>::><s ❑Other P <::;:>::>:.:•..;;;:.....:.,...^^^^^^..........,,...,.;>.:...;;.�.,.<.^^::..:<,;;;;:.;
UnfimshedBasement Sq.ft. e tic »:::;::;;'���:;::H��RT::�;�$�;::.�����a#�:;:::::;;:;::
<:: ❑ p :> ......... .......:�. ..:. �......
❑1-Story »�x>:���•`.s`'�:»»»:��»>:z�»`<:i Permit No.
�j�in e.o� ,t� P�� Envelope BTU/HR
9 —y�,��Q�ft� ❑2-Story ❑Seasonal •.••.•..... ...
;:'�.��f';�l�;��;:i";;.»»>':.»::`<;;s:;;:rss<:;Infiltration BTU/HR
� 5 ft. �Other anent ...................... .........
Garage q. M ici al tilit
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Other Y ��.k�.:����s,���s'r�...............::...:::
❑Plus Basement ❑P ivate On-Site Well $
Ct'i L�30
The applicant agrees to comply with all applicable codes,statutes a d ordin nces and with the conditions of this permit;understands that the issuance of
the permit creates no legal liability,express or implied,on th e ent r municipality;and certifies that all the above information is accurate.
APPLICANT'S SIGNATUR DATE SIGNED � -� -
APPROVAL CONDITIONS T is permit is issu� pursuantto the following conditions. Failure to comply may result in suspension or
r vocation of this permit or other penalty. '
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T n
ow Villa i
❑ ❑ e 0 C t ❑Count State of: Munici alit Number of Dwellin Lo ati n:
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Plan Review $ ❑Construction
Inspettion $ ❑HVAC Name
Wis.Permit Seal $ ❑Electrical
Other $ ❑Plumbing Date
❑Erosion
Total E ❑ Cert.No.
SBD-5823(R.07/92) WHITE-Issuing Jurisdiction YELLOW-DILHR GREEN-Inspector PINK-Owner/Agent
�,JTTi�-dJTS�S So, ooc� '��1'�'�`7`
ZONING/LAND USE COMPUANCE CHECKUST
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JOD LOCATION: I �� I a��� � I }�,j��I;� �/e� Z�NING
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PROPERTY OWNER/CONTRACTOR: �`�551 L �c)W�s ��� I�C�/��
CONSTRUCTION DATA: ��New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) �e,v�/ ��._��.�1����'`�
� �- ,�ti � �'C'�i�/�r.1L .<�.�, � o S
COMPLIANCE CHECKLIST
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 .
BZA Conditions of Approval �
Signage Standards
Drainage Plan
REVIEW AUTHORITY �
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval all plans, except the following: (1) Alterations or interior wo�lc 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 DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: DATE: �
� �
OSH OSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 5666
Name CLASSIC HOMES BY KUBA Address 1205-1209 W MURDOCK AVE Create Date 01/OS/97
Lot 32 Block Ward
Subdivision 12-674 Zone R2
Street Number 1205-09 W MURDOCK AVE Lot Dimensions i ewa xis ing
i
Building Grade Elevation Stakes Set At Site 00/00/00 Set By
epa men o u �c or s
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.