HomeMy WebLinkAbout0104960 B
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OSHKOSH
ON THE WATER
Job Address 745751 W PACKER AVE
CITY OF OSHKOSH
No 104960
BUILDING PERMIT - APPLICATION AND RECORD
Owner
D.B. CURTISS
Create Date
1 0/23/2003
Designer
Contractor
0 B CURTISS L TO
Category
120 - New Duplex
Plan E1-136-1003MP
Type
18 Building
R-2
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
8
Size IRRG
Unfinished/Basement
1023 Sq.Ft.
~ Sq. Ft.
Rooms 6 Height 29 Ft.
Bedrooms 3 Stories 2
Baths 2
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
8 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
2
# Structures
NEW DUPLEX! New 2 story duplex, with 2 car attached garages. NO DECKS OR PATIOS.
Use/Nature
of Work
HVAC Contractor
BREWER HEATING
Plumbing Contractor
FIELDS PLUMBING
Electric Contractor
SCHOMMER ELECTRICAL CON
Fees: Valuation
$145,000.00
Plan Approval
$75.00 Permit Fee Paid
$515.00 Park Dedication
$330.00
Issued By:
Date 1 0/27/2003
Final/O.P. 00/00/0000
U Permit Voided 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
40 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number
426-1973
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0104960
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other:
Owner's Name Mailing Address Telephone No.
D.B. CURTISS 40 W 6TH AVE Oshkosh WI 54901 - 0000
Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
0 B CURTISS L TO 1066 40 W 6TH AVE OSHKOSH WI 54902 - 0 426-1973
Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No.
SCHOMMER ELECTRICAL CON 170465 N 164 TWO MILE RD APPLETON WI 54914 - 9121 (920) 731-2299
Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No.
BREWER HEATING 4220 N8804 N DOUGLAS STREET RIPON W 54971 -0 (920)748-6494
Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
FIELDS PLUMBING 131540 1939 SOUTHLAND LN NEW LONDOI\ WI 54961 -0 262-982-5813
PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
745751 W PACKER AVE Sarres Plat 39
Zoning District(s) I Zoning Permit No. Front I Rear Left Right
~ ft. ft. ft. ft.
1. PROJECT 3. OCCUPANCY 9. HVAC EQUIPMENT 12. ENERGY SOURCE
~ New D Repair 0 Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
D Alteration D Two Family D Radiant Baseboard or Panel Gas *
D Raze Size: 100 amp
D Addition D Garage Service: D Heat Pump Space Htg 0 D D D D D
D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D
D Other: 0 Underground 0 Central Air Conditioning * U Dwelling unit will have 3 kilowatt or
4. CONST. TYPE 7. FOUNDATION - 0 Other - more installed electric space heating equip.
2. AREA INVOLVED 0 Site Constructed U Concrete 10. PLUMBING Infiltration control option is: D Full sealing
Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior
Basement 1023 Sq.ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier.
Living Area 1457 Sq.ft. D 1-Story D Other D Septic 13. HEAT LOSS (Calculated)
8. USE
0 2-Story Permit No. Envelope 24983 BTU/HR
Garage 400 Sq. ft. D Other D Seasonal 11. WATER Infiltration 7589 BTU/HR
0 Permanent 0 Municipal Utility 14. EST. BUILDING COST
D Plus Basement D Other D Private On-Site Well $185,000.00
The applicant aç¡rees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
~~S~~ND~CTION D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 a - 2 6 6
FEES: PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY:
ISSUED SEAL NO.
Plan Review $75.00 EI Co"",",,;O"
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 D Plumbing Date 1 0/23/03
Other 0 Erosion
Total $105.00 D 292184 Cert. No. 70330
SBD-5823 (R. 07/92)
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
745751 W PACKER AVE
Date 1 0/27/2003
Name
D.B. CURTISS
Address
40 W 6TH AVE
Oshkosh
WI
54901
Subdivision Sarres Plat
Lot 39
Building Permit Number
0104960
Number of Dwelling Units
2
Number of Structures
Fee Required
$330.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7056
Name D.B. CURTISS
Address
745751 W PACKER AVE
Create Date 10/23/2003
Lot
39
Block
Ward
Subdivision Sarres Plat
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
10/24/2003
Set By
DW.G. BK - 593, P - 45
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.
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Building Permit Work Card
Job Address 745751 W PACKER AVE Permit Number 0104960 Create Date 10/23/03
Owner D.B. ,CURTIS&
Category 120 - New Duplex
Contractor DB CURTISS L TD
Type . Building
Zoning R-2
0 Si9n
0 Canopy
0 Fence
0 Raze
I Plan E1-136-1003MP
$145,000.00
Class of Const:
8
Size IRRG
Value
Unfinished/Basement 1023 Sq. Finished/Living 1457 Sq. Ft.
~Ft.
Rooms ~ Bedrooms 3 Baths 2
Garage ~ Sq. Ft.
n Projection I
Stories 2
Height ~ Ft.
0 Floating Slab
0 Post
Canopies ~ Signs 0
Foundation. Poured Concrete
0 Concrele Block
0 Pier
0 Treated Wood
0 Other
ccupany Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units ~
# Structures
Use/Nature NEW DUPLEX! New 2 story duplex, with 2 car attached garages. NO DECKS OR PATIOS.
of Work
HVAC Contr BREWER HEATING
Electric Contr SCHOMMER ELECTRICAL CON
Plumbing Contr FIELDS PLUMBING
Inspections:
Date ~--'---
r"o=""
Type Footings
Inspector Nicole Krahn
no time
DatelTime requested:
Access:
10/30/03
12:25 PM
Notice Type:
Phone Number: 378-5558
Ready DatelTime: 11/3/03 01:30 PM Requested By: Steve from Summers Concrete
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- - - ----- -- - - -- -- -- -- - - - - - - --
Date ~ --'--- Type Foundation Backfill
r~","m
DatelTime requested: 11/10/03 08:27 AM
--
Inspector John Zarate
no time
Notice Type:
Phone Number: 428-1973/379-9315
Access:
Ready DatelTime: 11/10/03 08:27 AM Requested By: DB CURTISS LTD- Kurt
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - - - - - - - -- - - - - - ---- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -- - - - - -- - - - - -- - - - - - - - - ----
Page 1 of 3
Building Permit Work Card
Job Address 745751 W PACKER AVE Permit Number 0104960
Create Date 10/23/03
Owner D.B. CURTISS
Contractor DB CURTISS LTD
Category 120 - New Duplex
Type. Buildin9
Zoning R-2
0 Si9n
0 Canopy
0 Fence
0 Raze
Plan E1-136-1003MP
$145,000.00
Class of Const:
8
Size IRRG
Value
Unfinished/Basement 1023 Sq. Finished/Living 1457 Sq. Ft.
-----;--- Ft.
Rooms 6 Bedrooms --------.2 Baths -------1
Garage ~ Sq. Ft.
n Projection I
Stories 2
Height ~ Ft.
0 Floating Slab
0 Post
Canopies
0 Signs 0
Foundation. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
Occupany Permit Required
Flood Plain No
Height Permit Not Required
Required
# Dwelling Units ~
# Structures
Park Dedication
Use/Nature NEW DUPLEX! New 2 story duplex, with 2 car attached garages. NO DECKS OR PATIOS.
of Work
HVAC Contr BREWER HEATING
Electric Contr SCHOMMER ELECTRICAL CON
Plumbing Contr FIELDS PLUMBING
Inspections:
Date ~-'--
r- <Coo:
DatelTime requested: 5/14/04
Access:
Type RoU9h In
Inspector John Zarate
approved
12:05 PM
Notice Type:
Phone Number: KURT 379-9315
Ready DatelTime: 5/14/04 12:05 PM Requested By: DB CURTISS LTD
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
---------------------------------------------------------------------------------------------
Date ~-'--
r~o ~OO,,'
DatelTime requested: 6/8/04
Access:
þPEN
Type Insulation
Inspector John Zarate
approved
02:34 PM
Notice Type:
Phone Number: KURT 426-1973
Ready DatelTime: 6/8/04 02:34 PM Requested By: DB CURTISS LTD
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
-- --- -- - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- --- - - ------ - - - - - - - --- - - - - - - - - - - - - - - - - -- - - --
Page20f3
Building Permit Work Card
Job Address 745751WPACKERAVE Permit Number 0104960 CreateDate 10/23/03
Owner D.B. CURTISS
Cate90ry 120 - New Duplex
'.Contractor D B CURTISS L TD
I Plan E1-136-1003MP
Value $145,000.00
Garage ~ Sq. Ft.
n Projection:
Type. Building
Zoning R-2
0 Sign 0 Canopy 0 Fence 0 Raze
Class of Const: 8 Size IRRG
Unfinished/Basement 1023 Sq. Finished/Living 1457 Sq. Ft.
-Ft.
Rooms 6 Bedrooms 3 Baths -------------5.
Height ~ Ft.
0 Floating Slab
0 Post
Canopies ~ Signs 0
Stories 2
Foundation. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
ccupany Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units ~
# Structures
Use/Nature NEW DUPLEX! New 2 story duplex, with 2 car attached garages. NO DECKS OR PATIOS.
of Work
HVAC Contr BREWER HEATING
Electric Contr SCHOMMER ELECTRICAL CON
Plumbing Contr FIELDS PLUMBING
Inspections:
Date ~ --'----- Type Final
r'~"'- ,~W_...
DatelTime requested: 2/23/05
Access:
:Call Donna @ 379-9315 - wants to be present for inspection.
Inspector John Zarate
apprC)ved v,:/çj>nd.
01:01 PM
Notice Type:
Phone Number: 426-1973
Ready DatelTime: 2/25/05 07:00 AM Requested By: D B CURTISS L TD-Kurt
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - -- - - - - - - - - - - - - - - - --- - - - - --- - - - --- - - - - - - - - - - - - - -- - - - - - - - ----- ---- - - - - - -- - - ---- - - - - - - - - - - - --
Date 11/29/05
--
Type Final
Inspector John Zarate
approved
r"~"~."'w_'
DatelTime requested: 11/28/05
Access:
:Locked - contact Kurt for access.
Ready DatelTime: 11/28/05 08:06 AM Requested By: D B CURTISS L TD-Kurt
0 Reinspect Fee 0 Fee Waived
08:06AM
Notice Type:
Phone Number: 379-9315
0 Reinspect Fee Paid
- - - -- - - - - - - - - - - - - - - -- --- - - - -- - - - - --- - - - - - - - - - - - - - -- - - - - - - - ---- - --- - - - - - - - -- ---- -- - - - - - - - - - - --
Page 3 of3