HomeMy WebLinkAbout0105669- Building (New Home)OSHKOSH
ON THE WATER
.lob Address 938 N LARK ST
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner HERMAN B LEITZ
Contractor OWNER
Category 110 - New Single Family
No 105669
Create Date 11/03/2003
Plan El-140-1003R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size IRR
Unfinished/Basement 1092 Sq. Ft. Rooms 1 Height 21 Ft. ~J Projection
Finished/Living 1092 Sq. Ft. Bedrooms 3 Stories Bi-level Canopies
Garage 0 Sq. Ft. Baths 1 Signs
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/Bi-level home with an off street parking area. This permit does not include a patio or deck.
of Work
HVAC Contractor UNKNOWN???
Electric Contractor UNKNOWN????
Fees: Valuation $75,000.00 Plan Approval
Issued By:
Plumbing Contractor A-1 MARKESAN PLUMBING LLC
$75.00 Permit Fee Paid
$305.00 Park Dedication $0.00
Date 12/08/2003 Final/O.P. 00/00/0000
Permit Voided
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
Agent/Owner
Address W12717 OLDEN RD RIPON WI 54971 - 0000 Telephone Number
920-748-9655
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.
OSHKOSH
ON THE WATER
Name HERMAN B LEITZ
GRADE STAKE FORM
Address 938 N LARKST
Lot Block
Subdivision Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/05/2003 Set By
D.W.G.
Grade Stake Number 7059
Create Date 11/03/2003
Ward
Sidewalk Existing
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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0105669
P.e. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
HERMAN B LEITZ W12717 OLDEN RD RIPEN WI 54971 - 0000 920-748-9655
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
OWNER Oshkosh WI 54901 - 0
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
UNKNOWN???? Oshkosh WI 54901 - 0
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
UNKNOWN??? Oshkosh W 54901 - 0
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
A-1 MARKESAN PLUMBING LLC 221554 410 S BRIDGE ST MARKESAN WI 53946 - 0 920-398-3833
Lot Area Sq. ft. 1/4, 1/4, Section ,T N ,R E (or)W
Building Address Subdivision Name Lot No. Block No.
938 N LARK ST
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft. ft ft.
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground
[] Other: [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other = more installed electric space heating equip.
[] Site Constructed ~ Concrete Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1092 Sq. ft. ~ ~ ~Ri~ <~ Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 1092 Sq. ft. [] 1-Story [] Septic
Garage 0 Sq. ft. [] 2-Story x8 ~ ~[] Seasonal
Permit No. Envelope 19888 BTU/HR
[] Other Infiltration 13366 BTU/HR
Bi-level [] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $120,000.00
The applicant agrees 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
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS
revocation of this permit or other penalty
see standard conditions of approval
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
,/ Construction
Plan Review $75.00 _
HVAC Name NRK
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 11/3/2003
Other [] Erosion
Total $105.00 · 292236 Cert. No. 248101
SBD-5823 (R. 07/92)
ZONING/LAND USE COMPLIANCE CHECKLIST
[~_ Plan Commission Action Required
I ] Variance(s) Required
Reviewed By / --~ Date 11/03/2003
L~ Compliance with P.C. or BZA Conditions of Approv~
~J Signage Standards J
L~J Drainage Plan - Storm Drainage - City Easements j
Review Authority
As per Section 30-5 Enforcement of the City 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 ~) Denied
Address 938 N LARK ST
~.~ Addition (.~ Alteration
(i.e. fence, pool, parking lot, sign, etc. NSFR/Bi level home w/off street parking area
Comments
Create Date 11/3/03
OSHKOSH
ON THE WATER
Name HERMAN B LEITZ
Construction Data ~1_ New Construction
Type of Construction
Compliance Checklist Deficient
L~ Use
L~ Lot Width
LJ Lot Area
~ LotArea Per Family
· Flood Plain
~ Front Yard
· Front Yard Side Street
· Rear Yard
· Side Yard
~ Building Area
_~Parking Standards
Off-Street Loading Standards
~J Vision Clearance
~J Transitional Yard Standards
L~ Landscape Standards
bJ Height
L~ Conditions of Approval
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' Building Permit Work Card
Job74ddress 938 N LARK ST Permit Number 0105669 Create Date 11/3/03
Owner HERMAN B LEITZ Contractor OWNER
Category 110-New Single Family
Type Building Q Sign Q Canopy 0 Fence Q Raze I Plan E1-140-1003R
Zoning R-1 Class of Const: 8 Size IRR Value $75,000.00
Unfinished/Basement 1092 Sq. Finished/Living 1092 Sq.Ft. Garage 0 Sq.Ft.
Ft.
Rooms 1 • Bedrooms 3 Baths 1 ❑ Projection I
Stories Bi-level Height 21 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete `J Floating Slab 0 Pier Q Other
Q Concrete Block Q Post Q Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 1 #Structures 1
Use/Nature NSFR/Bi-level home with an off street parking area. This permit does not include a patio or deck.
of Work
HVAC Contr UNKNOWN??? Plumbing Contr A-1 MARKESAN PLUMBING LLC
Electric Contr UNKNOWN????
Inspections:
Date 4/13/04 • Type Inspector Nicole Krahn vi/cond.
REQUEST LINE/ASAPITTIMhe top edge of the vapor retarder in the lower level.
Date/Time requested: 4/13/04 08:07 AM Notice Type: Phone Number: not given
Access:
[BACK PATIO DOOR OPEN - - - -
Ready Date/Time: 4/13/04 08:07 AM Requested By: Joel Plagens
[
0 Reinspect Fee 0 Fee Waived Reinspect Fee Paid
Building Permit Work Card
Jobbddress 938 N LARK ST Permit Number 0105669 Create Date 11/3/03
Owner HERMAN B LEITZ Contractor OWNER
Category 110-New Single Family
Type • Building 0 Sign _ 0 Canopy 0 Fence 0 Raze Plan E1-140-1003R
Zoning R-1 Class of Const: 8 Size IRR Value $75,000.00
Unfinished/Basement 1092 Sq. Finished/Living 1092 Sq.Ft. Garage 0 Sq.Ft.
Ft.
Rooms 1 Bedrooms 3 Baths 1 ❑ Projection
Stories Bi-level Height 21 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 1 #Structures 1
Use/Nature iNSFR/Bi-level home with an off street parking area. This permit does not include a patio or deck.
of Work
HVAC Contr UNKNOWN??? Plumbing Contr A-1 MARKESAN PLUMBING LLC
Electric Contr UNKNOWN????
Inspections:
Date 11/11/11 Type Drain Tile Inspector Nicole Krahn no time
REQUEST LINE/NSFR BASEMENT FLOOR
Date/Time requested: 2/6/04 07:51 AM Notice Type: Phone Number: 428-7654
Access:
UNKNOWN
Ready Date/Time: 2/6/04 07:51 AM Requested By: JOEL PLAGENS
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 4/5/04 02:00 PM Type Final Inspector Nicole Krahn not approved
Contractor asked for this inspection when I was on site for the detached garage inspection. He stated that he actually called in for this
inspection instead of the garage inspection.
Date/Time requested: 4/6/04 07:13 AM Notice Type: FC Phone Number:
Access:
Ready Date/Time: 4/6/04 07:13 AM Requested By: CONTRACTOR
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
{{ y Building Permit Work Card
JobAddress938 N LARK ST Permit Number 0105669 Create Date 11/3/03
Owner HERMAN B LEITZ Contractor OWNER
Category 110-New Single Family
Type • Building O Sign 0 Canopy 0 Fence 0 Raze Plan E1-140-1003R
Zoning R-1 Class of Const: 8 Size IRR Value $75,000.00
Unfinished/Basement 1092 Sq. Finished/Living 1092 Sq.Ft. Garage 0 Sq.Ft.
Ft.
Rooms 1 Bedrooms 3 Baths 1 ❑ Projection
Stories Bi-level Height 21 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 1 #Structures 1
Use/Nature NSFR/Bi-level home with an off street parking area. This permit does not include a patio or deck.
of Work
HVAC Contr UNKNOWN??? Plumbing Contr A-1 MARKESAN PLUMBING LLC
Electric Contr UNKNOWN????
Inspections:
Date 1/28/04 10:00 AM Type Rough In Inspector Nicole Krahn approved
Request Line(rec'd 1/26/04 @ 5:21 p.m.)-Joel wants to be present
Date/Time requested: 1/27/04 07:00 AM Notice Type: Phone Number: 920-428-7654
Access:
Ready Date/Time: 1/28/04 07:00 AM Requested By: Joel
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 2/2/04 10:30 AM Type Insulation Inspector Nicole Krahn approved
SFR/REQUEST LINE INSULATION REQUEST WOULD LIKE TO HANG DRYWALL ASAP
Date/Time requested: 2/2/04 07:14 AM Notice Type: Phone Number: 920-428-7654
Access:
OPEN
Ready Date/Time: 2/2/04 07:14 AM Requested By: JOEL PLAGENS
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Jobtddress 938 N LARK ST Permit Number 0105669 Create Date 11/3/03
Owner HERMAN B LEITZ Contractor OWNER
Category 110-New Single Family
Type • Building O Sign O Canopy O Fence 0 Raze ! Plan E1-140-1003R
Zoning R-1 Class of Const: 8 Size IRR Value $75,000.00
Unfinished/Basement 1092 Sq. Finished/Living 1092 Sq.Ft. Garage 0 Sq.Ft.
Ft.
Rooms 1 Bedrooms 3 Baths 1 ❑ Projection
Stories Bi-level Height 21 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
O Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain No Height Permit Not Required
Park Dedication Not Required #Dwelling Units 1 #Structures 1
Use/Nature NSFR/Bi-level home with an off street parking area. This permit does not include a patio or deck.
of Work
HVAC Contr UNKNOWN??? Plumbing Contr A-1 MARKESAN PLUMBING LLC
Electric Contr UNKNOWN????
Inspections:
Date 12/11/03 02:30 PM Type Footings Inspector Nicole Krahn not approved
REQUEST LINE. Please call to let him know if you can make it at 11am.NOTE: Footings were already poured and I could not verify
code compliance due to hay
Date/Time requested: 12/11/03 08:44 AM Notice Type: Phone Number: 920-398-3966
Access:
Ready Date/Time: 12/11/03 11:00 AM Requested By: Joel Plagen
0 Reinspect Fee O Fee Waived ❑ Reinspect Fee Paid
Date 12/22/03 Type Foundation Backfill Inspector John Zarate approved
REQUEST LINE.
— --------- ----
Date/Time requested: 12/22/03 09:07 AM Notice Type: Phone Number: 920-428-7654
Access:
Ready Date/Time: 12/22/03 09:07 AM Requested By: Joel
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid