HomeMy WebLinkAbout0107424-BuildingNo107424
CITY OF OSHKOSH
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
MATHEW J. MEINEN
Job Address1491 WELLINGTON CTOwnerCreate Date03/26/2004
DesignerContractorOWNER
Category110 - New Single FamilyPlanF1-031-0304R
TypeBuildingSignCanopyFenceRaze
R-1
ZoningClass of Const:8SizeIRRG
Sq. Ft.Projection
Unfinished/Basement1456Rooms8Height28Ft.
Finished/Living
2339Sq. Ft.Bedrooms4Stories2Canopies0
Garage763Sq. Ft.Baths3Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required
Park DedicationRequired# Dwelling Units1# Structures1
NSFR/ New single family 2 story with 3 car attached garage. 14' x 14' wood deck. Driveway shall not exceed 24' wide at the front property line.
Use/Nature
of Work
HVAC ContractorCONDON TOTAL COMFORTPlumbing ContractorCOMPLETE PLUMBING INC
Electric ContractorCUMINGS ELECTRIC INC
Fees: Valuation$166,500.00Plan Approval$75.00Permit Fee Paid$610.00Park Dedication$200.00
04/14/200400/00/0000
Issued By:DateFinal/O.P.
Permit Voided
Parcel Id #1342730000
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.
SignatureDate
Agent/Owner
OshkoshWI549010000
Address-Telephone Number
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.
GRADE STAKE FORM
OSHKOSH
Grade Stake Number7128
ON THE WATER
NameMATHEW J. MEINENAddress1491 WELLINGTON CTCreate Date03/26/2004
Block
Lot237Ward
Subdivision5th Add't Westleigh FarmsZone
Sidewalk Existing
Street NumberLot Dimensions
Building Grade Elevation Stakes Set At Site03/29/2004Set By D.W.G. BK - 593 , P - 17
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
BUILDING PERMIT
0107424
Safety and Buildings Division
P.O. Box 2509
Parcel No.
APPLICATION
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED üü ConstrHVAC
ElecPlbgOther:
üü Erosion
Owner's NameMailing AddressTelephone No.
MATHEW J. MEINEN1356 LAKE BREEZE RDOshkoshWI54901-0000
Contractor:
üü ConElecHVACPlbg
Mailing AddressTelephone No.
Lic/Cert #
OWNERWI0
Oshkosh54901-
Contractor:Mailing AddressTelephone No.
Con üü ElecHVACPlbg
Lic/Cert #
CUMINGS ELECTRIC INCWI749
170792 PO BOX 749NEENAH54957-920-722-1240
Contractor:Mailing AddressTelephone No.
ConElec üü HVAC
Plbg
Lic/Cert #
3202 RIPONWI54971920-748-5050
CONDON TOTAL COMFORTPO BOX 184-184
Contractor:Mailing AddressTelephone No.
Con
ElecHVAC üü Plbg
Lic/Cert #
COMPLETE PLUMBING INCMENASHA54952-0
224759 1197 RACINE STWI920-720-5390
Lot Area
PROJECT LOCATION
1/4,1/4,Section,TN,RE(or)W
Sq. ft.
Building AddressSubdivision NameLot No.Block No.
1491 WELLINGTON CT237
5th Add't Westleigh Farms
Zoning District(s)Zoning Permit No.FrontRearLeftRight
Setbacksft.ft.ft.ft.
1. PROJECT3. OCCUPANCY6. ELECTRICAL9. HVAC EQUIPMENT12. ENERGY SOURCE
üü New üü Forced Air Furnace
Nat.L.P.OilElec.SolidSolar
üü Single Family
Entrance Panel
Repair
Fuel
Gas
*
Two FamilyRadiant Baseboard or Panel
amp
Alteration
200
Size:
Raze
Garage üü
Space Htg
Service:
Heat Pump
Addition
Move
Other (print):Overhead
üü
Water Htg
Boiler
üü Underground
Other:Central Air Conditioning
*Dwelling unit will have 3 kilowatt or
4. CONST. TYPE7. FOUNDATION
Other
more installed electric space heating equip.
Concrete
2. AREA INVOLVED
üü Site Constructed
10. PLUMBING
Infiltration control option is:Full sealing
Masonry
Manufactured
Unfinished
Sewer
of joints.Blower door test.Exterior
Treated Wood
Basement1456Sq. ft.
air infiltration barrier.
üü Municipal
5. STORIES
Other
13. HEAT LOSS (Calculated)
1-Story
Septic
Living Area2339Sq. ft.
8. USE
35240
EnvelopeBTU/HR
Permit No.
üü 2-Story
763
GarageSq. ft.
Seasonal
26129
InfiltrationBTU/HR
Other
11. WATER
üü Permanent
14. EST. BUILDING COST
üü Municipal Utility
Other
$194,000.00
Plus BasementPrivate On-Site Well
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" SHEET
State of:
TownVillage üü CityCounty
Municipality Number of Dwelling Location:
ISSUING
7 0 - 2 6 6
City Of Oshkosh
JURISDICTION
PERMIT(S)WIS. UNIFORM PERMIT
FEES:PERMIT ISSUED BY:
ISSUEDSEAL NO.
üü Construction
Plan Review$75.00
JOHN ZARATE
Name
HVAC
Inspection
Electrical
Wis. Permit Seal$30.00
3/30/04
Plumbing
Date
üü Erosion
Other
70330
Cert. No.
306848
$105.00
Total
SBD-5823 (R. 07/92)
PARKLAND DEDICATION FEE COLLECTION RECORD
OSHKOSH
ON THE WATER
Job Address 1491 WELLINGTON CTDate04/14/2004
NameMATHEW J. MEINEN
Address1356 LAKE BREEZE RDOshkoshWI54901
Subdivision5th Add't Westleigh FarmsLot237
Building Permit Number0107424
Number of Dwelling Units1Number of Structures1
Fee Required$200.00Fee Paid
Owner's SignatureDate
Inspector's SignatureDate
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