HomeMy WebLinkAbout0103246-BuildingOSHKOSH
ON THE WATER
Jsb Address 3155 HAYWARD AVE
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner HEARTLAND HOMES
Contractor HEARTLAND HOMES LLC
Canopy C) Fence C) Raze
Designer
Category 110 - New Single Family
Type · Building O Sign
Zoning R-1 Class of Const: 8
Unfinished/Basement 896 Sq. Ft. Rooms 4 Height 22 Ft.
Finished/Living 2352 Sq. Ft. Bedrooms 3 Stories Quad-level
Garage 744 Sq. Ft. Baths 3
Foundation · Poured Concrete C) Floating Slab C) Pier C) Other
C) concrete Block C) Post C) Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units 1
No 103246
Create Date 05/19/2003
Plan E1-076-0703R
Size IRR
[] Pr~ection ]
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature
of Work
~FPJ Quad level home with a 3 car attached garage and 12'x16' rear concrete patio.
HVAC Contractor CONDON TOTAL COMFORT
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $124.000.00 Plan Approval
Issued By: /~
$75.00 Permit Fee Paid
[] Permit Voided J
Plumbing Contract. or HANSON QUALITY PLUMBING
$452.00 Park Dedication $0.00
Date 08/01/2003 Final/O.P. 00/00/0000
In the performanceAthis wor~,,Llgree to p~rform all work pursuant to rules governing the described censtruction.
Signature...~_ I .~ /,/~ ~ ~/' Date (_
Address 2852 MONTCEAI'R PL~,~..~J Oshkosh WI 54904 - 0000 Telephone Number 410-4707
To schedule inspections please call the Inspection Request line at 236-5'128 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 HEARTLAND HOMES
Lot
255
Subdivision 5TH ADD TO WESTLEIGH FAF
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
Zone
06/20/2003
Block
Address 3155 HAYWARD AVE
Grade Stake Number
6964
-
Create Date 06/19/2003
Ward
Lot Dimensions
Set By
I I Sidewalk Existing
DW.G. BK-586, P - 30
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have.the grade established before excavation
"" =m._.p () (f
, G
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buiidings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Appiication No.
0103246
Parcel No.
0 Constr
Plbg LiciCert#
877644
Plbg LiciCert#
170792
Plbg LiciCert#
3202
LiciCert #
0 HVAC 0 Elec
Mailing Address
2852 MONTCLAIR PLACE
Mailing Address
2852 MONTCLAIR PL
Mailing Address
POBOX749 1414COUNTYRDJJ
Mailing Address
11 BLACKBURN ST
Mailing Address
550 N BLUE MOUND RD
1/4,
0 Plbg
0 Erosion
0 Other:
Oshkosh
Telephone No.
WI 54901 - 0000 233-7564
Telephone No.
410-4707
Telephone No.
WI 54957 - 749 231-5946
Telephone No.
WI 54971 -184 (920) 748-5050
Telephone No.
WI54914 -0 730-0205
,T N,R E(or)W
Block No.
WI 54904 - 0
Oshkosh
NEENAH
RIPON
APPLETON
S . ft.
Subdivision Name
5TH ADD TO WESTLEIGH FAR
Front
Right
New
0 Alteration
0 Addition
0 Repair
0 Raze
0 Move
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtgO 000 0 0
WaterHtg 0 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier:
.'EtI1'
0 Other:
Unfinished
Basement 896 Sq. ft.
LivingArea ~ Sq. ft.
Garage 744 Sq. ft.
33445 BTU/HR
19878 BTU/HR
$198,000.00
APPLICANT'S SIGNATURE
APPROVAL CONDITIONS
DATE SIGNED
Failure to comply may result in suspension or
$30.00
'" Construction
HVAC
Electrical
D Plumbing
0 Erosion
0
Date
7/30/03
Total
SBD-5823 (R. 07192)
$105.00
292214
Cert. No.
248101
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
3155 HAYWARD AVE
Date 08/01/2003
Name
HEARTLAND HOMES
Address
2852 MONTCLAIR PLACE
Oshkosh
WI
~
Subdivision 5TH ADD TO WESTLEIGH FAR
Lot 255
Building Permit Number
Number of Dwelling Units
0103246
Number of Structures
Fee Required $0.00
~~"""~. ~
Inspecto~s Signature
Fee Paid
Date
Date
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