HomeMy WebLinkAbout0098670-BuildingOSHKOSH GRADE STAKE FORM
ON THE WATER
Name GARRY DECKER Address 3295 ISAAC LN
Lot 8 Block
Subdivision PATRIARCHS Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/15/2002 Set By mb 584/17
Grade Stake Number 6852
Create Date 11/15/2002
Ward
bJ Sidewalk Existing J
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the gracJe establis~e~! bef(~re exca2~, tion
has commenced. (N/?}"'}Jt~. , _ _.: .~--~d~~-~, ~
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
Owner's Name
GARRY DECKER
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
i_tt 70
IParcel No.
[] Constr [] HVAC [] Elec
[] Plbg [] Erosion [] Other:
Mailing Address
1113 OREGON ST Oshkosh
Telephone No.
WI 54901 - 0000
Contractor: L~ Con~'-~ Elec'~ HVAC ~j Plbg
GARRY H DECKER & CO
Contractor: I_~ Con L~J Elec~_~ HVACL_j Plbg
CUMINGS ELECTRIC
Contractor: L__J Con L__J Elec~_~ HVAC [] Plbg
OONDON TOTAL COMFORT
Contractor:L_j Con [] Elec[~ HVAC[] Plbg
WAFTERS PLUMBING
Lot Zre,,a
Building Address
3295 ISAAC LN
District(s) Permit No.
Lic/Cert #
7739
Lic/Cert #
170792
Lic/Cert #
3202
Lic/Cert #
Sq. ft,
Mailing Address
113 OREGON ST OSHKOSH
WI 54902-6484
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
WI 54957 -749
Mailing Address
11 BLACKBURN ST
RIPON WI 54971 -184
Mailing Address
1303 MIDWAY RD, PO BOX 118
MENASHA WI 54952 - 1129
1/4, 1/4,Section ,T N,R
TelePhone No.
235-8035, M 37
Telephone No.
231-5946
Telephone No.
(920)748-5050
Telephone No.
800,801-8125,7;
:' E(or)W
Subdivision Name Lot No. Block No.
PATRIARCHS 8
Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel
[] Alteration [] Raze Two Family Size: 200 am [] Radiant Baseboard or Panel
Garage Service: [] Heat Pump , Space Htg
[] Addition [] Move [] Other (print): [] Overhead [] Boiler Water Htg
[] Other: [] Underground Central Air Conditioning -- g unit will have 3 kilowatt or
mOre inStalled electric space heating equip.
[] Site Constructed Concrete Infiltration control option is: [] Full Sealing
Unfinished [] Manufactured Masonry
Treated Wood Sewer of joints. [] Blower door test. [] Exterior
Basement 1241 Sq. ft. [] Municipal air infiltration barrier.
Living Area 1241 Sq. ft. 1-Story Other [] Septic
[] 2-Story Permit No. Envelope 25183 BTU/HR
Garage 588 Sq. ft. [] Other [] Seasonal Infiltration 15912 BTU/HR
· [] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $100,000.00
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 liabili~or iml~ied, on th~/~_me~ or munic~_lity; and certifies that all the above information is accurate.
Th~s 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
[]Town
[] Village [] City [] County L_~ State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 1 1/1 5/02
Other [] Erosion
Total $105.00 275831 Cert. No. 70330
SBD-5823 (R. 07/92)
~1~15/2002 14:~5
Post-It" I:~x Nole 7G71
9282358849
GARRY H DECKER LLO
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