HomeMy WebLinkAbout0122492-Building
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OSHKOSH
ON THE WATER
Job Address 3255 CASEY TRAIL
CITY OF OSHKOSH No 122492
BUILDING PERMIT - APPLICATION AND RECORD
Owner CHET WESENBERG Create Date 11/09/2006
Designer
Contractor CHET WESENBERG ARCHITECHT LLC
Category
110 - New Single Family Plan 58-1106
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const: 8
Size
Unfinished/Basement ~ Sq. Ft.
Rooms
12
Height
20 Ft.
D Projection I
Finished/Living
4072 Sq. Ft.
~ Sq.Ft.
Bedrooms 5
Stories
Canopies
Signs
Garage
Baths
4
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Required
# Dwelling Units
# Structures
Use/Nature NSFD/ New single family* 1 story with 3 car attached garage, 10' x 18' screen room, 15' x 30' patio,
of Work
HV AC Contractor
GRANT SCHULTZ HEATING & COOLING
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation
$195,000.00 Plan Approval
$75.00 Permit Fee Paid
$793.00 Park Dedication
$200.00
Issued By:
Date 11/10/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1336120000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 ,I I
holder(s) and se e any necessa app vals before starting such activity. tlll D h
Signature - Date '!Jf.t;
t10wner
WI 54904 - 0000 Telephone Number 920-230-4900
Address 3162 HAYWARD AVE
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
Job Address 3255 CASEY TRAIL
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 11/10/2006
Name CHET WESENBERG
Address
3162 HAYWARD AVE
Oshkosh
WI
54904
Subdivision CASEY'S MEADOW SOUTH
Lot 12
Building Permit Number 0122492
Number of Dwelling Units Number of Structures
Fee Required
$200.00 Fee Paid
(U~~-
Date
~l/, O~
Owner's Signature
Inspector's Signature
Date
e
OSHKOSH
ON THE WATER
Name CHET WESENBERG
Lot 12
GRADE STAKE FORM
Address 3255 CASEY TRAIL
Grade Stake Number 7410
Create Date 11/09/2006
Block
Subdivision CASEY'S MEADOW SOUTH Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/09/2006 Set By
Ward
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade estab '
has commenced.
Wisconsifl 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
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0122492
Parcel No.
D Constr 0 HVAC DElee 0 Plbg
Mailing Address
3162 HAYWARD AVE
Plbg Lic/Cert # Mailing Address
970195 3162 HAYWARD AVE
Plbg LiclCert # Mailing Address
850812 4932 W 9TH AVE
Plbg LiclCert # Mailing Address
891206 55 CRIMSON LN
Plbg LiclCert # Mailing Address
246943 PO BOX 3904
S . ft. 1/4,
Subdivision Name
CASEY'S MEADOW SOUTH
Front
~ Erosion D Other:
Telephone No.
Oshkosh WI 54904 - 0000
Telephone No.
OSHKOSH WI 54904 - 0 920-230-4900
Telephone No.
OSHKOSH WI 54904 - 0 920-233-3667
Telephone No.
OSHKOSH WI 54902 - 0 (920) 216-1616
Telephone No.
OSHKOSH WI 54903 - 3904 920-410-5933
1/4,Section ,T
Lot No.
12
Left
N,R E(or)W
Block No.
Living Area
Garage
1072
4072
1122
Sewer
~ Municipal
D Septic
Permit No.
~ Municipal Utility
~ Plus Basement D Private On-Site Well
The applicant agrees to comply with all applicable codes, stat and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, expr s or mplied, on the D a me tor municip Iity; and certifies that all the above inforpf3~n is accurate.
APPLICANT'S SIGNATURE DATE SIGNED 1 VtDJD~
.
APPROVAL CONDITIONS This permit is issued pursuant to the followin co itions. Failure to comply may result in suspension or
revocation of this permit or other penalty
STANDARD CONDITIONS OF APPROVAL
o Village ~ City 0 County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
,/ Construction
o HVAC
o Electrical
D Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 11/9/2006
Total
SBD-5823 (R. 07/92)
$105.00
352294
Cert. No. 70330
7
MOCKINGBIRD WA Y
90.
. DRIVEWAY /
125,
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