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CITY OF OSHKOSHNo
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
GARRY DECKER
Job Address3176 HAYWARD AVEOwnerCreate Date03/20/2003
DesignerContractorGARRY H DECKER & CO
Category110 - New Single FamilyPlanE1-025-0303MP
TypeBuildingSignCanopyFenceRaze
R-1
ZoningClass of Const:8SizeIrrg
Sq. Ft.Projection
Unfinished/Basement1070Rooms7Height24Ft.
Finished/Living
1887Sq. Ft.Bedrooms3Stories2Canopies0
Garage670Sq. Ft.Baths3Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required
Park DedicationRequired# Dwelling Units1# Structures1
NSFR/ Single family, 2 story, 3 car attached garage. Driveway will be 21' wide at the front property line.
Use/Nature
of Work
HVAC ContractorCONDON TOTAL COMFORTPlumbing ContractorWATTERS PLUMBING
Electric ContractorCUMINGS ELECTRIC
Fees: Valuation$120,633.00Plan Approval$75.00Permit Fee Paid$443.00Park Dedication$100.00
03/21/200300/00/0000
Issued By:DateFinal/O.P.
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
1113 OREGON STOSHKOSHWI549026484235-8035, M 379-8035
Address-Telephone Number
OSHKOSH
ON THE WATER
Job Address 3176 HAYWARD AVE
Designer
Category 110 - New Single Family
Type ~I Building
CITY OF OSHKOSH '
BUILDING PERMIT -APPLICATION AND RECORD
Owner GARRY DECKER Create Date
Contractor GARRY H DECKER & CO
No 0100312
(~) Sign (~) Canopy (~ Fence O Raze
03~2012003
Plan ,-~t¢'-025-0303~,~'//~
Zoning R-1 Class of Const: 8
Unfinished/Basement 1070 Sq. Fto Rooms 7
Finished/Living 1887 Sq. Ft. Bedrooms 3
Garage 670 Sq. Ft. Baths 3
Foundation i~l Poured Concrete (~ Floating Slab (~ Pier
(~ Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units I
Height 24 Ft.
Stories 2
(~) Other
Size Irrg
[] Projection
Canopies
Signs
Height Permit Not Required
# Structures I
Use/Nature
of Work
NSFPJ Single family, 2 story, 3 car attached garage. Driveway will be 21' wide at the front property line.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor WATTERS PLUMBING
$120,633.00 Plan Approval $75.00 Permit Fee Paid
$443.00 Park Dedication $100.00
Date 03/21/2003 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.
Signature Date
Agent/Owner
OSHKOSH
Address 1113 OREGON ST WI 54902 - 6484 Telephone Number 235-8035, M 379-803
OSHKOSH
ON THE WATER
,Job Address
Designer
Category
3176 HAYWARD AVE
110 - New Single Family
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner GARRY DECKER
Contractor GARRY H DECKER & CO
Type O Building O Sign O Canopy O Fence O Raze
No 0100312
Create Date 03/20/2003
Plan MP-025-0303R
Zoning R-1 Class of Const: 8
Unfinished/Basement 1070 Sq. Ft. Rooms 7
Finished/Living 1887 Sq. Ft. Bedrooms 3
Garage 670 Sq. Ft, Baths 3
Foundation O Poured Concrete C) Floating Slab (~) Pier
(~ Concrete Block (~) Post (~ Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units I
Height 24 Ft.
Stories 2
Other
Size Irrg
[] Projection
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature NSFR/ Single family, 2 story, 3 car attached garage. Driveway will be 21' wide at the front property line.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: /
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor WATTERS PLUMBING
$120,633.00 Plan Approval $75.00 Permit Fee Paid
[] Permit Voided J
$443,00 Park Dedication $100.00
Date 03/21/2003 Final/O.P. 00/00/0000
In the performan e of thins work I agree t perf rm all work pursuant to rules governing the described construction.
Signa~ ~l,._~ E ~~ Date % ~./-0 ~
Agent/Owner
Address 1113 OREGON ST OSHKOSH WI 54902 - 6484 Telephone Number 235-8035, M 379-803
OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6918
Name GARRY DECKER Address 3176 HAYWARD AVE Create Date 03/20/2003
Lot 244 Block Ward
Subdivision Westleigh Farms Zone
Street Number Lot Dimensions L~ Sidewalk Existing j
Building Grade Elevation Stakes Set At Site 03/20/2003 Set By
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. ~~~y~_, .~_~,~,~~
Wisconsin Department of Industry,
*Labor an~ Human Relations
Safety and Buildidgs Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr
WISCONSIN UNIFORM Application No.
BUILDING PERMIT ~_~ 12
APPLICATION IParcel No.
[] HVAC [~ Elco [] PIbg [] Erosion [] Other:
Owner's Name
GARRY DECKER
Contractor: ~ Con[~j Elec-~ HVAC ~J Plbg
GARRY H DECKER & CO
Contractor: Ed Con ~d Elec ~J HVAC~_J Plbg
CUMINGS ELECTRIC
Contractor: b~ Con ~ Elec~J HVAC [] Plbg
CONDON TOTAL COMFORT
Contractor:l I Con [] ilecE~ HVAC~] PIbg
WATTERS PLUMBING
Mailing Address
1113 OREGON ST
Telephone No.
Oshkosh WI 54902- 0000
Lic/Cert # Mailing Address Telephone No.
7739 1113 OREGON ST OSHKOSH WI 54902 - 6484 235-8035, M 37
Lic/Cert # Mailing Address Telephone No.
170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Lic/Cert # Mailing Address Telephone No.
3202 11 BLACKBURN ST RIPON WI54971 - 184 (920) 748-5050
Lic/Cert # Mailing Address Telephone No.
1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 800-801-8125,7;
Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address
3176 HAYWARD AVE
District(s) Permit No.
Subdivision Name Lot No. I Block No.
I
Westleigh Farms 244
Front Rear Left Right
NeW [] Repair Single Family
[] Alteration [] Raze Two Family
Garage
[] Addition [] Move [] Other (print):
[] Other:
Entrance Panel Forced Air Furnace
Fuel
Size: 200am [] Radiant Baseboard or
Panel
Service: -- [] Heat Pump Space Htg
[] Overhead
[] Underground [] Boiler
Central Air Conditioning
Other
g unit will have 3 kilowatt or
[] Site Constructed Concrete more installed electric space heating equip.
Infiltration control oPtion is: [] Full sealing
Unfinished [] Manufactured [] Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1070 Sq. ft. [] Treated Wood [] Municipal air infiltration barrier.
Living Area 1887 Sq. ft. 1-Stow Other [] Septic
Garage 670 Sq. ft. [] 2-Story Permit No. Envelope 31207 BTU/HR
[] Other [] Seasonal Infiltration 12662 BTU/HR
[] Permanent
[] Other
[] Plus Basement
[] Municipal Utility
[] Private On-Site Well
$140,000.00
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 liabilj~s~or impl~ed~ on the Depa~j~er~ or ~un~ certifies that all the above information is accurate.
APPLICANT'S SlGNATU'B~~~,(.~_~A'~ (~~~/~ DATE SIGNED ~ -'~ 1 -O ~
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
[] Town [] Village [] City [] County LJ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 3/20/03
Other [] Erosion
Total $105.00 [] 292127 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,;ob Address
Name
Address
PARKLAND DEDICATION FEE COLLECTION RECORD
3176 HAYWARD AVE
GARRY DECKER
1113 OREGON ST
Date 03/21/2003
Oshkosh WI 54902
Lot 244
Subdivision Westleigh Farms
Building Permit Number 0100312
Number of Dwelling Units
Fee Required $100.00
Owner's Signature (~~~ 0,.--)
Inspector's Signature
Number of Structures
Fee Paid
Date
7.6.0'
I
i._ I,," "-". [
.I
:' Lo"t' Mo. 2_4-4
Ho dS.E ~o.
_. ~,CA.L~ I"~. .~.0'-0"
· ~ CI~ OF OSHKOSH B~D~G PE~T ~P~IcATION
0~ N~ For 1 and 2 Famil Hom~
Mailer Ad.ess Phone No.
Carry H Decker a Co LLC 1113 Oregon St, Oshkosh 54902 .(9'2~ 235-8035
Controls N~: Mailer Ad.ess ~ Phone NO.
Garry H Decker same as above 7739 (92~ 235=8035
pl~mg ~n~ctoffs Nme: Mafl~g~d~ess ~ ~
~atters PlumbSng P.O. Box 118, Henasha ~952 Li~C~ PhoneNo.
6228 ( ) 235-7060
Elccm~l ~nmctofs Name: ~ail~g~d~[s~ Li~n~ ~o.
Cumings Electric r.O. Box /~, Neenah 54957 ..
170792 ( ) 231-5946
~AC ~n~oFs Name: Mail~~d~css Li~n~ Phone No~
Condon Total Comfort P.0. Dox 184, Ripon. 54971
'
~g Vmmc~ , ] Sctbac~ ] ~
~ ~ PROJE~ INFO~ATION
9 Two F~ly [ ' , . ~c~d
Ba~
~2-Sto~
USE ~ G~g,_ ~0 sq.fi. . ~ OBi-level
~ P 0 ~ ~ 00~ Finished
~;a~tr~e S. =l g=de to ~e ~ak'
a~ ~e: Sewer
~ 1~ ~s ~M~cipal ~M=icipal UtiliW Sale Price of ~e ~oject $ /8 ~, 000 ~
~ 2~ A~s ~ Septic O Private On-Site Well (Fml cost ofho~e, lot & la~r) -
~Under~ound Pe~I No. M~S
- O~e~cad ~e Cost of~c ~t S ~', 9~
~,Co,tor~c~o, s, )DO, OS~
~l~on I ~t %%~ B~r (Fak ~ket value w~ch ~cludes la~r)
~NERGY SO.CF
Go:c~: Nail Gas, L.P., Oil, Elec, Solid, Sol~ O ~di~t B~c~d or P~cl -- ~
Wa,er H,g ~ ~ ~ ~n=, Ak Con~fioffing ___
.... o q**r ' DEPARTMENT OF ,
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No uSE
- 5CA.LE 1"~ 2.0'-0"
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41
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~94.61
60' 90' c~
9' 147'
,8'
15280 s.f.±
24680 s.f.+
0
O~
137'
24620 s.f.+
92'
10490 s.f.±
795.0
o
90' 90'
40' ~
794.1 ~l' ~ 0.4070
COURT
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75' %'bI 75'
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858(0 s.f.±
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858,0 s.f.~ ~" WESI
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