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� CITY OF OSHKOSH No 154320 988�56 {
O�HKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3290 CASEY TRL _ _ _ Owner ___ ___ __ __ Create Date 01/22/2013
Designer Contractor CHET WESENBERG ARCHITECHT LLC
Inspector Nicole Krahn
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Category 110-New Single Family __ _ _ _ Plan UDC-3694-0113
Type � Building � Sign � Canopy � Fence � Raze
Zoning R_1 Class of Const: 8
— -- Size IRR
Unfinished/Basement 2602 Sq.Ft. Rooms _ 5 Height 22 Ft. � Projection
Finished/Living 2061 Sq.Ft. Bedrooms 3 Stories 1 _ Canopies
Garage _ 829 Sq.Ft. Baths _ 3 Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood ___.
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No__ Height Permit Not Required
Park Dedication Required #Dwelling Units 1 #Structures 1
Use/Nature iNSFR/1 story home with a 3 car attached garage, rear screened in porch and rear patio. The basement is unfinished. This permit also �
of Work includes paving the driveway.
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HVAC Contractor GRANT SCHULTZ HEATING 8�COOLING __ Plumbing Contractor SBS PLUMBING LLC
Electric Contractor SECKAR ELECTRIC CO INC
Fees: Valuation $209,241.00 Plan Approval _ $75.00 Permit Fee Paid $1,048.56 Park Dedication $200.00
Issued By: _ ��� Date 01/31/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit pplication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to sec an ne essa approvals before sta�ting such activity.
I have read and a for entioned information.
Signature '�l'�f�
Date
AgenUOwner
Address 3265 CASEY TRL _ OSHKOSH WI 54904 - 6443 Telephone Number (920)230-4900
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application Na �
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0154320 F
P.Q.Box 2509 APPLICATION Parce�►vo.
Madison,W153701-2509
; Wisconsin Statues 101.63, 101.73
' PERMIT REQEJESTED ❑ Constr � HVAC � Elec � Plbg �✓ Erosion ❑ Other. €
Owner's Name Mailing Address Telephone Na {
Oshkosh WI 54901 - 0000
Contractor. ✓ Con Elec HVAC Plbg LiGCert# Mailing Address Telephone No.
CHET WESENBERG ARCHITECHT LLC 970195 3265 CASEY TRL OSHKOSH W� 54904- 6443 (g20)230-4900
Dwelling Contr.Qualifier Lic/Cert# The Dwelling Contr.Qualifier shall be an owner,CEO,COB or employee of
CHET WESENBERG 970198 Dwelling Contr.
Contractor: � Con 0✓ Elec� HVAC❑ Plbg LiGCert# Mailing Address Telephone No.
SECKAR ELECTRIC CO INC 689404 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986- 972$ (920)582-4909
Contractor: Con Elec ✓ HVAC Plbg LiGCert# Mailing Address Telephone No.
GRANT SCHULTZ HEATING&COOLING 891206 55 CRIMSON LN OSHKOSH WI 54902_ 7298 (g20)216-1616 `
Contractor: Con Elec HVAC ✓ Plbg LiGCert# Mailing Address Telephone No.
SBS PLUMBING LLC 665479M 4635 RED FOX RD OSHKOSH �/�/� 54904- 7784 gp0-410-5933
PROJECT LOCATtON ': �ot Area S .ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3290 CASEY TRL
Zoning District(s) Zoning Permit No. Front Rear Left Right
1.PROJEC'f 3.OCCUPANCY 6.ELECTRICAL 9.HVAC EQU[PMENT 12.ENERGY SQURCE
✓ New � Repair ✓ Single Family Entrance Panel ✓ Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola '
❑ Alteration Two Family Size:200 am ❑ Radiant Baseboard or Panel Fuel Gas �
� Raze
❑ Addition 8 Garage Service: � Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑
� Move � Other(print): � Overhead
❑✓ Underground � Boiler Water Htg ❑ ❑ � � � �
❑ Other: 4.CQNST.7YPE ` I.FOUNDATION 0 Central Air Conditioning " Dwelling unit will have 3 kilowatt or
✓ Concrete Other more installed electric space heating equip.
2.AREA INVOLVED �✓ Site Constructed Mason ��•p�UMBING ��`� ' ` Infiltration control option is:❑ Full sealing
Unfinished ❑ Manufactured � ry Sewer of'oints.
� Treated Wood 1 ❑ Blower door test. ❑ Exterior
Basement 2602 Sq.ft. ,STf3R1ES � Municipal air infiltration barrier.
Living Area 2061 Sq.ft. '� �-Story ❑ Other � Septic `13.HEAT LC?SS Calculated
- ;8.USE '�
❑ 2-Story ° Permit No. Envelope41542 BTU/HR
Garage 829 SQ��• Other ❑ Seasonal BTU/HR
❑ F1t.WATER ` Infiltration 12613
�✓ Permanent a Municipal Utility 44.`EST.BUILDING GOST ' ,�;°
�✓ Plus Basement ❑ Other � private On-Site Well 287241
I agree to comply with all applicable codes,statutes and ordinances and with the conditions of this permit;understand that the issuance of the permit creates no legal Iiabiiity,
express or implied,on the state or municipality;and certify that all the above information is accurate.If one acre or more soil wiil be disturbeb,I understand that this
project is subject to ch.NR 151 regarding additional erosion control and stormwater management.I expressly grant the building inspector,or the inspector's authorized agent,
permission to enter the premises for which this permi sought at all reasonable hours and for any proper purpose to inspect the work which is being done.
� I vouch that I am or will be an owner-occu t of thi dwelling for which I am applying tor an erosion control or construction permit without a Dwelling
Contractor Certiflcation and have read the c ary t e t re r ing contrector r sibility on the Building Permit Application.
APPLICANT'S SIGNATURE DATE SIGNED
APPROVAL CONDITIONS This permit is issued pursuan o th following conditions. Failure to comply may result in suspension or
revocation of this permit or er p nalty
�SSU�NG ❑ Town � Village �✓ City � County � State of: Municipality Number of Dwelling Location:
`JURtSDICTIQN City Of Oshkosh 7 0 - 2 6 6
� `�`
Plan Review $75.00 � Construction
Inspection ❑ HVAC Name Nicole Krahn ___ _
❑ Electrical
Wis.Permit Seal $35.00 � plumbing Date 1/23/2013
Other 0✓ Erosion
Total $110.00 ❑ 425871 Cert. No. 248101
SBD-5823(R.07/92)