HomeMy WebLinkAbout0102165-BuildingOSHKOSH
ON THE WATER
Job Address 3162 HAYWARD AVE
Designer
Category 110 - New Single Family
Type
Zoning R-1
Unfinished/Basement t116 Sq, Ft.
Finished/Living 2655 Sq. Ft.
815 Sq. Ft.
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner CHET WESENBERG Create Date
Contractor OWNER
· Building (~ Sig_n_ ~ Canop~y_
Garage
Foundation · Poured Concrete O Floating Slab
O Concrete Block (~) Post
Occupancy Permit Required
Park Dedication Required
No 0102165
06/06/2003
Plan E1-071-0603R
Class of Const: 8
Rooms 0
Bedrooms 4
Baths 3
O Pier
(~) Treated Wood
Flood Plain No
# Dwelling Units I
Size IRRG
Height 30 Ft. [] Projection
Stories 2 Canopies
Signs
(~)Other
Height Permit Not Required
# Structures I
Use/Nature
of Work
~SFPJ New single family 2 stoW with 24'x 34' attached garage and patio
HVAC Contractor BREWER HEATING
Plumbing Contractor O'NEILL ENTERPRISE INC
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation ~ $155,000.0(~ I~lan Approval $75.00 Permit Fee Paid
~Permit Voided I
$545.00 Park Dedication $100.00
Date 06/12/2003 Final/O.P. 00/00/0000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telep.one Number
OSHKOSH
ON THE WATER
Name CHET WESENBERG
Lot 245
Subdivision 5th add't westleigh farms
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
Grade Stake Number 6960
Address 3162 HAYWARD AVE Create Date 06/06/2003
Block Ward
Zone
Lot Dimensions L_L Sidewalk Existing I
06/09/2003Set By D.W.G. BK - 588, P - 67
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established~before excavation
Wisconsin Department of Industry,
Labor and Human ReIations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name
CHET WESENBERG
Contractor:~] Con~] ElectS] HVAC I~ Plbg
)WNER
Contractor: b~ Con L~J Bec bd HVACL~ PIbg
CUMINGS ELECTRIC
Contractor: L~ Con bJ Elecb~j HVAC [] PIb~c
3REWER HEATING
Contractor:~] Con LJ Elecb/ HVACL~j Plbg
O'NEILL ENTERPRISE iNC
Lic/Cert #
Lic/Cert #
170792
LicYCert #
4220
Lic/Cert #
225344
Mailing Address
217 THIRD ST SUITE A
FOND DULAC Wi 54935- 0000
Mailing Address
Oshkosh WI 54901- 0
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
Wi 54957 -749
Mailing Address
N8804 N DOUGLAS STREET RIPON WI 54971 - 0
Mailing Address
5575 CTY RD N PICKETT WI 54964 -0
Telephone No.
230-4900
Telephone No.
Telephone No.
231-5946
Telephone No.
(920)748-6494
Telephone No.
4.28-4700 589-;
Building Address
3162 HAYWARD AVE
Zoning District(s) Permit No.
1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block No.
h farms 245
Front Rear Left Right
[] Repair Single Family Entrance Panel Forced Air Furnace
I~[~Alterati°nAddition E~ Raze Two Family Size: 200am []
Garage 3ervice: [] Heat Pump
[] Move Other (print): ~ Overhead Boiler
[] Other: ~ Underground Central AirConditioning
Other
Unfinished
Basement 1118 Sq. ft.
Living Area 2655 Sq, ft. 1-Story
~ 2-Story
Garage 816 Sq. ft. ~ Other
[~ Site Constructed
Concrete
[] Manufactured Masonry
Treated Wood
Other
Sewer
[] Municipal
[] Septic
Permit No.
Fuel
Water Htg
unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: [] Full sealing
of joints. [] BIowerdoor test. [] Exterior
~ Seasonal
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On,Site Well $180,000.00
Envelope _ _ 40369 BTU/HR
Infiltration 20526 BTU/HR
The applicant agrees to comply with all applicable codes, statues~nd ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, expre.~r i~plied, on~DeCaC~rn~nt pr municipality; and certifies that all the above inforrcati~n is 9ceurate.
This perm t is issued pursuant to the f~llowing con~q~s. Failure to comply may result in suspension or
APPROVAL COND TONS revocation of this permit or other penalty - ~d
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Town [] Village [] City [] County bd 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 ~_3~):¢_0 Plumbing Date 6/9/03
Other Erosion
Total $105.00 292148 Cert. NO. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address 3162 HAYWARD AVE
Name CHET WESENBERG
Address 217 THIRD ST SUITE A
Subdivision 5th add't westleigh farms
Building Permit Number 0102165
Number of Dwelling Units 1
Fee Required $100.00
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
FOND DU LAC
Lot 245
Date 05/12/2003
WI 54935
Number of Structures
Fee Paid
~_~'~' Date
~7~ Date