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HomeMy WebLinkAbout0108744-Building(~ CITY OF OSHKOSH No OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3201 MOCKINGBIRD WAY Owner Create Date Designer Ross Designs LLC Contractor HARVEY CUSTOM HOMES LLC Category 110 - New Single Family Plan 108744 06/08/2004 Type [(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning r-1 Class of Const: VB Unfinished/Basement 735 Sq. Ft. Rooms 4 Height 22 Ft. Finished/Living 2072 Sq. Ft. Bedrooms 4 Stories Quad-level Garage 880 Sq. Ft. Baths 3 Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other ~ Concrete Block ~ Post ~ Treated Wood Occupancy Permit Required Flood Plain No Height Permit Park Dedication Required # Dwelling Units 1 # Structures Size 47' X 50' ~J Projection Canopies Signs Not Required 1 Use/Nature NSFR/New single family home with attached garage and driveway, and 12' x 12' patio as per plans. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: CONDON TOTAL COMFORT CUMINGS ELECTRIC INC Plumbing Contractor HANSON QUALITY PLUMBING $113,000.00 Plan Approval $75.00 Permit Fee Paid Permit Voided $448.00 Park Dedication $200.00 Date 08/18/2004 Final/O.P. 00/00/0000 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 application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 2659 YORKTON PL Oshkosh WI 54904 - 0000 Telephone Number 920-232-1818 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 Name GRADE STAKE FORM Address 3201 MOCKINGBIRD WAY Lot 38 Block Subdivision 1st Add Meadows on Sawyer Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 06/09/2004 Set By Grade Stake Number 7165 Create Date 06/08/2004 Ward 80.02' x 136.04' ~J Sidewalk Existing D.W.G. BK-598, P-8 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. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0108744 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Owner's Name Mailing Address Telephone No. Oshkosh WI 54901 - 0000 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. HARVEY CUSTOM HOMES LLC 886249 2659 YORKTON PL Oshkosh WI 54904 - 0 920-232-1618 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC INC 170792 PO BOX749 NEENAH WI 54957 - 749 920-722-1240 Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. CONDON TOTAL COMFORT 3202 PO BOX 184 RIPON W 54971 - 184 920-748-5050 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205 I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 3201 MOCKINGBIRD WAY 1st Add Meadows on Sawyer 38 Zoning District(s) Zoning Permit No. Front ft. Rear Left Right Setbacks ft. ft ft ~R~ L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola [] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas , [] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] [] [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] [] [] [] [] [] [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or [] Other: [] Other [] 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 735 Sq. ft. · Treated Wood [] Municipal air infiltration barrier. Living Area 2072 Sq. ft. [] 1-Story · Other Garage 660 Sq. ft. [] 2-Story ~ [] Septic Permit No. Envelope 26985 BTU/HR [] Other [] Seasonal Infiltration 17087 BTU/HR Quad-level [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~ [] Plus Basement [] Other [] Private On-Site Well $175,000.00 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 liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED 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 I~I1'-,1~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location: ~i~Bi~l~N City Of Oshkosh 7 0 - 2 6 6 ~ Construction Plan Review $75.00 _ HVAC Name Brian NoB Inspection Electrical Wis. Permit Seal $30.00 [~ Plumbing Date 6/8/O4 Other [] Erosion Total $105.00 · 306897 Cert. No. 70266 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER ,Job Address 3201 MOCKINGBIRD WAY Name Address Subdivision 1st Add Meadows on Sawyer Building Permit Number 0108744 Number of Dwelling Units 1 Fee Required $200.00 PARKLAND DEDICATION FEE COLLECTION RECORD Date 06/16/2004 Oshkosh WI 54901 Lot 38 Number of Structures Fee Paid Owner's Signature Inspector's Signature Date Date