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