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HomeMy WebLinkAbout0084879-Building . CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3200 MOCKINGBIRD WAY Owner GILBERT & CYNTHIA FRANK No 0084879 Create Date 03/20/2001 Designer GMJHOMES Contractor GMJ HOMES Category 110 - New Single Family Plan C9-022-0301 R Type . Building o Sign o Canopy o Fence o Raze Zoning R-1 Class of Const: 8 Size 44'-8" X 66'-8" Height 19 Ft. D Projection I Unfinished/Basement 1642 Sq. Ft. 1642 Sq. Ft. 720 Sq. Ft. Rooms 6 3 3 Stories Finished/Living Bedrooms Canopies Garage Baths Signs Foundation . Poured Concrete 0 Floating Slab o Concrete Block 0 Post o Pier 0 Other o Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units # Structures Use/Nature NSFR/ New single family w attached garage - NO DECK or PATIO of Work HV AC Contractor BREWER HEATING Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor SUBURBAN ELECTRIC INC Fees: Valuation o Plan Approval $75.00 Permit Fee Paid $431.00 Park Dedication $100.00 Issued By: Date 03/26/2001 Final/O.P. D Permit Voided I Signature In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. ~:Z/~~/L- ~____. Date 3/J?-kl / Address 331 S WESTHAVEN DR APT 106 Agent/Owner Oshkosh WI 54904 - 0000 Telephone Number 426-3165 ~'O OSHKOSH ON THE WATER Name GILBERT & CYNTHIA FRANK Lot 37 Subdivision Sawyer Creek Street Number GRADE STAKE FORM Address 3200 MOCKINGBIRD WAY Grade Stake Number 6503 Create Date 03/23/2001 Block 1 st Add the meadows on Zone Lot Dimensions 95.03' x 136.04' Ward U Sidewalk Existing Building Grade Elevation Stakes Set At Site 00/00/0000 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. ~~/?-.'~ ''''Wiscon;in Department of Industry, Labor and Human Relations Safety and Buildings Division P.O. Box 2509 Madison, WI 53701-2509 Wisconsin Statues 101.63,101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0084879 Parcel No. o Constr Plbg Lie/Cert # 4220 Plbg Lie/Cert # D HVAC D Elec Mailing Address 1343 W 5TH AVE Mailing Address 331 S WESTHAVEN DR APT 106 Mailing Address 709 HICKORY FARM LN Mailing Address N8804 N DOUGLAS STREET Mailing Address 550 N BLUEMOUND RD D Plbg o Erosion D Other: HVAC D Plbg Lie/Cert # 674746 Plbg Lie/Cert # Telephone No. OSHKOSH WI 54902 - 0000 920-235-0685 Telephone No. Oshkosh WI 54904 - 0000 426-3165 Telephone No. APPLETON WI 54914 - 0000 739-5156 Telephone No. RIPON WI 54971 - 0000 (920)748-6494 Telephone No. APPLETON WI 54915 - 0000730-0205 S . ft. Subdivision Name Sawyer Creek 1/4, 1/4,Section ,T Lot No. 37 Left N,R E(or)W Block No. 1st Add the meado' Right D D D D 1642 Living Area 1642 Garage _~ Sq. ft. Sq. ft. 1-Story 2-Story Sq. ft. D Other o Plus Basement $130,000.00 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 ~ vL. ~. DATE SIGNED .3 - APPROVAL CONDITIONS This pe~mit is i~sued p~rsuant to the following conditions. Failure to comply may result in suspension or revocation of thiS permit or other penalty See standard conditions of approval D Village 0 City D County D State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 Plan Review $75.00 ./ Construction HVAC Name Brian Noe Inspection Wis. Permit Seal $30.00 Electrical PlumbinQ Date 03/23/2001 Other ./ Erosion Total $105.00 264769 Cert. No. 70266 SBD-5823 (R. 07/92) ~"e OSHKOSH ON THE WATER Job Address 3200 MOCKINGBIRD WAY PARKLAND DEDICATION FEE COLLECTION RECORD Date 03/26/2001 Name GILBERT & CYNTHIA FRANK Address 1343 W 5TH AVE OSHKOSH WI 54902 Subdivision Sawyer Creek Lot 37 Building Permit Number 0084879 Number of Dwelling Units Number of Structures Fee Required $100.00 Fee Paid Inspector's Signature ~~ ~ - ;f:tt1/ Date /. / 0'- Owner's Signature " . . I: I I! , I j ,.. .-, I-" . I t > '> t (\' b~ II: ~ k~ i 3: ~ rO {.. !:O L-l I ! : ~ ~ I , .-r 1+ iJc I- t I 1 ! ~ i \' il" if it) -'" Ij' lS- G' t {}l ~ )) ~ ! -- CP. ' ~ ~ /' ~ il; 1J ~ ~ ,Ii ~O ' . . , 0\ 1'; 117- ...- i,' . I,. ~ c. ~ !Il z II 'tlU t w- f II : f~ f - I i ;c t I ~ 'P. ~ I i (} I - I : I) r ..~ ~ C I - t;S\ ....Q~ ~G ~ (p :: I :. 'il - F- ' I : i 0J Ii I: () 0 / 1:-1 oJ t ; i 0( I: f1 I ::W OJ V- II :! .J -J II I! \J \ 1 .p....--.--.,..---'.... 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