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HomeMy WebLinkAbout0128159-Building e CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3220 MOCKINGBIRD WAY Owner CHET WESENBERG No 128159 Create Date 12/13/2007 Designer Contractor CHET WESENBERG ARCHITECHT LLC Category 110 - New Single Family Plan 060-1207 Type . Building o Sign o Canopy o Fence o Raze R-1 Class of Const: 8 Size IRR Zoning Unfinished/Basement ~ Sq. Ft. Rooms 4 Height 25 Ft. o Projection I Finished/Living ~ Sq.Ft. ~ Sq.Ft. Bedrooms 3 2 Stories 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 Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures Use/Nature' NSFR/1 storihome With a three car attached garage, 10'x14' rear patio.' of Work HV AC Contractor GRANT SCHULTZ HEATING & COOLING Plumbing Contractor SBS PLUMBING LLC Electric Contractor HULLAR ELECTRIC LLC Fees: Valuation $120,000.00 Plan Approval $75.00 Permit Fee Paid $493.00 Park Dedication $200.00 Issued By: Date 12/13/2007 Final/O.P. 00/00/0000 o Permit Voided I 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 per .r~PlicatiOn withi a easement, the City strongly urges the permit applicant to contact the easement holder(s) and to se r~~y e ss ry p ovals before starting such activity. .' I have read and e t' a re ioned information. 1-;7 . Signature Date ..> ) iJ Agent/Owner ' Address OSHKOSH WI 54904 - 7447 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. IEr\lT vISION o I") I") m I"'- L{) o I") m I"'- I 25' REAR YARD SETBACK I 8 T ::.:: u <( co G:i (/) Cl Ct: "!: w Cl Ui ::.:: u <( co G:i (/) Cl Ct: ~ W Cl Ui lo " PATIO T.O."". 799.00 ~ " ONE-STORY HOME 7'-9" 59'-6" 7'-9" m (J) I"'- m I"'- 3-CAR GARAGE STOOP I") N I"'- m I"'- 25' FRONT Y (J) Co ~ 1 . I") DRIVEWAY in ..- "I .q-- l"'- I"') CD m I"'-L + m I"'- 75.02 J J~wt'J V MOCKINGBIRD WAY 8M-I SEE CITY OF OSHKOSH SITE PLAN SCALE: 1" = 20'-0" NORTH m e OSHKOSH ON THE WATER Job Address 3220 MOCKINGBIRD WAY PARKLAND DEDICATION FEE COLLECTION RECORD Date 12/13/2007 Name CHET WESENBERG Address Oshkosh WI 54901 Subdivision Casey Meadow South Lot Building Permit Number 0128159 Number of Dwelling Units 1 17 Number of Structures / Fee Paid Fee Required Date o/I~/o 7 Date Owner's Signature Inspector's Signature e OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 7475 Name CHET WESENBERG Address 3220 MOCKINGBIRD WAY Create Date 12/13/2007 Lot 8 Block Ward Subdivision Casey Meadow South Zone U Sidewalk Existing Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 12/13/2007 Set By Department of Public Works I, the undersigned, owner or agent of the above described property agree to have th has commenced. /~ Wisconsin 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. 0128159 Parcel No. o Constr o HVAC 0 Elec Mailing Address o Plbg ~ Erosion 0 Other: Telephone No. Oshkosh WI 54901 - 0000 Plbg LiclCert # 970195 Plbg LiclCert # 850812 Plbg LiclCert # 891206 Plbg LiclCert # 246943 Mailing Address 3162 HAYWARD AVE Mailing Address 4932 W 9TH STREET RD Mailing Address 55 CRIMSON LN Mailing Address 4635 RED FOX RD OSHKOSH Telephone No. WI 54904 - 7447 920-230-4900 Telephone No. WI 54904 - 6530 (920) 233-3667 Telephone No. WI 54902 - 7298 (920) 216-1616 Telephone No. WI 54904 - 7784 920-410-5933 ,T N,R E(or)W Block No. OSHKOSH OSHKOSH OSHKOSH S . ft. 1/4, Subdivision Name Casey Meadow South Front 1/4,Section Lot No. 8 Left Garage 1694 1694 714 ;':' j ~ ./ Concrete o Masonry o Treated Wood o Other ./ Forced Air Furnace o Radiant Baseboard or Panel o Heat Pump o Boiler ~ Central Air Conditioning Other .. Living Area Sewer ~ Municipal o Septic Permit No. o Seasonal ~ Permanent ~ Municipal Utility ~ Plus Basement 0 Other 0 Private On-Site Well The applicant agrees to comply with all appli e codes statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express im e n t Department or municipality; and certifies that all the above information is accurate. DATE SIGNED APPLICANT'S SIGNATURE APPROVAL CONDITIONS Failure to comply may result in suspension or see standard conditions of approval o Village ~ City 0 County 0 State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 Plan Review Construction o HVAC Name Nicole Krahn Inspection o Electrical Wis. Permit Seal $30.00 o Plumbing Date 12/13/2007 Other ~ Erosion Total $105.00 0 381611 Cert. No. 248101 SBD-5823 (R. 07/92)