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.
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ONE-STORY HOME
7'-9"
59'-6"
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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)