HomeMy WebLinkAbout0100122-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
3190 MOCKINGBIRD WAY Owner MARK STANEK
Contractor DRAMATIC DESIGN
110 - New Single Family
· Building O Sign O Canopy (~ Fence (~) Raze
No 0100122
Create Date 03/03/2003
Plan E1-014-0203R
Zoning R1
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const: 8
1217 Sq. Ft. Rooms 9
2321 Sq. Ft. Bedrooms 4
720 Sq. Ft. Baths 3
· Poured Concrete O Floating Slab (~) Pier
O Concrete Block O Post (~ Treated Wood
Required Flood Plain No
Required # Dwelling Units 1
Height 29 Ft.
Stories 2
O Other
Height Permit Not Required
# Structures 1
Size Irrg
[] Projection j
Canopies 0
Signs 0 .
Use/Nature
of Work
iliNnSe.FR/ Single family 2 stow with 3 car attached garage and a 12' x 12' Patio. Driveway shall not exceed 24' wide at the front property
HVAC Contractor MCM AIR INC
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation $167,000.00 Plan Approval
Issued By: (~
Plumbing Contractor WATTERS PLUMBING
$75.00 Permit Fee Paid
[] Permit Voided J
$581.00 Park Dedication $100.00
Date 03/07/2003 Final/O.P. 00/00/0000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~. ,,~'~)~.~/ Date
Agent/Owner
Address 337 FORESTVIEW OSHKOSH WI 54904 - 0000 Telephone Number
231-1787
OSHKOSH
ON THE WATER
Name MARKSTANEK
GRADE STAKE FORM
Address 3190 MOCKINGBIRD WAY
Lot 34 Block
Subdivision 1st Add't Meadows on Sawyer Zone
Street Number Lot Dimensions
Grade Stake Number 6902
Create Date 03/03/2003
Ward
L.J_ Sidewalk Existing
Building Grade Elevation Stakes Set At Site 03/05/2003 Set By D.W.G. BK - 586, P - 66
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has
OSHKOSH
ON THE WATER
Job Address
Name
Address
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
3190 MOCKINGBIRD WAY
MARK STANEK
Date 03/07/2003
Oshkosh WI 54904
Lot 34
Subdivision 1st Add't Meadows on Sawyer
Building Permit Number 0100122
Number of Dwelling Units 1
Fee Required $100,00
Number of Structures
Fee Paid
Date
Date
Wisconsin Departcnent of Industry,
Labor arid 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
[] Constr [] HVAC [] Elec [] Plbg
Application No.
0100122
Parce No.
[] Erosion [] Other:
Owner's Name
MARK STANEK
Contractor: L~ Con~-~ Bec[] HVAC ~_j Plbg !
DRAMATIC DESIGN
Contractor: U Con [~J Bec ~J HVACL_j Plbg
SCHOMMER ELECTRICAL CON
Contractor: ~J Con ~J Elec~J HVAC [] Plbg
VICM AIR INC
Contractor: ~ Con [] Elec[~ HVAC[] Plbg
WATTERS PLUMBING
Lot Area
Building Address
3190 MOCKINGBIRD WAY
Lic/Cert #
~3578
Lic/Cert #
170465
Lic/Cert #
4264
Lic/Cert #
Mailing Address
Oshkosh WI 54904- 0000
Mailing Address
337 FOREST VIEW
OSHKOSH WI 54904- 0
Mailing Address
N 164 TWO MILE ROAD
APPLETON WI 54914 - 9121
Mailing Address
6122 COUNTY ROAD M
WINNECONNtW154986
Mailing Address
1303 MIDWAY RD, PO BOX 118
MENASHA WI 54952
Sq. ft.
Telephone No.
Telephone No.
231-1787
Telephone No.
(920)731-2299
Telephone No.
-9780 (920)582-4402
Telephone No.
-1129 800-801-8125,7:
Subdivision Name
1st Add't Meadows on Sawyer
1/4, Section ,T N, R E(or)W
Zoning District(s) Permit No.
ILot No.
34
Block No.
Front Rear Left Right
New [] Repair Single Family
[] Alteration [] Raze Two Family
Garage
[] Addition [] Move [] Other (print):
[] Other:
[] Site Constructed
Unfinished [] Manufactured
Basement 1217 Sq. ft.
1-Stow
Living Area 2321 Sq. ff. [] 2-Story
Garage 720 Sq. ff. [] Other
[] Plus Basement
Entrance Panel
Size:
Service:
[] Overhead
[] Underground
Concrete
Masonry
Treated Wood
Other
[] Seasonal
[] Permanent
[] Other
Forced Air Furnace
Radiant Baseboard or Panel
[] Heat Pump
[] Boiler
Central Air Conditioning
Other
Sewer
[] Municipal
iE~ Septic
Permit No.
[] Municipal Utility
Private On-Site Well
Fuel
Space Htg
Water Htg
,g unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: [] Full sealing
of joints. [] Blower door test. [] Exterior
air infiltration barrier.
Envelope 31975 BTU/HR
Infiltration 21610 BTU/HR
SI90,000.00
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/~m~, o~he ~artment or municipality; and certifies that all the above information is acc,¥rate.
..
ADDI~t~'~,/ ~t'~l~lrtlTICtl~l.~ This permit is issue~t tothe following conditions. Failure to comply may result in suspension or
..................... revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
~]Town
[] Village [] City [] County La State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
wis. Permit Seal $30.00 [] Plumbing Date 03/04/2003
Other [] Erosion
Tota~ $105.00 288713 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
Ci~ of Oshkosh
CommuniW Development
Scale:. 1"= 30'
~k
DISC~IMER
This map Is neither a leg~ly recorded map nor
Februa~ 24, 2003
By: JN
Source: Ci~ of Oshkosh GIS