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HomeMy WebLinkAbout0058205-Building CITY OF OSHKOSH No 0058205 OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3051 MOCKINGBIRD WAY Owner DANIEL NEY AND LORI KUHLOW Create Date 5/19/97 Designer Contractor OWNER Category 110 - New Single Family Plan C5- 053 -597r Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R1 Class of Const: 8 Size Irreg 69x45 Unfinished/Basement 1549 Sq. Ft. Rooms 5 Height 19 Ft. U Projection Finished/Living 1549 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 816 Sq. Ft. Baths 2 Signs Foundation t Poured Concrete 0 Floating Slab 0 Pier 0 Other Concrete Block 0 Post 0 Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature SI-R WITH A 3 CAR A i !ACHED UARAGE of Work HVAC Contractor RASMUSSEN'S HTG & NC Plumbing gC Con nt tractor LARRY HANSEN PLBG Electric Contractor "' /- T 11 sI 1. 0 O 34) . OD Fees: Valuation $62,175.00 Plan Approval $40.00 Permit Fee Pai $232.50 Park Dedication $100.00 Issued By: Date 5/28/97 Final /O.P. 0 Permit Voided In the nce of this work I agree to perform all work pursuant to rules governing the described construction. ignatu � 5-2k-°7 7 ent/ er „, Address 845 W 19TH AVE Oshkosh WI 54901 - 0 Telephone Number OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 5744 Name DANIEL NEY AND LORI KUHLOW Address 3051 MOCKINGBIRD WAY Create Date 05/19/97 Lot 22 Block Ward Subdivision Meadows on Sawyer Creek Zone R1 Street Number 3051 MOCKINGBIRD WAY Lot Dimensions 1 1 Sidewalk Existing Building Grade Elevation Stakes Set At Site 00 /00 /00 Set By �� .1? 0 /9 y •, x 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. c/4.1ctf- Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0058205 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 ® Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other: • ne s `ame Mailing Address telephone No. DANIEL NEY AND LORI KUHLOW 845 W 19TH AVE Oshkosh WI 54901 - 0000 O ® Con El Elec ❑ HVAC 0 Plbg Lic/Cert # M Telephone No. ailing Address OSHKOSH WI 54901 - 0000 Contractor 0 Con ❑ Elec D HVAC Plbg tic/Cert# Mailing Address i eiepnone No. - contractor: Con El Elec HVACD Plbg Lic/Cert # 'waning Address i eiepnone No. RASMUSS ® N'� 111 t. w AA; 1915 KNAPP ST OSHKOSH WI 54901 - 0000 235 -6569 'contractor. Con 0 Elec VAC ® Plbg tic/Cert # Mamng Add N ress i elepnone o. LARRY H � ❑ �1 btN rLtiu N -1044 TOWER VIEW DR GREENVILLE WI 54942 - 0000 MOBILE:585 -93 Lot Area Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W ui • mg • • • ress "Subdivision Name Lot No. Block No. 3051 MOCKINGBIRD WAY Meadows on Sawyer Creek 22 Loning District(s) zoning Permit No. Front Rear Lett Right Setbacks ft. ft. ft. ft. ® New 0 Repair Single Family n rance •ane Forced Air Furnace Fuel oar ❑ Alteration ❑ Raze Two Family Size: 200 amp Radiant Baseboard or Panel ��� Addition Move Garage Service: : Heat Pump Space Htg ® ❑ ❑ ❑ ❑ ❑ Other (print): • Overhead Imm Boiler Water Htg ® ❑ ❑ ❑ ❑ ❑ 0 Other Underground 1 Central Air Conditioning * ❑ Dwelling unit wil have 3 ki owatt or • Other more installed electric space heating equip. H Site Constructed 0 Concrete Infiltration control option is: ❑ Full sealing Unfinished Manufactured II Masonary Sewer of joints. n Blower door test. ❑ Exterior Basement 1549 Sq. ft. • Treated Wood Municipal air innitra n bamer. 1. Living Area 1549 Sq. ft. 1 -Story Other ® Septic io 2 -Story Permit No Envelope • BTU /HR Garage 816 Sq. ft. Other • easona O Permanent Infiltration 16077 BTU/HR • Other Municipal Utility ® Plus Basement ® Private On -Site Well $78,000.00 The applicant agrees to comply with all applicable codes, sta Lies an o i and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, ex ress or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATUR _ i 1 a . , _ — _ , ` Q S { - DATE SIGNE 5 - 2 -- 2 7 i r1 s peRrn is issue pursuan o e tot owrivg conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty Max. height of till for an 8" concrete wall is 8 feet 2 Patio door out of dinette is the required 2nd exit steps or deck must be in place for occupancy 3 Submit truss plans 4 Fire separation of living unit and garage per ILHR 21.08 E Town ❑ Village ® City County El State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 Plan Review $40.00 X Construction Inspection HVAC Name Darryn Burich Wis. Permit Seal $30.00 Electrical Date 05/23/97 Other — Plumbing ' Erosion Total $70.00 181423 Cert. No. 5935 SBD -5823 (R. 07/92) OSHOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 3051 MOCKINGBIRD WAY Date 5/28/97 Name DANIEL NEY AND LORI KUHLOW Address 845 W 19TH AVE Oshkosh WI 54901 Subdivision Meadows on Sawyer Creek Lot 22 Building Permit Number 0058205 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid (wners Signature o a, V v Date S 2g. - 9 7 Inspector's Signature Date May 27, 1997 I, Daniel Ney, General Contractor for lot 22 in the Meadows On Sawyer Creek, 3051 Mockingbird Way, Oshkosh, WI 54904, Winnebago County do hereby claim that I will reside in this residence for no less than one year from the date of its completion. Respectfully Submitted, Daniel S. Ney (414) 231 -2276 Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION Safety and Buildings Division P.O. Box 7969 (See instructions on back of whiteply) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency .; X54{ W; n , ;.; . in t t 1 1. 1: � 01 7 programs (Privacy Law, s. 15.04 (1) (m)I. ; 5� .:; 4 ;�L� ifiPERMITREQUESTEDO piltonstr ❑ HVAC ❑ Elec ❑ PIbg ❑ Erosion ❑ Other: 's Name Mailinq,Addre s Telephone No. L v- ejl � t .h 2c L ®r-; Ylvt(ovA ZS4. tti lelF" 446. � 5t (•c ( (41+6 0251- av C on actor's Name: Rlton Elec HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. \ V c. 1 r . T � ✓S. ,-•-> > ( ) C•ntractor'sJme: v Con ❑ Elec AC ❑ Plbg Lic./CertA Mailing Address Telephone No. 'c tm ' _at: _,. _ . •‘ BCo" 31 (0 1a ( . 0 - t - , 5`■(,oiO Pl(-6 a 5- 4 Contractor's Name. ❑ Con d Elec ❑ HVAC , Ibg Lic /Cert # M Address Telephone No- �.t S - II._ .._- .. _ ► i� . I • r. '1/� 1/Pew - rrevtu t i e. S'-S t4 ci/ i - (o 6 ntr J is Name: ❑ Con lec ❑ H ' 0 Plbg Lic/ Moiling Address Telephone No. SC • 'L ew I l k reesitc. tx < Y ap 6. 3�OCo OS k • -54 °,o3 (Q1 3 I - &. 1C� � f ' , : :: r e JE C;*::II CA I < ' : " >` 1/4 1/4 ection W Building Address Subdivision Name Lot No. Block No. 34 S 1 y$ r-ot (Al ar The Meacicws a w Sawyer e,rc.k ar3. Zoning District(s) Zoning Permit/go. Front Rear Left Right -� — Setbacks C7� ft. I ft. ft .. 7 7,5 ft OCCUPAN : -:6i " Q IPM SOUR:: New ❑ Repair 'Single Family Entrance Panel Forced Air Furnace Nat P Oil Elec Solid Solar ❑ Alteration ❑ Raze ❑T L. wo Family Size: ZDC amp ❑ adiant Baseboard or Panel Fuel Gas * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑ Other (print): nderground ❑ Boiler - 01Dverhead Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ Other ❑O ther * ❑ Dwelling unit will have 3 kilowatt or �` '` ' " '' more installed electric space heating equip - Site Constructed Concrete " " " "" ° " "" " " "" " " " " " " "" Infiltration control option is Full sealin g 0 Manufactured ❑ " " " " ' " Masonry of joints. ❑ Blower door test. ❑ Exterior . .. . ❑Treated Wood Sewer air infiltration barrier. Unfinished Basemen`i t' q S . ft. ❑ Ot h e r :;:; i:-. ;.�.:;: >::::;E:r ?:<::t: >:: unici al P ❑Septic >>:<::[ :�;7�:<::H'TL?C�'SS:::: r l�:'•''" • '<;< r 1 -Story :#41: 00th;:: ;: ::: Permit No. Envelope BTU /HR Living Area j S y 7 Sq ft ❑ 2 -Story ❑ Seasonal Garage / S . ft. ❑ Other Permanent 1: j . :::: Infiltration BTU /HR 9 q i I Utility Mni c aUt u ❑ Other � p ❑ Plus Basement ❑ Private On -Site Well $ " 7 0 gjCO0 t03o" I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certify that all the above information is accurate. If I am an owner applying for an erosion control or construction permit, I have read the cautionary statement regarding contractor financial responsibility on the reverse side of the pink ply. APPLICANT'S SIGNATUR _ i_ w 1 : _ i � !.'. ' DATE SIGNED 5- /g 97 r APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. Town Village City Count State of: Municipality Number ofDwellin ❑ ❑ 9 ❑ Y ❑ Y ❑ P Y Dwelling Location: : RISDI IO :.:: — K` i � ` � y RMIT (S ; : :::: <::14S ::JJ€1I� F OM::P JR I IT::::: e •;' i i iii?::: ::::: :: :::: : :::::: ::::::::::; •::: # ::::::::<;i:: ::<::::<:: >::< >: : : ::: : ::: : € : :: . .:::::::1 YKiR 0).g :::::::i::C:::::sopiN"■a � i : jjiL::•":::::i : ;is:i::::i::•:i :: } ::::i ':::v ::::::•::::::': j:::i :::::v:::is 4 ? : ! li:i : :::is:s :i::s:isi :::::::si:::::: ssvij ;i:::::::ij::::i::::•":j:: ::::i iX::::L:ii:: Plan Review $ ❑ Construction Inspection $ ❑ HVAC Name Wis. Permit Seal $ ❑ Electrical Other $ ❑ Plumbing Date ❑ Erosion Total $ ❑ Cert. No. - - SBD- 5823 (R. 07/95) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector , PINK - Owner /Agent ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name DANIEL NEY AND LORI KUHLOW Address 3051 MOCKINGBIRD WAY Create Date 05/23/97 Construction Data 0 New Construction 0 Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR WITH A 3 CAR ATTACHED GARAGE Compliance Checklist Deficient Comments Li Use I MAX DRIVEWAY WIDTH AT PROP LINE IS 30 FEET IJ Lot Width MIN. SETBACK OF DECK OR PATIO IS 25 FEET FROM THE Lf Lot Area REAR LOT LINE Li Lot Area Per Family IJ Flood Plain IJ Front Yard IJ Front Yard Side Street IJ Rear Yard IJ Side Yard U Building Area Lf Parking Standards IJ Off - Street Loading Standards U Vision Clearance (J Transitional Yard Standards U Landscape Standards IJ Height Ii Conditions of Approval L Compliance with P.C. or BZA Conditions of Approval IJ Signage Standards U Drainage Plan Review Authority As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. ® Approved 0 Denied Plan Commission Action Required Variance(s) Required Reviewed By DARRYN BURICH Date 05/23/97