HomeMy WebLinkAbout0073409-Building CITY, OF OSHKOSH No 0073409
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3080 MOCKINGBIRD WAY Owner DRAMATIC DESIGN Create Date 10/05/1999
Designer Contractor DRAMATIC DESIGN 7/99
Category 110 - New Single Family Plan C7- 139 -999R
Type 0 Building O Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size IRR
Unfinished /Basement 1080 Sq. Ft. Rooms 7 Height 27 Ft. ❑ Projection t
Finished /Living 2035 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 872 Sq. Ft. Baths 2 Signs
Foundation • 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 NSFR/ 2 story w/ 3 car attached garage, NO DECK OR PATIO
of Work
HVAC Contractor MCM HEATING Plumbing Contractor WATTERS PLBG- OSHKOSH
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuati $100,000.00 Plan Approval $40.00 Permit Fee Paid $325.00 Park Dedication $100.00
Issued By: Date 10/06/199E Final /O.P.
❑ Permit Voided
In the performance of is work 1 agree erform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 3 7 FOREST VIEW OSHKOSH WI 54904 - 0000 Telephone Number 231 -1787
OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6268
Name DRAMATIC DESIGN Address 3080 MOCKINGBIRD WAY Create Date 10/05/99
Lot 28 Block Ward
Subdivision Meadows on Sawyer Creek Zone
Street Number Lot Dimensions Sidewalk Existing
Building Grade Elevation Stakes Set At Site 10/05/99 Set By KN 548/ 47
Department of Public Works
1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.
?Cre..):/er
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0073409
P.O. Box 7969 Parcel No.
Madison, WI 53707 APPLICATION
Wisconsin Statues 101.63, 101.73
4 Constr ❑ HVAC ❑ Elec ❑ Plbg 0 Erosion ❑ Other:
Owner's Name Mailing Address Telephone No.
DRAMATIC DESIGN 337 FOREST VIEW Oshkosh WI 54901 - 0000 231 -1787
Contractor: 1g Con • Elec U HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
DRAMATIC DESIGN 7/99 3578 337 FOREST VIEW OSHKOSH WI 54904 - 0000 231 -1787
Contractor:. Con 0 Elec l HVAC II Plbg Lic/Cert # Mailing Address Telephone No.
SCHOMMER ELECTRICAL CON N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 731 -2299
Contractor: . Con • Elec 0 HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
MCM HEATING 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 582 -4402
Contractor:. Con • Elec l HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
WATTERS PLBG - OSHKOSH STATE RD 44 Oshkosh WI 54901 - 0000 235 -7060
Lot Area
S•. ft. 1/4, 1 /4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3080 MOCKINGBIRD WAY Meadows on Sawyer Creek 28
Zoning District(s) Zoning Permit No. Front
Right
'
�
Q New ❑ Repair 0 Single Family Entrance Panel Q Forced Air Furnace Nat. Oil Elec. Solid Sole
❑ Tw o Famil y Size: 200 am.
❑ Alteration ❑ Raze ❑ Radiant Baseboard or Panel Fuel Ga-®
❑ Garage Service: ❑ Heat Pump Space Htg El ❑ ❑ ❑ ❑ ❑
10 Addition ❑Move
❑ Other (print): ❑ Overhead ❑ Boiler Water Htg 0 . ❑ ❑ ❑ ❑
❑ Other 0 Underground • Central Air Conditioning
�� = Dwelling unit will have 3 kilowatt or
.e�.�.k Other
more installed electric space heating equip.
Site Constructed 0 Concrete u'ad fi m an Infiltration control option is: ❑ Full sealing
Unfinished ❑ Manufactured ❑ Masonary Sewer
Treated Wood of joints. ❑ Blower door test. ❑ Exterior
Basement 1080 Sq ft. J r ;;.❑ Q Municipal air infiltration barrier.
❑ Other ❑ Septic �
Living Area 2035 Sq. ft. ❑ 1- Story
Gara a 872 0 2 -Story Permit No. Envelope 33101 BTU/HR
9 Sq ft. ❑ Other • Seasonal
Q
Permanent u v, a n Infiltration 19052 BTU /HR
❑ Other 0 Municipal Utility
Q Plus Basement ❑ Private On -Site Well $115,000.00
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, expres or i . on - - De. - ment • municipality; and certifies that all the above information is accurate.
APPLICANTS SIGNATUR _ � .� At / DATE SIGNED
APPROVAL CONDITIONS ' is permit is issued pursuant to the /flowing conditions. Failure to comply may result in suspension or
evocation of this permit or other pen -Ity
SEE STANDARD CONDI IONS OF APPROVAL
❑ Town ❑ Village 0 City ❑ County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0- 2 6 6
w ,
Plan Review $40.00 Q Construction
Inspection II HVAC Name NICOLE KRAHN
Wis. Permit Seal $30.00 • Electrical
II
Other
Plumbing Date 10/05/99
0 Erosion
Total $70.00 II 221348 Cert. No. 248101
SBD -5823 (R. 07/92)
PARKLAND D
OSHKOSH EDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 3080 MOCKINGBIRD WAY Date 10/06/199
Name DRAMATIC DESIGN
Address 337 FOREST VIEW Oshkosh WI 54901
Subdivision Meadows on Sawyer Creek Lot 28
Building Permit Number 0073409
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature Date
Inspector's Signature Date
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