HomeMy WebLinkAbout0073408-Building CITY OF OSHKOSH No 0073408
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3091 MOCKINGBIRD WAY Owner DRAMATIC DESIGN Create Date 10/05/1999
Designer Contractor DRAMATIC DESIGN 7/99
Category 110 - New Single Family Plan C7- 141 -1099R
Type • Building O Sign O Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size IRR
Unfinished /Basement 1558 Sq. Ft. Rooms 6 Height 23 Ft. ❑ Projection
Finished /Living 2342 Sq. Ft. Bedrooms 3 Stories Quad -level Canopies
Garage 830 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/ Quad -level home 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: Valuatio / $120,' .00 n • . oval $40.00 Permit Fee Paid $375.00 Park Dedication $100.00
Issued By: 1,� g „ _ , Date 10/06/199£ Final /O.P.
❑ Permit Voided 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature \(01 Date
Agent/Owner
Address 337 FOREST VIEW OSHKOSH WI 54904 - 0000 Telephone Number 231 -1787
0
OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6209
Name DRAMATIC DESIGN Address 3091 MOCKINGBIRD WAY Create Date 10/05/99
Lot 45 Block Ward
Subdivision Meadows on Sawyer Creek Zone
Street Number Lot Dimensions I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 10/05/99 Set By KN 548 /47
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the rade established before excavation
has commenced. 1(7? ,/�
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0073408
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: 0 Con 111 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: M Con 0 Elec II HVAC • Plbg Lic/Cert # Mailing Address Telephone No.
SCHOMMER ELECTRICAL CON N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 731 -2299
Contractor: U Con II 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 . 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.
3091 MOCKINGBIRD WAY Meadows on Sawyer Creek 45
Zoning District(s) Zoning Permit No. Front
lilliMliMilll Right
h
0 New ❑ Repair 0 Single Family Entrance Panel 0 Forced Air Fumace Fuel Nat. Oil Elec. Solid Sole
❑ Alteration ❑ Raze
❑ Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Ga
❑ Addition ❑ Move [II Garage Service: ❑ Heat Pump Space Htg 0000 ❑ ❑
❑ Other (punt): ❑ Overhead ❑ Boiler Water Htg 121 - ❑ ❑ ❑ ❑
Other 0 Underground 0 Central Air Conditioning
❑ r6m IN Dwelling unit will have 3 kilowatt or
Manufactured Other more installed electric space heating equip.
Q 0 Constructed Concrete a x ° ° ° ," , w ° ,= Infiltration control option is: ❑ Full sealing
Unfinished 1] actured ❑ Masonary Sewer of joints. Bl ower door test.
� ❑ ❑ Exterior
Basement 1558 Sq. ft. ❑ Treated Wood Q Municipal air infiltration bamer.
Other
Living Area 2342 Sq. ft. CI 1-Story 0 ❑ Septic ~
❑ 2-Story Permit No. Envelope 30646 BTU /HR
Garage 830 Sq. ft. 0 Other Seasonal �,i Infiltration 19070 BTU /HR
Quad -level 0 Permanent
❑ Other 0 Municipal Utility
0 Plus Basement ❑ Private On -Site Well $140,000.00
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, -xpr- s or im d, o .art or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATUR Ai — ` >` gt , DATE SIGNED
APPROVAL CONDITIONS his permit is issued pursuant t.tl'e following conditions. Failure to comply may result in suspension or
evocation of this permit or other penalty
SEE STANDARD CONDITIONS OF APPROVAL
❑ Town ❑ Village 0 City ❑ County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
,
Plan Review $40.00 0 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 221347 Cert. No. 248101
SBD -5823 (R. 07/92)
PARKLAND DEDICATION FEE
OSHKOSH COLLECTION RECORD
ON THE WATER
Job Address 3091 MOCKINGBIRD WAY Date 10/06/199
Name DRAMATIC DESIGN
Address 337 FOREST VIEW Oshkosh WI 54901
Subdivision Meadows on Sawyer Creek Lot 45
Building Permit Number 0073408
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
!
Owner's Signature O / Date
Inspector's Signature / Date
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