HomeMy WebLinkAbout0063249-Building . CITY OF OSHKOSH No 0063249
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3180 MOCKINGBIRD WAY Owner SECURITY HOMES OF WI Create Date 4/8/98
Designer Contractor SECURITY HOMES OF WISCONSIN IN
Category 110 - New Single Family Plan C6- 028 -498R
Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size IRR 67'x34'
Unfinished/Basement 1012 Sq. Ft. Rooms 8 Height 25 Ft. u Projection
Finished/Living 1902 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 814 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 NSFW 1 story home w/ 3 car attached garage, NU DECK
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor JIM'S PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $90,000.00 Plan Approval $40.00 Permit Fee Paid $300.00 Park Dedication $100.00
Issued By: �_ Date 4/13/98 Final /O.P.
--- -PP u Permit Voided
In the performance of t ' rk / e r. pert• • all ork pursuant to rules governing the described construction.
Signature or (-7-/3- fr�
Agent/Owner
Address 100 N WESTHAVE DR OSHKOSH WI 54901 - 0 Telephone Number 414 -426 -2045
OSHKOSH
GRADE STAKE FORM
ON THE WATER Grade Stake Number 5935
Name SECURITY HOMES OF WI Address 3180 MOCKINGBIRD WAY Create Date 04/08/98
Lot 33 Block Ward
Subdivision meadows on sawyer creek Zone
Street Number Lot Dimensions I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 04/09/98 Set By D.W.G. BK -529, P -50
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.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0063249
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
[ fir , '" ® Constr _ HVAC — Elec ❑ Plbg ® Erosion Other: • •• ne s game Mailing Address 1 elephone No.
SECURITY HOMES OF WI 100 N WESTHAVEN DR Oshkosh WI 54901 - 0000 426 -2045
Contractor: N/ Con a Elec _j HVAC ❑ Plbg Lic/Cert # Mamng Address 1 elephone No.
SECURITY HUMES OF WISGUNSI 8549 100 N WESTHAVEN DR OSHKOSH WI 54901 - 0000 414 -426 -2045
Lontractor: U Con m Elec _J HVAC U Plbg Lic/Cert # Mailing Address 1 elepnone No.
CUMINGS tLte1 RTC PO BOX 749 NEENAH WI 54957 - 0749 231 -5946 (Dick
Contractor: U Con H Elec Xi HVAC J Plbg Lic/Cert # Mailing Aaaress 1 elepnone rvo.
'
BREWER ltA1 iN N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494
'Contractor:��1 Con U Elec U HVAC IX Plbg Lic/Cert # !wailing Aaaress 1 elepnone No.
JIM'S PLUMI3IN(i W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 757 -5258 OR 75
:• :, , g � l 4 , I =: LOT A1ea Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
f ui • ing • ress Subdivision Name Lot No. F3IOCK No.
3180 MOCKINGBIRD WAY meadows on sawyer creek 33
Zoning District(s) Loving Permit No. Front Rear Lett Right
Setbacks ft. ft. ft. ft.
_.., _:. • ..__., �..�a. _.._ _�...
® New Repair ® Single Family n rance •ane ® Forced Air Furnace Fuel Him ec. o i• o ar
El Alteration 1 Raze Two Family Size: 200 amp E Radiant Baseboard or Panel L
Addition Move [ G Service: r] Heat Pump Space Htg ❑ U Li 0 ❑ ❑
❑ Other (print): 0 Overhead ❑ Boiler Water Ht ® 0 0 ❑ ❑ 0
Other �� Underground Central Air Conditioning * Li Dwelling unit wil have 3 kilowatt or
if { J `t tts ' ' a ' "' jj' Wfj is Other
y_ - . g;:::::::: ILJ more installed electric space heating equip.
"'" s••.••vosssys•
���� � ••••••••••••••• � Site Constructed Manufactured ® Concrete Masons Se er' ' ��g' `'•''''''''':'�'•'•'•'•'•''' Infiltration control option is: ® Full sealing
Unfinished Masonary •«
of joints . Blower door test. E Exterior
Basement 1012 Sq. ft. "- i Treated Wood Municipal
` "w Other p air inhltra ion barrier.
Living Area 1902 Sq. ft. ❑ 1 -Story Septic t��
Garage 814 Sq tt 2-Story e a : Permanent saria -•-•••• Permit No Envelope BTU /HR
Other f p$ ; :::::::::::::::::•::::::::::::::::$ Infiltration 1 6228 BTU /HR
Other ® Municipal Utility ::' ''' : :. :y • . • : : : : :y : : : : : : ::
® Plus Basement El Private On -Site Well $105,000.00
The applicant agrees to comply with all applicable cod s, st es a d ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or imp' on D rtm o unicipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATUR DATE SIGNED / /.?'
at
APPROVAL CONDITIONS his permit is issued rsuant to the following conditions. I- allure to comply may result in / suspension or
evocation of this per it or other penalty
e •ui •ing car• mus •e pos e• o si e a a Imes. •nce e roug taming is up e car• mus •e pos e• in a i c en win•ow or pa io •oor. russ
plans must be submitted and approved prior to installation. Maintain erosion control.
: * 0 Town 0 Village ® City El County ill State of Municipality Number of Dwelling Location:
, :' •: City Of Oshkosh 7 0 — 2 6 6
• . � sy °a a a°S a a a a e ri .a :': • : ❖. •••• ❖•• ❖•
•�•�•
••.•• 0000• •000••••00000000••000000000•••• • • • • • • • •. _•_ee.nbv., w.w. _• ._•.•.... • !� • ❖ :• :O • • • • :::::.••.•.•.•.•.•.•.• .............. . . ....... •.•.i.. • :.••. ••• :•• .� e•••••••••••••••••••• •
Plan Review $40.00 X Constructio
Inspection HVAC
Name Nicole Krahn
Wis. Permit Seal $30.00 Electrical Date 04/08/98
Other Plumbing
>X Erosion
Total $70.00 196284 Cert. No. 248101
SBD -5823 (R. 07/92)
OSHOSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 3180 MOCKINGBIRD WAY Date 4/13/98
Name SECURITY HOMES OF WI
Address 100 N WESTHAVEN DR Oshkosh WI 54901
Subdivision meadows on sawyer creek Lot 33
Building Permit Number 0063249
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature Date L/ 1).c/
Inspector's Signature Date
ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name SECURITY HOMES OF WI Address 3180 MOCKINGBIRD WAY Create Date 04 /08/98
Construction Data • New Construction O Addition O Alteration
Type of Construction (Le. fence, pool, parking lot, sign, etc. NSFR/ 2 story home w/ 3 car attached garage, no de
Compliance Checklist
Deficient Comments
Li Use
Lot Width
Li Lot Area
U Lot Area Per Family
Li Flood Plain
U Front Yard
U Front Yard Side Street
U Rear Yard
U Side Yard
Li Budding Area
U Parking Standards
U Off - Street Loading Standards
U Vision Clearance
Transitional Yard Standards
U Landscape Standards
U Height
Li Conditions of Approval
Li Compliance with P.C. or BZA Conditions of Approv
l 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 ED Denied
Plan Commission Action Required
Vanance(s) Required
Reviewed By Nicole Krahn Date 04 /08/98
03'1.27/98 FRI 14:26 FAX 414 426 2494 SECURITY BOXES -'-•- SEC REAL MEN I1001
C
I- 4 11
• 139
f ' 2.4
%bore
1
Smefs
444+1411. 25.1
1.,,.O T 33
cuoi) J .;;; s ) ,. .
S- Fare
1!` =3O