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HomeMy WebLinkAbout0100970-Building (~ CITY OF OSHKOSH OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3011 MOCKINGBIRD WAY Owner MARK SHOWERS Designer Contractor ROEMING BUILDERS LLC Category 110 - New Single Family Type · Building O Sign (~ Canopy (~ Fence C) Raze No 0100970 Create Date 04/07/2003 Plan E1-048-0403R Zoning R-1 Class of Const: 8 Unfinished/Basement 648 Sq. Ft. Rooms 7 Height 22 Ft. Finished/Living 2040 Sq. Ft.~ Bedrooms 4 Stories Quad-level Garage 801 Sq. Ft. Baths 3 Foundation · Poured Concrete C) Floating Slab (~ Pier (~ Other (~ Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Height Permit Park Dedication Required # Dwelling Units 1 # Structures Size Irrg [] Projection Canopies Signs Not Required Use/Nature 1NSFR/ of Work New single family quad level, 3 car attached garage and 14' x 14' patio. HVAC Contractor BREWER HEATING Electric Contractor CHARLES ELECTRIC Fees: Valuation $100,500.00 Plan Approval Issued By: Plumbing Contractor FI ELDS PLUMBING $75.00 Permit Fee Paid [] Permit Voided $383.00 Park Dedication $100.00 Date 04/24/2003 Final/O.P. 00/00/0000 In the performance of ~,bi~ wo~;k I agree t.o~o~f~rm a.J~wvork pursuant to rules gov_eming the described construction. Signature ~ ~/"~~.~~d.~ ~/~//~ ~-------~.. Date AgentJOWfler Address 3359 SHEPPARD DR Oshkosh WI 54904 - 0000 Telephone Number 426-1726 OSHKOSH O1'4 THE WATER Name MARK SHOWERS Lot 15 Block Subdivision MEADOWS ON SAWYER CRK Zone Street Number GRADE STAKE FORM Address 3011 MOCKINGBIRD WAY Grade Stake Number 6932 Create Date 04/07/2003 Ward Lot Dimensions LLSidewalk Existing Building Grade Elevation Stakes Set At Site 04/08/2003 Set By D.W.G,' BK - 586, P - 43 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, Labor and Human Relations Safety and Buildings Division P.O. Box 2509 Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 )wner's Name MARK SHOWERS [] Constr WISCONSIN UNIFORM BUILDING PERMIT APPLICATION [] HVAC [] Elec IApplication No. 0100970 Parcel No. [] Plbg [] Erosion [] Other: Mailing Address 249 W 17TH AVE Oshkosh Telephone No. WI 54901 - 0000 232-0883 Contractor: b~J c°"E~} Elec'[~ HVAC L_J Plbg ROEMING BUILDERS LLC Contractor: bJ Con ~j ElecL_] HVAC~_J Plbg CHARLES ELECTRIC Contractor: b_] Con L~ Elec~J HVAC [] Plbg BREWER HEATING Lic/Cert # 824559 Lic/Cert # 248863 Lic/Cert # 4220 Mailing Address 3359 SHEPPARD DR Oshkosh WI 54904- 0 Mailing Address 935 CAROLINE STREET NEENAH WI 54956 - 0 Mailing Address N8804 N DOUGLAS STREET RIPON WI 54971 - 0 Telephone No. 426-1726 Telephone No. 920)727-4826 Telephone No. (920)748-6494 Contractor: L_I Con [] Elec[~ HVAC [] Plbg FIELDS PLUMBING Lot Area ~uilding Address 3011 MOCKINGBIRD WAY District(s) Permit No. Lic/Cert # Mailing Address 131540 1939 SOUTHLAND LN Sq. ft.I 1/4, I Subdivision Name I MEADOWS ON SAWYER CRK Telephone No. NEW LONDOI', WI 54961 -0 262-982-5813 1/4,Section ,T N,R E(or)W Lot No. Block No. 15 Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel Two Family Size: Radiant Baseboard or Panel [] Alteration [] Raze Garage Service: [] Heat Pump Space Htg [] Addition [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] Other: [] Underground Central Air Conditioning g unit will have 3 kilowatt or more installed electdc space heating equip. Site Constructed Concrete Infiltration control option is: [] Full sealing Unfinished [] Manufactured Masonry Sewer of joints. [] Blower door test. [] Exterior Treated Wood Basement 648 Sq. ft. [] Municipal · Living Area 2040 Sq. ft. 1-Story Other [] Septic Garage 801 Sq. ft. [] 2-Story Permit No. EnveloPe . 27730 BTU/HR [] Other Seasonal Infiltration' 16451 BTU/HR Quad-level [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $110,000.00 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%j~r implied, o~ the Department or mur~cipality; and~erti, fiffs that all the above information is accurate. APPLICANT'S'SIGNATURE )4--~?¢-¢----~%~'~?~[.~'~-'~~¢~ATEslGNED ¢~' 4¢~-'¢z¢"-¢¢~'~ This permit is ~sued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CON DITIONS revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET Town [] Village [] City [] County LJ State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 Plan Review $75.00 Construction HVAC Name JOHN ZAP, ATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 04/08/2003 Other [] Erosion Total $105.00 292136 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address Subdivision Building Permit Number Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD 3011 MOCKINGBIRD WAY MARK SHOWERS 249 W 17TH AVE MEADOWS ON SAWYER CRK 0100970 Owner's Signature Inspector°s Signature Date 04/24/2003 Oshkosh WI 54901 Lot 15 I Number of Structures $100.00 Fee Paid Date City of Oshkosh Community Development Lot 15 The Meadows on Sawyer Creek April 9, 2003 By: JN Source: City of Oshkoah