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