HomeMy WebLinkAbout0102076-Building~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3155 HALLIE HOLLOW CT Owner KEVIN JAHNKE Create Date
Designer Contractor DRAMATIC DESIGN
Category 110 - New Single Family
Type · Building (~) Sign (~) Canopy (~) Fence
Zoning R-1 Class of Const: 8
(~) Raze
No 0102076
05/27/2003
Plan E1-068-0503R
Size
Unfinished/Basement 1073 Sq. Ft.
Finished/Living 1985 Sq. Ft.
Garage 686 Sq. Ft.
Foundation · Poured Concrete (~) Floating Slab
(~) Concrete Block (~ Post
Occupancy Permit Required
Park Dedication Required
Rooms 4 Height 25 Ft.
Bedrooms 4 Stories 2
Baths 3
(~ Pier (~) Other
(~) Treated Wood
Flood Plain No Height Permit Not Required
# Dwelling Units 1 # Structures 1
[] Projection
Canopies
Signs
Use/Nature '~SFPJ 2 story home with a 3 car attached garage, 14'x14' sunroom, concrete ddveway (no wider than 24' at the lot line) NO DECK OR
of Work ~ATIO.
0
0
HVAC Contractor
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation
Issued By:
$120,000.00 Plan Approval $75.00 Permit Fee Paid
[] Permit Voided I
MCM AIR INC Plumbing Contractor WATTERS PLUMBING
$440.00 Park Dedication $100.00
Date 06/10/2003 Final/O.P. 00/00/0000
In the pedormancoofthisworkl agree to pedormallwork pursuant torules goveming the descdbedconstruction.
Signature ~ Date ~'
AgenFOwner
Address 337 FOREST VIEW OSHKOSH WI 54904 - 0000 Telephone Number 231-1787
Wisconsin Department of Industry, WISCONSIN UNIFORM Application NO.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0102076
P.O. Box 2509
Madison, WI 53701-2509 APPLICATION Parcel No.
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
KEVIN JAHNKE 1899 COTTONTAIL DR Oshkosh WJ 54901 - 0000 410-2925
Contractor: [~ Conill Elec'[[] HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
DRAMATIC DESIGN 3578 337 FOREST VIEW OSHKOSH WI 54904 - 0 231-1787
Contractor: ~J Con j~j Elec [~ HVAC[~ Plbg Lic/Cert # Mailing Address Telephone No,
SCHOMMER ELECTRICAL CON 170465 N 164 TWO MILE RD APPLETON WI 54914 - 9121 (920) 731-2299
Contractor: j~ Con J~ Elec ~ HVAC j~ Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECONNIW154986 - 9780 [920) 582-4402
Contractor: [__J Con [~ Elec ~ HVAC [] Plbg Lic/Cert # Mailing Address Telepbone No.
WATTERS PLUMBING 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 800-801-8125,7:
Lot Area Sq. ft 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3155 HALLIE HOLLOW CT 4th Add to Westieigh Farms 219
Zoning District(s) I Zoning Permit No. Front I Rear Left Right
L~J New [] Repair [] Single Family Entrance Panel [~j Forced Air Furnace Nat L.P Oil Elec. Solid Sola
~ Two Family Size: 200 amp [] Radiant Baseboard or Panel Fuel Ga~
[] Alteration [] Raze ~ Garage Service: ' ~ Heat Pump Space Erg [] [] ~ [] [] []
[] Addition [] Move ~ Other (print): [] Overhead ~J Boiler Water Htg [] [] [] [] [] []
~ Other: [] Underground ~ Central Air Conditioning * J J Dwelling unit will have 3 kilowatt or
Unfinished [] Manufactured ~ Masonry Sewer ~, of joints. [] Blower door test. [] E)~tarior
~ Treated Wood
Basement 1073 Sq. ft. ~ Other Municipal
LivingArea 1985 Sq. ft. [] 2-Story [] Septic
Garage 686 Sq. ft. [] Other [] Seasonal Permit No. ' Envelope 34427 BTU/HR
Intiltration 19914 BTU/H R
[] Permanent [] Municipal Utility
[] Plus Basement [] Other
[] Pdvate On-Site Well $130,000.00
the permit creates no legal liability, express/~nplie~on t/b~epartn~ent or municipality; and certifies that all the above information is accur~)te.
APPLICANT'S SIGNATURE )4. ~C'~' ~-~Z'~~~_ DATE SIGNED
APPROVAL CONDITIONS ~ - P
This permit is fssued pumuant t he following conditions Failure to comply may result in sus ;;ns~n or
SEE STANDARD CONDITIONS OF APPROVAL
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
CityOfOshkosh 7 0 - 2 6 6
Plan Review $75.00 V' Construction
inspection HVAC Name Nicole Krahn
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 05/27/2003
Other ~ Erosion
Total $105.00 --q 292201 Cert. No. 248101
OSHKOSH
ON THE WATER
Name KEVIN JAHNKE
Lot 219
Subdivision 4th Add to Wesfleigh Farms
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
Address 3155 HALLIE HOLLOW CT
Block
Zone
Lot Dimensions
05/27/2003 Set By
Grade Stake Number 6956
Create Date 05/27/2003
Ward
J~ Sidewalk Existing r
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.
OSHKOSH
ON THE WATER
Job Address 3155 HALLIE HOLLOW CT
Name KEVlN JAHNKE
Address 1899 COTTONTAIL DR
Subdivision 4th Add to WesUeigh Farms
Building Permit Number 0102076
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Oshkosh
Lot 219
Date 06/10/2003
WI 54901
Number of Structures
Fee Paid
Owner's Signature Date
Inspector's Signature Date