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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