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Home My WebLink About0075242-Building CITY OF OSHKOSH No 0075242 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3189 BELLFIELD DR Owner THOMAS N. RUSCH Create Date 01/11/2000 Designer Contractor RUSCH HOMES 5/21/00 Category 110 - New Single Family Plan F2- 002 -794MP Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRR Unfinished /Basement 1056 Sq. Ft. Rooms 6 Height 16 Ft. ❑ Projection Finished /Living 1056 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 576 Sq. Ft. Baths 2 Signs Foundation 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 NSFR/ MASTER PLAN "MAPLEWOOD "/ 1 story home with 2 car attached garage, NO DECK OR PATIO. of Work HVAC Contractor BREWER HEATING Plumbing Contractor SCHROEDER & HANSON Electric Contractor CUMINGS ELECTRIC Fees: Valuation $50,000.00 Plan Approval $40.00 Permit Fee Paid $200.00 Park Dedication $100.00 Issued By: 1 Date 01/27/2000 Final /O.P. ❑ Permit Voided In the performance of th' ork I agre o pe rm all work pursuant to rules governing the described construction. Signature ' lip --4-Z---1 Da ,/27/2! . Agent/Owner Address 3 07 A STATE HWY 21 OSHKOSH WI 54904 - 0000 Telephone Number 231 -8203 M851 -6000 (1) OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 6311 Name THOMAS N. RUSCH Address 3189 BELLFIELD DR Create Date 01/11/2000 Lot 36 Block Ward Subdivision 1st Add to Village Green Zone Street Number Lot Dimensions Sidewalk Existing Building Grade Elevation Stakes Set At Site 01/13/2000 Set By D.W.G. BK - 546, P - 68 Department of Public Works 1, the undersigned, owner or agent of the above described property agree to have the grade es hed before excavation has commenced. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0075242 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 mu �� 0 Constr El HVAC ❑ Elec ❑ Plbg 0 Erosion ❑ Other: Owner's Name Mailing Address Telephone No. THOMAS N. RUSCH 3807 A STATE ROAD 21 Oshkosh WI 54904 - 0000 Contractor: 0 Con . Elec U HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES 5/21/00 4781 3807 A STATE HWY 21 OSHKOSH WI 54904 - 0000 231 -8203 M851- Contractor:. Con 0 Elec . HVAC • Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC PO BOX 749 NEENAH WI 54957 - 0749 231 -5946 (Dick Contractor:. Con • Elec 0 HVAC U Plbg Lic/Cert # Mailing Address Telephone No. BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494 Contractor:. Con • Elec U HVAC Q Plbg LiGCert # Mailing Address Telephone No. SCHROEDER & HANSON 550 N BLUEMOUND RD APPLETON WI 54915 - 0000 730 -0205 �.;,di r ib��w Lot Area S.. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 3189 BELLFIELD DR 1st Add to Village Green 36 Zoning District(s) Zoning Permit No. �- Front Iiii Right ,,,� n � �� : °� „ � .�, §r ,... x uu u u . m a a m oli 4 New El Repair Q Single Family Entrance Panel Q Forced Air Furnace Fuel Nat. Oil Elec. Solid Sola ❑ Alteration ❑ Raze ❑ T wo Family Size: 200 am. ❑ Radiant Baseboard or Panel Ga ❑ Addition ❑Move ❑ Garage Service: ❑Heat Pump Space Ht El ❑ ❑ ❑ ❑ ❑ ❑ Other (print): ❑ Overhead ❑ Boiler Water Htg Q II. ❑ El ❑ Oth Q Underground • Central Air Conditioning El * . Dwelling unit will have 3 kilowatt or Other ,'n, n n 4 Site Constructed more installed electric space heating equip. Q 0 Concrete ; : �: Infiltration control option is:❑ Full sealing ° �� w a Wene ®. �d Unfinished ❑ Manufactured ❑ Masonary Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 1056 Sq ft w �i , Treated Wood Q Municipal ❑ Other ❑Septic x air infiltration barrier. 1-Story ' `, e, � , � ❑aeae z.<tw Sto Living Area 1056 Sq. ft. !1] ry 2 -Story Permit No. Envelope 23536 BTU /HR Garage 576 S ft. ❑ Other • Seasonal �mpu� am Infiltration 12962 BTU /HR Q Permanent ❑ Other Di Municipal Utility a s ❑ . . . Q Plus Basement ❑ Private On -Site Well $60,000.00 The applicant agrees to comply with all applicable codes, statues do rdinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or im•lied, on the %epa • -nt or municipality; and certifies that all the above information ac APPLICANT'S SIGNATUR I / ` , f j DATE SIGNED //,?7 .�4ex=> APPROVAL CONDITIONS his permit is issued pursuant the follow conditions. Failure to comply may result in suspension or revocation of this permit or other penalty see standard conditions of approval ❑ Town ❑ Village Q City ❑ County ❑ State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 vr :y � r r ae aw u a } t 7 ��^.�, �� - a��l.a�1� s� � Imi��L�.I 1 '�'�a v w Plan Review $40.00 Q Construct '�_.....__a_...g..aw. .. .,a- ,,._a_w_M,.m,_. Inspection II HVAC Name Nicole Krahn Wis. Permit Seal $30.00 Electrical Date 01/11/2000 Other MI Plumbing 0 Erosion Total $70.00 II 233846 Cert. No. 248101 SBD -5823 (R. 07/92) PARKLAND DEDICATION FEE COLLECTION OSHKOSH C ION RECORD ON THE WATER Job Address 3189 BELLFIELD DR Date 01/27/2000 Name THOMAS N. RUSCH Address 3807 A STATE ROAD 21 Oshkosh WI 54904 Subdivision 1st Add to Village Green Lot 36 Building Permit Number 0075242 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature Date /X 7%6 Inspector's Signature Date 1 : / 110 ay.... 1 - ga5ateoZer/4 _ Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No I Labor and Huildiuman Relations PERMIT APPLICATION Safety and Bngs Division Box 7969 (See instructions on back of white ply) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency Wisconsin Statutes 101.63. 101.73 programs [Privacy Law, s. 15.04 (1) (m)I. PgRMfrgEQUESTEDIp:::1 In Constr 0 HVAC 0 Elec 0 Plbg 0 Erosion 0 Other: Owner's Name I Mailing Address Telephone No. I Rusch Homes I 2760 Westmoor Rd. Oshkosh WI. ( 414 231-8203 1 Contractor's Name: liEJ Con 0 Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. 1 Same ( ) 1 Contractor's Name: 0 Con g Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No, I Cummings Electric 1414 Cty Tk JJ Neenah 54957 ( )231-5946 zs Contractor's Name: 0 Con 0 Elec UHVAC 0 Plbg lic/Cert # Mailing Address p . 0 . 0 ( i 8 z . Telephone No. ( ) 7 4 8 — 6 4 9 4 Contractor's Name: 0 Con 0 Elec D HVAC LkPlbg LiclCert # Mailing Address 54915 Telephone No. Schroeder & Hanson 550 N Bliiemound Dr Appleton ( ) 730-0205 1 PROJECULOCATiONMil Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address • Subdivision Name Lot No. Block No. al. 318f g je,/b24 36 Zoning District(s) V Zoning Permit No. Front I Rear Left Right Setbacks Z-5 ' ft. I t i 6 ' ft. ' I ft. 8 ft. 1 1 i.1.04Kr:::::::::Viiiin::::::1::::::::: !:' i:C::::':ELECIIIICACO :::':WHVACEQUIPMENT:in ::12. ::INEttaWttittAttiii:::::i:::::ii:i::::::::::1':;:.::::i (2 New 0 Repair [2 Single Family Entrance Panel 1:8I Forced Air Furnace . Nat L. P Oil Elec. Solid Solar D Alteration 0 Raze D Two Family Size: 700 amp 0 Radiant Baseboard or Panel FUei Gas * 1 D Addition 0 Move ., 0 Garage Service: 0 Heat Pump S pace Ht IN, D D 0 Ei 0 0 Other (print): D Underground 0 Boiler _ g I D Overhead 0 Central Air Conditioning Water Htg 0 0 0 0 0 _ 0 o Other 1--] °ther * D Dwll eing unit will have 3 kilowatt or more installed electric space heating equip. EkSite Constructed EiConcrete ::46;:ii::Ottitti8iNd:::::::1::::::::::::::::::::::::::::: Infiltration control option is: 0 Full sealing .-..,” 0 Manufactured 0 Masonry of Joints. 0 Blower doar test, 0 Exterior ::Z:::•AREktNVOLVE0:::::::::i::::::::::::::: , , i _ i Treated Wood Sewer air infiltration barrier. V.Ofittie: [2 Municipal Unfinished Basement/OA Sq. ft. :::-.........::::: .. ...,-..::. .. . ...... „,,Ir:,,,:: 0 Other , : : :: : : :,: : :,: : : : :.: :::: :.:.:.y.y,N,:. , .:.:...-..: : : : ::.:.:•:.:-: : ::.: : : : : : :-.:.:.: : : : : : : : : : : :: 10 : , : : ::: : :: ! . . . . ... - . , .... ........... - . . . ..-....--::::.---...-•,::::*]* 0 Septic 1. Egl_ Story ::::$ ....................................................... Permit No. Living Area / 0.56 Sq ft. D 2-Story Envelope BTU/HR D Seasonal ,,.• .,•••,,,„..... •. ...„......„.......-.....,............-................-....- iltration 114 WATER Inf BTU/HR 0 Other [Permanent Garage 576 Sq. ft. 0 Other bil Municipal Utility *iiilig#1i0...011t...:0:iO4:100:3:....tellenr D Plus Basement D Private On-Site Well $ 6 0 oo a / I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certify that all the above information ISatcurate. If I am an owner applying for an erosion control or construction permit. I have read the cautionary statement regarding contractor financial responsibility on the reverse side of the pink ply. 71—r* APPLICANT'S SIGNATURE /I ae-Cti DATE SIGNED APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. • ................................................. ....:............:..::::::.::::::.•:::::::::::::::: it*iaiiiig:! 0 Town 0 Village D City D County j3 State of: Municipality Number of Dwelling Location: ...E.T.7..+p.v!a................... i..4 „ u ..._... 4 ,.. t . s.i .... 0 ...... i . a ........ 4 . 0 ..._.. N ........ 56 i ::: : : : : i i i : i : i :on: : : i i i i i i i ii i : : :: i : i : i : i : : : i : : : : :: ; : i : : : i :: ::1i :: .:.,,:.?,:.,:bt• mug-. .: rrit.1,: -:.- t.tlineritiedi itirbitmv, ,,, :. ,:::.:;:i:;:;* , :;*;:i:;:::;*::::;*;:::;:i:;;;:i:;:i:;::::.::::::::;:;.;:::::::;: , :;*;:.::::::;:i. , .:*:.?..:::.:.:.:.:.:.. , ;--....:.:.:-.... ,,,,, .:- ttEct::;;:;:;:;:i::::i::::::::iii;ii:;:ii;:: :;;::i:;:::: :....:7 .:;:0(iikriSSUEDIty:ii;;:;:;::;:;;;;:::;:;E:i::::i: n : ::::::::::::::E::::::::::::::: :::::::::::ISSIJED: $EAL:040 Plan Review $ D Construction Inspection $ 0 HVAC Name VVis. Permit Sea( $ 0 Electrical _ Other $ 0 Plumbing Date g� w a gg 3ib • Z1 . ' E � i �s o 4 (- .0 �. h8 y ° ,„1-, ' ^ //11 ,j` g �$ t n 6i I ry • C • O tg tL b E 0 Levp I 6 g o 2 igtg 3 4= i L.) I J m k : T k �V , _ N J 00 x 3, ° -r X. cal. N VV h T -- M do I rA rle ® it k Co Icr- - v v `/ CD i c- 0 0 —1T '