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Home My WebLink About0069115-Building . (,..) CITY OF OSHKOSH No 0069115 OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 15 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 3/11/99 Designer Contractor CONTEMPORARY HOMES INC 5/29/99 Category 110 - New Single Family Plan C7- 039 -399R Type 0 Building 0 Sign O Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRR 28'X70' Unfinished /Basement 480 Sq. Ft. Rooms 8 Height 20 Ft. Projection Finished /Living 1728 Sq. Ft. Bedrooms 4 Stories Quad -leve Canopies Garage 624 Sq. Ft. Baths 2 Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 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/ Quad -Ievel w/ 2 car attached garage, NO DECK OR PA I IU of Work HVAC Contractor BREWER HEATING Plumbing Contractor P &S PLUMBING Electric Contractor SCHOMMER ELECTRICAL CON Fees: Valuation $73,000.00 Plan Approval $40.00 Permit Fee Paid $257.50 Park Dedication $100.00 Issued By: Date 3/18/99 Final /O.P. Permit Voided In the performance of this work I agree t perform all work pursuant to rules governing the described construction. S 02---- to 3 -lG -q Agent/Owner �' / 0 Address 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0 Telephone Number 235 -5610 OSHOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 6134 Name CONTEMPORARY HOMES INC Address 15 ROLLING GREEN CIR Create Date 03/11/99 Lot 40 Block Ward Subdivision Rolling Green Meadows Zone Street Number Lot Dimensions I Sidewalk Existing Building Grade Elevation Stakes Set At Site 03/12/99 Set By KN 541 \15 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. •visconsin'epa men o n•us ry, ISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0069115 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 :•:••• '> 52* Z Constr HVAC Elec Plbg Z Erosion 7 Other: •wne s ∎ ame Mailing Address 1 elephone No. CONTEMPORARY HOMES INC 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 235 -5610 • - • • 1 on II ec 111 ' v A 1 Plbg i e ' • al ing A • .ress a ep one • o. CONTEM (MARY HOMES INC 5/ 2078 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 235 -5610 Contractor: Con Z Elec HVAC Plbg Lic/Cert # wing Aaaress i e€epnone No. SCHOMM6R ELEC I RIGAL CON N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 731 -2299 contractor: 1 Con Elec HVAC Plbg ic/Cert # Mating Aaaress 1 eiepnone No. BREWER HtAI ING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494 Contractor: 1 Con L i Elec] 1 HVAC H Plbg ic/Cert # ' - • ' • • - i eiepnone No. P &S PLUMBiN 3 PO BOX 2153 APPLETON WI 54913 - 0000 734 -3912 . :i a , ‘ , ii . oti rea Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W • • ui • €ng A m a .. . • ress ubdivision Name Lot No. Block No. 15 ROLLING GREEN CIR Rolling Green Meadows 40 Zoning District(s) oning Permit No. Front Rear Lett Right Setbacks ft. ft. ft ft. r � 'a .. isiiiiiiii;K;K ii � s w � ' i s' ' t ' , ;•'. 's T , ;i; J�O ' ': ' E e •,JJ;gg;igg ;KJ� •'.' .:�ua...- �.� i:.:.:.: Q.:•%.:.: . :.:. :. :. :.:_2Ai" . :.::.: �.k:�" . �`.A'`��,, � r�.'•••.�••.. v ....,� .... �::: : : :: :: :::: :! : :dii `"��a�",,`.yi s a ` a� r '.� ` i. s : : : : : : : : : : : : : : : : : : : : : : : : : :: : : :: i X New j Repair Z Single Family n rance •ane Z Forced Air Furnace Fuel milli Alteration n Raze Tw o Family Size: 200 am• ] Radiant Baseboard or Panel Ili Addition Move Garage Service: Heat Pump Space Htg i 1 n n, I Li Other (print): ❑ Overhead n Boiler Water Htg P 1 pi U Central Air Conditioning n �1 U n Other I Dwelling unit wil have 3 ki owatt or ,,i Rio :.. ' Other • ..., ... more installed electric space heating equip. ' , ,,,z ; ;;;;;;;;;;;;;;;;;;; zi Site Const X Concrete =� ��- � � {�� " � ,.i„ ' ,- I i l `` o; :;:;:;:;:;:;: Infiltration control option is: LI Full sealing Unfinished Manufactured Masonary Sewer of joints. t' Blower door test. Exterior Sq. ft. Basement 480 S :- - . -vav Treated ) ....... Municipal air rnfutra ion barrier. �3�, ,.�;..-- °'''O. r eated Wood o 'Other Living Area 1728 Sq. ft. L 1 -Story Septic ( ' ` ' ' '5K;:: + .., a 2 -Story _: ,> -.- • Permit No Envelope A 1 BTU /HR Garage 624 9 Sq. ft. Z Other easona Infiltration 13685 BTU /HR Quad -level b= Po f *•�, <..�A.. ; Other X Municipal Utility ��, ®�® :®, �;m, ® :1:15: :, :, ®, XI Plus Basement n Private On -Site Well $79,800.00 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, expr-ss or i plied, on the Dep rtment or municipality; and certifies that all the above information is accurate. APPLICANTS SIGNATURE per_ DATE SIGNED 3---/F '9 APPROVAL CONDITIONS Is -permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty see standard conditions of approval I •• Town Village City County State of Municipality Number of Dwelling ;!: J g Y Y n p Y 9 Location: .. • . •• i2. City Of Oshkosh 7 0 - 2 6 6 i : •• ... � . • • • • • •i i•••••••••O••i•OiO•i••i • • � � ��• • ♦ $ , j . 3 �� # - ■i O • •OOy • •:: ii:❖ :iii :❖ :iii •: ❖i : ❖ :i : ❖ :i •: : ❖ : ❖i: i ❖ : ❖ :! • ' e....•..... i0.i •Oii•Oi000.iOO.iO.i....".•• • ; S r . A � ;' ii....•• .•....•• �� • ♦ •• • • • • • • • • • • • • ............... � . ♦ ets ? m • • . : � � "•�� a • Y"a i � 4 a � €,. �' iii • ....O.i000 • 0............ii0i0 • iiiiiii i • • • • •❖ :. :. ❖ :. : :. : ❖. ❖. : ❖:. ❖. : : ❖:. ❖. ❖• • • . §..1 ❖. ❖"..'. J'" .... •• • • • • • . • •. ♦ ..❖ : + :. :.❖. : + :• : • : : + : + : • . : ❖ : : O.:: :::: ' • ❖: i ❖. i ❖ 0. i ❖. 000. 00. i ❖. ❖e' t: 0 ■ 00 0 :.` + ' . • ....O . iO ❖ ❖ :t . .. . i.': 4.... i . i �4 4 ii. •.00 ❖. ❖. • i O.M ot. t t ❖. ❖. i ❖. ❖. i ❖. Plan Review $40.00 Construction Inspection HVAC Name Nicole Krahn Wis. Permit Seal $30.00 El Electrical Date 03/11/99 Other Plumbing Er Erosion Total $70.00 215079 Cert. No. 248101 SBD -5823 (R. 07/92) OSH' OSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 15 ROLLING GREEN CIR Date 3/18/99 Name CONTEMPORARY HOMES INC Address 2755 ALGOMA BLVD Oshkosh WI 54901 Subdivision Rolling Green Meadows Lot 40 Building Permit Number 0069115 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature 4JL Date 3 -/ Inspector's Signature Date 04/23/1994 17:40 9204268803 ��S ARCH SERV PAGE 01 6 115' -5' 4 O' - 6 1/2' / Z'' ROLLING GREEN CIRCLE I RACKING t PATH I �s C � ,j_ I-- .0 • FbRcH 1 7— o HOUSE o 1` #QUAD- 1728 - 299 I . GARAGE Co f F 70' -0' iU � 0 IJJ C STOCK PILE O X LL (u —� 1 ) 39' -1 1 /2' ______1, 0 • 30' -0' 140' -0' E CONTRACTOR'S K J1Y TO ENS .vim EROSION CONTROL BY 118E OF SILT Fact, . GRAM. ACCESS STOCKPILED 1011 MUST It SEEDED KITH RTE ROADWAY OR OTHER APPROVED METH00 9y LOCAL AUTHORITY. WMI A TARP. EROSION CONTROL SHALL GRADS T COVERED CONSULT LLN.R. 21.125, I.LH.R 21.13, AND LOCAL MALMINC PLACED AT DOWN SLOPE ISPECYOR FOR ANY CIKSTgNS. T Pares' NI4rew 15 ROLLING GREEN CIRCLE LOT40 ROLUNG GREEN Seals: 1•-20. Contractor " ""�+�" o(/g d _ —... .......__.. ... —_. in (2EQ) 482 -1081 FAX (010) 420 -2209