HomeMy WebLinkAbout0061532-Building g CITY OF OSHKOSH No 0061532
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 30 ROLLING GREEN CIR Owner FOX CITIES CONSTRUCTION Create Date 11/25/97
Designer Contractor FOX CITIES CONST CORP 5/4/98
Category 110 - New Single Family Plan B5- 168 -996MP
Type 0 Building 0 Sign n Canopy 0 Fence n Raze
Zoning R -1 Class of Const: 8 Size IRR 58'x52'
Unfinished/Basement 515 Sq. Ft. Rooms 8 Height 21 Ft. u Projection
Finished/Living 2163 Sq. Ft. Bedrooms 2 Stories 1 Canopies
Garage 770 Sq. Ft. Baths 2 Signs
Foundation Poured Concrete O Floating Slab O Pier o Other
Concrete Block 0 Post O Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ New 1 story quad level home, with 3 car garage, concrete patio, NO DECK. If the lower level is to be used as bedrooms then
of Work the minimum egress requirements must be met.
HVAC Contractor MCM HEATING Plumbing Contractor JIM'S PLUMBING
alEaD
Electric Contractor to
Fees: Valuation $82,000.00 Plan A prove! $40.00 Permit Fee Paid $280.00 Park Dedication $100.00
Issued By: 1 / ( r Date 12/2/97 Final /O.P.
U Permit Voided
In the perform of this work I agree to perform all work pursuant to rules gove ing the described construction.
Signature L Dat a
- y I a -R7
` t ' Owner
Address 1460 W SOUTH PARK AVE OSHKOSH WI 54901 - 0 Telephone Number 235 -8008
OSHOSH
GRADE STAKE FORM
ON THE WATER Grade Stake Number 5866
Name VOID!!81!!188881!!81 Address 30 ROLLING GREEN CIR Create Date 11/25/97
Lot Block Ward
Subdivision Zone
Street Number Lot Dimensions I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 00 /00 /00 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to hav- he grade established before excavation
has commenced. ,
J L) et
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0061532
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
'•• nl "1 t °" .. •• ® Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other:
V ne s 'ame Mailing Address telephone No.
FOX CITIES CONSTRUCTION 1460 WEST SOUTH PARK OSHKOSH WI 54901 - 0000
t,ontractor: m Con Elec HVAC ❑ Plbg Lic/Cert # Mailing Address I elephone No.
FOX CITIIeUNS I (:URN 5/4/98 1305 1460 W SOUTH PARK AVE OSHKOSH WI 54901 - 0000 235 -8008
Lontractor. ❑ Con J Elec HVAC ❑ Plbg Lic/Cert # Marring Aoaress i elepnone No.
ontractor: ❑ Con ❑ Elec HVAC ❑ Plbg Lic/Cert # Manmg Address i elepnone No.
MCM HEA I NU 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 582 -4402
tom i Con ❑ Elec _j HVAC XI Plbg Lic./Cert # Mailing Aaaress 1 elepnone No.
JIM'S PLUMEsINCi W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 757 -5258 OR 75
i .. , ' ,,_,; •; Lox/tree
Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
.! ul k mg • • • ress Subdivision Name LOt NO. bIOCK No.
30 ROLLING GREEN CIR
zoning District(s) zoning Permit No. Front Rear Lett Right
Setbacks ft. ft. ft ft.
' ;:::::::::::::::::::::::;:::KS . . , F . _'�- >::::::::::: :.. za t r ' 4 - r' ' ^t ` ,••.•.• .:i 1 ., t 7 ♦ • • • i •:•:•:•:•: i i JJJ : ;i%
._.a.._ "` ....,� a. .c.. .rte, �-.,. ,o . . ,. _s .
® New ❑ Repair ® Single Family n rance = ane • , ® Forced Air Fumace Fuel III • • • i
❑ Alteration ❑ Raze ❑ Two Family Size: 200 am • ❑ Radiant Baseboard or Panel
❑ Addition ❑Move ❑ Garage Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ I
❑ Other (print): ❑ Overhead ❑ Boiler Water Htg ® ❑ ❑ ❑ ❑ ❑
❑Other Underground ❑ Central Air Conditioning * ❑
®� �' � ' � ��
Dwelling unit wil have ki owatt or
�� _ -1 • :i ° Other more installed electric space heating equip.
o - Site Constructed Concrete ;•:i • j ,.; Infiltration control option •is:❑ Full sealing
Unfinished Manufactured �❑ Masonary Sewer
of joints. ❑ Blower door test. ❑ Exterior
Basement 515 Sq. ft • : : : ltraa
:. ❑ Treated Wood ® Municipal air intion barrier.
• • • •
• ` �' Other
Living Area 2163 Sq. ft. M 1 -Story ❑ Septic E ;- _ ;
2 -Story ..: • : : :: ::i. Permit No. Envelope BTU /HR
Garage 770 Sq. ft. ❑ Other ^ easona • • • • • • • • • • • Infiltration 23174 BTU /HR
Permanent
II B F4�
Other ® Municipal Utility
® Plus Basement ❑ Private On -Site Well $125,000.00
The applicant agrees to comply with all applicable codes, statues and ordinances andwith the conditions of this permit, understands that the issuance of
the permit creates no legal liability, expre or implied, on the Dep ment or mu i 'pality; an• • rtifies that all the above information is accurate.
APPLICANT'S SIGNATUR ` ; v � �,ter / l i _� / DATE SIGNED ja —a—
rr� I
APPROVAL CONDITIONS is perm is issu pursuan o e mg con. i ions. al ur- o comp y may resu in suspension or
revocation of this permit or other penalty
Post building card on site in a front window or patio door, Maintain erosion control, Submit truss plans on site by the rough -in inspection.
4 t, T . ;.; ❑ Town ❑ Village ® City ❑ County ❑ State of Municipality Number of Dwelling Location:
di : 4 ° City Of Oshkosh 7 0 - 2 6 6
cv' •::•:•:•:•:•:•:::•:•:• • :• :• ::•:• :• :• :• :'.•:•:ti' ::DO•. !a I „�E Y :� s p - ;— x�Yx x x Y°Y a •�4 x Y• . � +.
i • .O .O• PO00 i ❖ • 00•J.•.00 : O.O.:O•• ❖JJ.00 ❖OJO.O :• � • i i•O. • :ii i i :•i is i• :•iii :• :•i:• :•i . ❖ :• :•i i : i i i i i :•: i ❖ :•:
_ ••••••• • • • :i000•00i ;: ;: ;:000; .00000•_O_O_iO_ %•_O_O_O_O :;: ; :0_ _O.
Plan Review $40.00 X Constructio Name Nicole Krahn
Inspection HVAC
Wis. Permit Seal $30.00 — Electrical Date 11/25/97
Other
— Plumbing
Erosion
Total $70.00 196235 Cert. No. 248101
SBD -5823 (R. 07/92)
OSHOSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 30 ROLLING GREEN CIR Date 12/2/97
Name FOX CITIES CONSTRUCTION
Address 1460 WEST SOUTH PARK OSHKOSH WI 54901
Subdivision Lot
Building Permit Number 0061532
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature 00..4 e 0 Date p.d....?7
Inspector's Signature ` - Date
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