HomeMy WebLinkAbout0066486-Building CITY OF OSHKOSH No 0066486
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 40 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 9/10/98
Designer Contractor CONTEMPORARY HOMES INC 5/20/98
Category 110 - New Single Family Plan C6- 096 -998R
Type :ui .ing • ign • anopy p +III • aze
Zoning Class of Const: Size IRR 58'X40'
Unfinished /Basement 0 Sq. Ft. Rooms 7 Height 20 Ft. L Projection
Finished /Living 1840 Sq. Ft. Bedrooms 4 Stories Bi -level Canopies
Garage 736 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/ Raised ranch w/ 3 car attached garage and a 10'x12' deck.
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor P &S PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation $70, :.:: • royal $40.00 Permit Fee Paid $250.00 Park Dedication $100.00
Issued By). � Date 9/23/98 Final /O.P.
Li Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0 Telephone Number 235 -5610
OSH OSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6025
Name CONTEMPORARY HOMES INC Address 40 ROLLING GREEN CIR Create Date 09/10/98
Lot 17 Block Ward
Subdivision Rolling Green Meadows Zone
Street Number Lot Dimensions Sidewalk Existing
Building Grade Elevation Stakes Set At Site 09/11/98 Set By D.W.G. BK -535, P -34
Department of Public WorKs
1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced. /�'
� 1 t - 401/-
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0066486
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
••i: ® Constr HVAC Elec — 1 Plbg Z Erosion Other:
•wne s `ame Mailing Address 1 elephone No.
CONTEMPORARY HOMES INC 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 235 -5610
Lontractor: Con - Elec HVAC I ( Plbg Lic/Cert # 'Nailing Address telephone No.
CONTEM UKARY HUMtS INC 5/ 2078 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 235 -5610
uomractor: Con X Elec HVAC Plbg Lic/Cert Vivra lrtg Aaaress i elepnone No.
SCHOMM=K bLbC I KIGAL eON — N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 731 -2299
Contractor: Con Elec X HVAC Plbg Lic/Cert # mailing Aaaress 1 elepnone NO.
BREWER HEAI ING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494
Lontractor: A Con Li Elec 1liVAC1 Plbg tic/Cert # ' mamng Aaaress 1 elepnone No.
P &S PLUMBING, PO BOX 2153 APPLETON WI 54913 - 0000 734 -3912
: : :$ =i ; LOt Are-a Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
!ult. ing • .. ress Subdivision Name Lot No. Block No.
40 ROLLING GREEN CIR Rolling Green Meadows 17
Coning District(s) Zoning Permit No. Front Rear Lett Right
Setbacks ft. ft. ft. ft.
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® New Repair ® Single Family n rance •• ane ® Forced Air Furnace Fuel o ar
E Alteration I Raze p Two Family Size: 200 am. ❑ Radiant Baseboard or Panel
n Addition L Move Garage Service: _ Heat Pump Space Htg I I n Li ❑ 7
Other (print): — Overhead — Boiler Water Htg z — E ❑ n
U
E Other Underground — Central Air Conditioning
® _ Dwelling unit wil have 3 ki owatt or
: 3 g ' ' wg r « ;: : :j 0 Other more installed electric space heating equip.
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Site Constructed • r ^•.••••• .•.•.�
® Sit ® Concrete ,! � ,�� �:;;;.;:;.;;;.;.; Infiltration control option is Full sealing
rY
Unfinished
Manufactured Masonary Sewer of joints. El Blower door test. 1 I Exterior
Basement 0 Sq. ft. a :-•-•-•-•-•-• .• Treated Wood z Municipal
� �; � :'00 �! :5. :• air Inilltratl0n battler.
1-Story Other Se tic k . � ......... ry!:! i;i ;i ;:.
Living Area 1840 Sq. ft. ry �� ��- --��-.��-.-.-� ❑ p
2 -Story Permit No. Envelope BTU /HR
Garage 736 1 1846
g Sq. easona
Other s & L $ :• :• :• :. :. :. :• :•:••; : ❖ :•;• I n fil tra t ion BTU /HR
Permanent r�� „?._.:.'i•••••••••••••.••••
Bi -level ® • •
®Munici Municipal Utility
L Other P Y � . � � ��
❑ Plus Basement Private On -Site Well $82,000.00
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, express or implied, on the Departmen • unicipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATUR- • DATE SIGNED 7. 2 3 rs S
APPROVAL CONDITIONS his permit is issued pursuant to the Following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
• :1 . 1 'I• • r1 - • • •l • • V •1 "ell • - 1•T I 1. ' • Y1 -• 110
THE KITCHEN WINDOW OR PATIO DOOR. MAINTAIN EROSION CONTROL ON SITE
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•• ': Town Village � City — County — State of: Municipality Number of Dwelling Location:
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Plan Review $40.00 Construction
Inspection H VAC Name Nicole Krahn
Wis. Permit Seal $30.00 Electrical Date 09/10/98
Other Plumbing
Erosion
Total $70.00 207836 Cert. No. 248101
SBD -5823 (R. 07/92)
(&) OSH'OSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 40 ROLLING GREEN CIR Date 9/23/98
Name CONTEMPORARY HOMES INC
Address 2755 ALGOMA BLVD Oshkosh WI 54901
Subdivision Rolling Green Meadows Lot 17
Building Permit Number 0066486
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature �'� Date
Inspector's Signature Date
IV
79'-11 1/2"
N
srocK 7'--10 3/4"
PILE t�Y?
10' -0 1/4"
Lq
t o I° HOUSE
0' 15'
i
C�
~ cil
GARAGE °
E3 DENOTES PROPOSTJ =O SILT FENC
pp a
CD
I kD
Ul F-" IT IS THE CONTRACTOR'S RESPONSIBILITY TO ENSURE FROtsER
TRACKING \ EROSION 1' OO O US R01 S IL T ETHOD FENC ING, GRA U lTHp�R SS
\ PATH s ` fly CONSULT I.LH,R 21.125, I.LH.R 21.13. AND LOCAL BUILDING
ti \ u INSPECTOR FOR ANY QUESTIONS.
w
I�
lD STOCKPILED SOIL MUST BE SEEDED MATH RYE GRASS OR COVERED
MATH A TARP. EROSION CONTROL SHAH. BE PLACED AT DOWN SLOPE
OF THE STOCKPILE.
fU
ROLLING GREEN F°roe Ad a ROLLING GREEN CIRCLE LOT 17 ROLLING GREEN MEADOWS
CIRCLE
90ate. 1' =20' Date Builder: Contemporp /Showcase Homes 414 -235 -5610
J )0 13F JOHN L ROSS WRLE EVERY ATTEWT HAS BEEN KADE IN THE PRE -
6120 Kull= LANE PARATMN THIS PL ® MI
AN To AVSTAKES, THE KWER
ARcHrrzmvm FOR GL1S1'OY HOPES AND A INS 64901 Ca�rrTRAC7uR M T C DnINSUM AND DTHE
TEL ( 414) 428 -1$21 AND BE RESPatS R-E FDR ANY clW"S 13R ATlJUS ITS
FAX (414) 420 - 8808 REQ.QRED DURING ACTUAL CONSTRUCTION
1 Wisconsin Department of Industry. WISCONSIN UNIFORM BUILDING Application No.
Labor and Human Relation: PERMIT APPLICATION
Safety and Buildings Division
. P.O. Box 7969 (See instructions on back of pink copy) Parcel No.
Madison, WI 53707 The information you provide may be used b other a
Wisconsin Statutes 101.63. 101.73 programs (Privacy Law. s. 15.04 (1) (m))- Y g overnment agency
Y
:::PERM T RE# UESTE ? : Q Constr 0 HVAC 0 Elec 0 Plbg ❑ Erosion (] Other:
O ( 61(bV'cv(1 is Na e f Mailing Address Telephone No.
' ( 1U �' ,r— � c eSTo c2'7g aYYt (evJ QsL Contrail is Name Con ❑ ec ❑ HVAC ❑ ¢ Ib g Li # Mailing ddress '
t... Telephone No.
Co �a�ct�or's Name: ❑ Con �Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
.
Cop tractor's
b0 iifke✓ QL�.0 tC. ( ON "Z-Z `(•
Con ctor's Name: D Cog ❑ Elec (L,HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
5U'ec ev Pea il He , ( ) 7YR a R
Cont ctor' me: ❑ Con ec ❑ HVAC 2S-Plbg LicKert # Mailing Address Telephone No.
y s 11 Ex", �' ( ) a34 -3412 -
OJE L • • Lot 96SZ Sq. ft. 1/4, 1/4, Section , T N R
Building A dress + kww ������� —f E (or) w
Su ivision Name Lot No. Block No.
4o c�(1(fr,� 6dep.� -, CLI/de— o((rh 6-c e et"C( vc,Le_. . I - 7
Zoning District(s) Zoning Permit No. Front / Rear / Left Right
__..: O ECI'::::.:,:::. :::::::.: :: ::.... .......... :: :: :. ;
Setbacks 30 S ft. I 3 ( f ft. l 0 ft. '7 ` I 0 ft.
��kl�... 6.,.. B. EC7ltl :+1"Af >w= ,f,,A:EQUIPNV<: <:< a
• Repair '4 Ingle Family Entrance Panel orced Air Furnace Nat. L. P Oil Elec. Solid Solar
• Alteration ❑ Raze ■ Two Family Size: Zo o amp Q Radiant Baseboard or Panel Fuel Gas
❑ Addition ❑ Move Q Garage Service: ❑ Heat Pump
❑ Other (print): itfUnderground ❑ Boiler Space Htg ❑ ❑ Q Q Q
Tiff
Q Other Overhead ❑ Central Air Conditioning Water Htg K ❑ ❑ ❑ ❑ ❑
:.:.
❑ Other
:::4 > Oin T PE UNDATION * Q Dwelling unit will have 3 kilowatt or
ite Constructed Concrete A { ::: more installed electric space heating equip.
-' t ai[ w;• c;-. r,.•:>•.:.:. ::. ' ::: % :: >:'wj,`,'•: ? %.ii2
]Manufactured Masonry �• : • ..:,•::• :::: >:: <• : :- :. Infiltration control option is: ❑ Full sealing
�' ''`` "" ❑Treated Wood Sewer of joints. ❑ Blower door test. 0 Exterior
"' ` "` ' air infiltration barrier.
Unfinished Basement S OR IEfi ii %i : :i: %: Munici pal
Sq ft. ❑Other ....,
. : ::: .. .....................:.,..... Septic :.::•;,:.;
p
S ❑ story "
Living Area t ft Y >: > : >: # > Permit No. Envelope
q- ❑ 2 -Story ❑ Seasonal BTU/HR
Garage r Sq ft Other Permanent T ` ''' Infiltration
!� [ I5ed ((•(4 Other Eiimunicipa I Utility A
❑ Plus Basement • ❑ Private On -Site Well $70 000, 1
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of
the permit creates no legal liability. express or implied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED g 12$ (q6
APPROVAL CONDITIONS This permit is issued pur ant to the following conditions. Failure to comply may result in suspension or
revocation of this .; iy r other penalty.
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Town Vill
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Count 9 ou t
State Y ❑ e o f:
Sui : • ::: Y ❑ unicipality Number of Dwelling Location:
iURlSDICTiON':: :>
:.:.::::: :,:::: :.:......................
Plan Review $ ❑ Construction
Inspection s ❑ HVAC Name
Wis. Permit Seal $ ❑ Electrical
Other $ ❑ Plumbing Date
Total $ ❑ Erosion
0 Cert. No.
S80 -5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
OSH OSH
ON THE WATER
Name CONTEMPORARY HOMES INC Address 40 ROLLING GREEN CIR Create Date 09/10/98
Construction Data 0 New Construction O Addition 0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR/ w/ 3 car att garage & 10'x12' deck
Compliance Checklist
Deficient Comments
se -
L Lot Width
Lot Area
Lot Area Per Family
Flood Plain
Front Yard
Front Yard Side Street
Rear Yard
Side Yard
Building Area
L Parking Standards
LI Off- Street Loading Standards
Vision Clearance
Transitional Yard Standards
J Landscape Standards
L Height
Conditions of Approval
Compliance with P.C. or BZA Conditions of Approv
Signage Standards
Drainage Plan
Review Authority
As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approve all plans,
except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance
items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed.
Approved CD Denied
Plan Commission Action Required
Variance(s) Required
Reviewed By NRK Date 09/10/98