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Home My WebLink About0054704-Building CITY OF OSHKOSH No 0054704 il(a OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 50 ROLLING GREEN CIR Owner SALZIEDER BUILDERS Create Date 9/24/96 Designer Contractor SALZIEDER BUILDERS Category 110 - New Single Family Plan A5- 155 -996R Type 0 Building 0 Sign 0 Canopy () Fence () Raze Zoning R1 Class of Const: 8 Size IRREG 69X28 Unfinished /Basement 1176 Sq. Ft. Rooms 6 Height 21 Ft. I Projection Finished /Living 1176 Sq. Ft. Bedrooms 3 Stories Quad -leve Canopies Garage 670 Sq. Ft. Baths 1 Signs Foundation Poured Concrete O Floating Slab O Pier o Other Concrete Block O Post O Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSI-H and 2 car attached garage Note: Lower level is unfinished of Work HVAC Contractor BREWER HEATING Plumbing Contra, 1 KOCH PLUMBING Electric Contractor 1 ,6'c� +� Fees: Valuation $71,600.00 Permit Fee Paid $295.00 4" PI" �.�` 0 Park Dedication $100.00 i / _ Q i �0 ` Issued By: ' /' r 1 Date 9/24/96 Final /O.P. — Permit Voided p In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 2790 NEWPORT CT Oshkosh WI 54904 - 0000 Telephone Number 233 -6711 DATE q JL q10 NAME �fl LZl 0' r\ ce X)! 1-D c---- ADDRESS LOT fR BLOCK ..---- WARD 5U80I V. PLt/A1/ Olaf N Ni_Avn.,..is ZONE STREET NO. � / , .i () ghld VG In P,, - .,J Cam, LOT 0I MENS IONS SIDEWALK EXISTING - YES NO a BUILDING GRADE ELEVATIONS STAKES SET AT SITE \ ,19 BY F EE; $15.00 ,i/Lift/47, DEPARTMENT OF PUBLIC WORK: I, the undersigned, owner or agent of the above described property agree ro have the grade established before excavation has commenced. 00554 5 2 • . ..� / Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT F.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 ® Constr 0 HVAC 0 Elec 0 Plbg 0 Erosion El Other: • ne s 'ame Mailing Address Telephone No. SALZIEDER BUILDERS 2790 NEWPORT CT Oshkosh WI 54904 - 0 233 -6711 t,ontractor:® Con 0 Elec El HVAC❑ Plbg Llc/Cert # 'Mailing Address Telephone No. SALZIEDEi BUILUtKJ 2470 NEWPORT COURT OSHKOSH WI 54904 - 7317 233 -4850 Contractor:0 Con El Elec 0 HVACD Plbg LictuetrIF mamng Acaress i elepnone No. t.ontractor:D Con El Elec ® HVACD Pibg LlcaUert IF 'mailing Address I elepnone No. tontractor.D Con ID Elec ❑ HVAC ® Plbg ❑cat.ett Mailing Address I elepnone No. . °, Lot Area S4 ft. 1/4, 1 /4,Section ,T N,R E(or)W i in •Ing • • ress - Sub yFl� iswn Name / ., Lot No� f Block No. 50 ROLLING GREEN CIR �( L1 L1G / ( i_tj 4.0.16011,- Zoning Distrlct(s) Zoning Permit No. Front Kear Lett Kight Setbacks ft. ft. ft. ft. ® New Ej Repair : Single Family n rance - ane c Forced Air Furnace Fuel isiiiiiiiiiiii o ar 0 Alteration 0 Raze _ Two Family Size: 200 am • Radiant Baseboard or Panel Addition Move Garage Service: Heat Pump Space Htg ®0 0 0 0 0 Other (print): • Overhead Boiler Water Htg ® 0 0 0 0 0 c ∎ Underground Central Air Conditioning El Other we mg unit wi ave I owatt or Other `: � ..- ' . more installed electric space heating equip. ' Site Constructed Concrete U � � 1 . . a : Infiltration control option is:0 Full sealing nfinished Manufactured • Masonary Sewer of joints. n Blower door test. 0 Exterior Basement 1176 Sq ft I Treated Wood M Municipal air Innitra ion barner. Living Area 1176 Sq. ft. 1 -Story Other Septic t 2 -Story -- �' ' = ` A Permit No. Envelope •' BTU /HR Garage 670 Sq. ft. Other • easona Infiltration 22133 BTU /HR Quad -level 1�1 Permanent o z a H w, F IIII Other Municipal Utilityi ® Plus Basement Private On -Site Well $88,000.00 The applicant agrees to comply with all applicable codes, sues and ordinances and with the conditions ofthis permit, understands that the issuance of the permit creates no legal liability express or imp on the Dep. •,%ent or •1_,„:.',•;• - ' ; and certifies that all the above information is accurate. APPLICANT'S SIGNATUR 4 / r / _� , DATE SIGNED APPROVAL CONDITIONS 1 his perms issued pursuant o the following conditions. Failure to comply may result in suspension or r evo - ' •n of th is permi or o pena Maintain erosion contror2 Submit - truss plans 31f lower level is to be used sleeping purposes then minimum window egress requirements must be met. Town 0 Village ® City County ❑ State of: Municipality Number of Dwelling Location: ' City Of Oshkosh 7 0 - 2 6 6 Plan Review $40.00 L Construction �� Inspection HVAC Name Darryn Burich Wis. Permit Seal $30.00 Electrical Date 09/24/96 Other — Plumbing Z Erosion Total $70.00 176238 Cert. No. 5935 SBD -5823 (R. 07/92) OSH'OSH GRADE STAKE FORM ON THE WATER Grade Stake Number 5586 Name SALZIEDER BUILDERS Address 50 ROLLING GREEN CIR Create Date 09/24/96 Lot 18 Block Ward Subdivision Rolling Green Meadows Zone R1 Street Number 50 Rolling Green Circle Lot Dimensions Sidewalk Existing Building Grade Elevation Stakes Set At Site 09/17/96 Set By KN 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. c • o \ 4.( mo d . 05 o . 24S, r ail i co .aq• .e t a .c 4 , d ;m r - ; iii. .y., c' N , P DRCN [iv - ` 2_ , . \/ 36 , UrGro 1,e l 50 'RoL&. irOG Cl2t.1_,E. SALTEDER SOLDERS 4. oT 19) a WI SON ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name SALZIEDER BUILDERS Address 50 ROLLING GREEN CIR Create Date 09/24/96 Construction Data • New Construction 0 Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR and two car attached garage Compliance Checklist Deficient Comments U Use U Lot Width U Lot Area L( Lot Area Per Family U Flood Plain u Front Yard U Front Yard Side Street U Rear Yard IJ Side Yard Li Building Area 1 Parking Standards U Off - Street Loading Standards U Vision Clearance Li Transitional Yard Standards Li Landscape Standards U Height U Conditions of Approval U Compliance with P.C. or BZA Conditions of Approval u Signage Standards U 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 Q Denied Plan Commission Action Required 1 Variance(s) Required Reviewed By Darryn Burich Date 09/24/96 • Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION Safety and Buildings Division. • P.O. 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 Wiscon in tfc?tv 191 . 101.7? programs (Privacy Law, s. 15.04 (1) (m)). - PER `. REQ T ' ' 0 Constr 0 HVAC 0 Elec 0 Plbg ❑ Erosion ❑ Other: Owner's Name . . � � Mailing Address � � c.-7 1 11 � Telephone No. r � -- ( ) • Contractor's Name: ❑ Con ❑ Elec ❑ HVAC lIbg Lk /Cert # Mailing Address Telephone No. t ( ) Contractor's Name: ❑ Con E Elec ❑ HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. C OM m,'ary f ( ) Contractor's Nafr►e: Mon ❑ Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. g 4' /1-.r ole<e, /3 v.c /./.. _—/ ( ) Contr ctor's Name: ❑ Con ❑ Elec 14 VAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. /5 r'P er ( ) i cr Lo n N ; >. Lot Area Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Address Subdivision C Name Lot No. r Block No. SG Ro (i. G -..aen G ,`,-c 4 Ra 1l• `�+ij E re vies /h Q a "a lei J Zoning District(s) ,/ Zoning Permit No. T/ • . Front Rear Left Right Setbacks 30 ft- l ft. $ ft_ ft- : V Olgcr. .: :X :::.. . .. : . *41 : : ;: : i:*:4K? t ftWPMlEr Rlf`:. : ..; : 4VERGyS "�. I( �`.". ............................... ew ❑ Repair l ngle Family Entrance Panel orced Air Furnace Nat. L. P Oil Elec. Solid Solar Alteration ❑ Raze - ❑ Two Family Size 2 C+O amp • ❑ Radiant Baseboard or Panel Fuel Gas * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump a / � ❑ ❑ ❑ ❑ ❑ Other (print): ❑ Underground ❑ Boiler Space Htg L � � ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ Other ❑ Other * ❑ Dwelling unit will have 3 kilowatt or ite Constructed oncrete ?..v <2' more installed electric space heating equip. '1 U N »E: :: :;:<: ;;: : : Infiltration control option is: El Full sealing M anufactured masonry " : :::: ` " N Y Blower door test. ❑ Exterior "^ » > ' < ❑ Wood Sewer of joints. ❑ Blo air infiltration barrier ' <. ^•,;:< ;: ?; un ici al Unfinished Basement S . ft. ' ': •::.�::1::: ❑ Other P ::::.,. ; ; ..::,:.: :•: .,: ; :::. S :..: >: � a :•:: : >. x iii > : i s Sq. . ;:: >:: , ....... ; »: > > <ss: » » » »:»::: ❑ Se tic <?>' »��:: >�'�>��''•:�'C��:d�z::: €:s 1- Story r / ❑ Y '«<' "` »r<zi` Permit No. Envelope BTU /HR Living Area ( ! . S q . ft. �ory ❑ Seaso I ` yi�� Infiltration BTU /HR ......... .. .....................,..................,.: : ; <: r::.; m::•.: F::..,;.:.., i.>,::::.: y.,•::., •::- ,• < »::: Garage Sq. ft. ❑Other manent unici ❑Other P al Utility Y 1 1 4, . :'::I . ` >:< #: >:: >< ❑ Plus Basement ❑ Private On -Site Well $ 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 is accurate. If I am an owner applying for an erosion control or construction permit, I have read the cautionary statement regarding contractor financial responsibilityon the reverse side of the pink ply. APPLICANT'S SIGNATURE --,git.sr-ff■ . DATE SIGNED 9/ / 9. APPROVAL CONDITIONS This per it is issued pursuant to the following conditions. Failure to comply may result in sus ension or revocation of this permit or other penalty. To wn Villa it n } e C County State of: Municipality Number of Dvvellin Location: �: ❑ ❑ 9 ❑ Y ❑ Y ❑ P Y 9 JURISDICTION : — ........ ............... : %i:� ii'� � : Ci r,•; IK01C:k ii: } :::.:i:i: ^i: ii: : }ii::.:ii:. }:::. ? }:.:::i isi: p:i} i isi.: i:.:i ii } ::::::::::::.:::::::::::: : :. Plan Review $ ❑ C onstruction : ' Inspection $ ❑ HVAC Name . Wis. Permit Seal $ ❑ Electrical Other $ ❑ Plumbing Date ❑ Erosion Total $ ❑ Cert. No. SBD -5823 (R. 07/95) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector - PINK - Owner /Agent OS'H' OSH Q.D PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 50 ROLLING GREEN CIR Date 9/24/96 Name SALZIEDER BUILDERS Address 2790 NEWPORT CT Oshkosh WI 54904 Subdivision Rolling Green Meadows Lot 18 Building Permit Number 0054704 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid A ner's Signature / Date Inspector's Signature Date