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CITY OF OSHKOSH No 0069116
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 60 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 2/3/99
Designer J ROSS Contractor CONTEMPORARY HOMES INC 5/29/99
Category 110 - New Single Family Plan C7- 014 -299 -R
Type 0 Building 0) Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size 54' -6" X 56' IR
Unfinished /Basement 528 Sq. Ft. Rooms 7 Height 22 Ft. U Projection
Finished /Living 1776 Sq. Ft. Bedrooms 3 Stories Quad -leve Canopies
Garage 781 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 NSFR7
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor P &S PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation $70,000.00 Plan Approval $40.00 Permit Fee Paid $250.00 Park Dedication $100.00
Issued By: Date 3/18/99 Final /O.P.
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
GRADE TA
OSHKOSH GRADE S TAKE FORM
ON THE WATER Grade Stake Number 6102
Name CONTEMPORARY HOMES INC Address 60 ROLLING GREEN CIR Create Date 02/03/99
Lot 19 Block Ward
Subdivision Rolling Green Meadows Zone
Street Number Lot Dimensions IRRG Sidewalk Existing
Building Grade Elevation Stakes Set At Site 02/08/99 Set By D.W.G. BK - 542, P - 8
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. 1
�yL
OSHOSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 60 ROLLING GREEN CIR Date 3/18/99
Name CONTEMPORARY HOMES INC
Address 2755 ALGOMA BLVD OSHKOSH WI 54901
Subdivision Rolling Green Meadows Lot 19
Building Permit Number 0069116
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature Date � j — I ? - 1 3
Inspector's Signature Date
nsln Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0069116
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
K ❑ Constr 1 HVAC ❑ Elec 7 Plbg ❑ Erosion ❑ Other:
own `ame Mailing Address 1 elephone No.
CONTEMPORARY HOMES INC 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000
contractor: ❑,, Con ❑ Elec HVAC ❑ Plbg Lic/Cert # Mailing Address I elephone No.
CONTEMF'UKAKY HOMES INC 5/ 2078 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 235 -5610
Contractor: I Con ❑ Elec HVAC`l Plbg iic/Cert # mailing Aaaress 1 elepnone rvo.
SCHOMMEK ELEC: I KICAL CON N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 731 -2299
contractor: Con J 1 Elec ❑ HVAC Plbg Lic/Cert # ' mamng Aaltress i elepnone No.
BREWER HEA I INU N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494
Contractor: Con l Elec HVAC N Plbg-Tic/Cert # Mamng Aaaress I elepnone INC.
P&S PLUMBING PO BOX 2153 APPLETON WI 54913 - 0000 734 -3912
r , Lut Area
• .,•, Sq. ft .s 1/4, 1 /4,Section ,T N,R E(or)W
ui • ing ' • • ress ubdivision Name Lot No. Block No.
60 ROLLING GREEN CIR Rolling Green Meadows 19
zoning Dlstnct(s) Zoning Permit No. Front - ear Left Right
Setbacks ft ft. ft
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ee a O4 . • •• •• • • .. • �_•_ �w . •. � • .' �� •� �::::;: ■: Y [� s ,' � s �!•i!•
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❑ New r Repair ❑ Single Family n rance -ane ❑ Forced Air Furnace Fuel • • oar
❑ Alteration Raze ❑ Two Family Size: 200 am• Radiant Baseboard or Panel -�ii�
❑Addition ❑Move ❑ Garage Service: ❑ Heat Pump Space Htg Z I
Other (print): Overhead Boiler Water Htg ❑ ❑
❑ Ot her 0 Underground Central Air Conditioning
Dwelling unit wil have 3 kilowatt or
; •„. tae , � 8?t. `"• O.O. "}� 11 ps.�; � � �. ••i
� ,, ;;. ❖.•• _ .��: Other more installed electric space heating equip.
3 ' , •' •sruceoncrete .w ' , =.. ;. ...•.•_
••••••••• =' ❑ Site Constructed ❑ Concrete o��� _ � •.;;,.•:s �;.;.;.;.•:; Infiltration control option is: �� Full sealing
Unfinished ❑ Manufactured ❑,, Masonary Sewer of joints. I Blower door test. 1 Exterior
Basement 528 Sq. ft. ; �, �_ =v-- ..;x. Treated Wood
q• .•� � ��... •• .... ❑ T z Municipal air intutration barrier.
- �, � . .❖ v:v. ❖.• Other
Livin Area 1776 S ft. I 1 -Story $ ..❖ ..;.;;.;.;.;. ❑ Septic :...:::;:;:
12-Story : •!•!•!__¢_.!•!•S! Permit No Envelope • ' BTU /HR
Garage 781 Sq. ft. ❑ Other easona ,,,, ❖., Infiltration 14277 BTU /HR
Permanent " "' " " "•"
Quad -level ❑ ..... .
Other ❑ Municipal Utility •.: � ' '' 1 ; Q : .. ®;; ;;;; .®.® °® __
❑ Plus Basement — ❑ Private On -Site Well $80,000.00
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 o implied, on the D artment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE (5-,..___ DATE SIGNED . — — T,
APPROVAL CONDITIONS 1 his p rmit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
❖.•• I Town I Village Z City 1 County ❑ State of: Municipality Number of Dwelling Location:
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❖ .�`�Y ;:; • Ci Of Oshkosh
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Plan Review $40.00 ❑ Construction
Inspection HVAC
Name Brian Noe
Wis. Permit Seal $30.00 Electrical Date 02/03/99
Other Plumbing
Erosion
Total $70.00 215081 Cert. No. 70266
SBD -5823 (R. 07/92)
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NONE
O'
DO'
E3 R DENOTES PROPOSTED SILT FENCE
y
T.
ROLLING GREEN CIRCLE
IT IS THE CONTRACTOR'S RESPONOMY TO ENSURE PROPER
ERMION CONTROL BY USE OF SILT FENCING, GRAVEL ACCESS
ROADWAY OR OTHER APPROYEID METHOD BY LOCAL AUTHOR".
CONSULT LLH.R. 21.125, LLH.R 21.13. AND LOCAL BUILDING
WSPECTOR FOR ANY QUESTIONS.
STOCKPILED SOIL MUST BE SEEDED WITH RYE GRASS OR COVERED
WITH A TARP. EROSION CONTROL SHALL BE PLACED AT DOWN SLOPE
OF THE STOCKPILE.
Parcel Addmm --r " ROLLING GREEN CIRCLE LOT 19 ROLLING GREEN MEADOWS
I 3oal : V -20' Law 2- 24--99 1 Ehin r: I
JOHN LL ROM WHIZ EVERY ATTE WT HAS BEEN NADE�IN THE PRE -
5120 =mm LANZ PARATMN OF THIS PLAN TO AVOID MI AXES, THE MAKER
AMMMUL GI6S OMMOSS, WI 50D1 CAN NOT GUARANTEE AGAD�YTTT HUMAN EPM THE
FOR C[T3I�OY HOliEB AND /�1DITION9 CONTRACTOR MUST CHECK ALL AND DETAILS
TEL (920) 428 - 1921 AND BE RESPMMBLE FDR ANY CHMEMOR ADJUSTMENTS
PAX (920) 426-8M REQUIRED DURING ACTUAL CONSTRUCTIM4
46` -8"
1121 -2r
E �
NONE
O'
DO'
E3 R DENOTES PROPOSTED SILT FENCE
y
T.
ROLLING GREEN CIRCLE
IT IS THE CONTRACTOR'S RESPONOMY TO ENSURE PROPER
ERMION CONTROL BY USE OF SILT FENCING, GRAVEL ACCESS
ROADWAY OR OTHER APPROYEID METHOD BY LOCAL AUTHOR".
CONSULT LLH.R. 21.125, LLH.R 21.13. AND LOCAL BUILDING
WSPECTOR FOR ANY QUESTIONS.
STOCKPILED SOIL MUST BE SEEDED WITH RYE GRASS OR COVERED
WITH A TARP. EROSION CONTROL SHALL BE PLACED AT DOWN SLOPE
OF THE STOCKPILE.
Parcel Addmm --r " ROLLING GREEN CIRCLE LOT 19 ROLLING GREEN MEADOWS
I 3oal : V -20' Law 2- 24--99 1 Ehin r: I
JOHN LL ROM WHIZ EVERY ATTE WT HAS BEEN NADE�IN THE PRE -
5120 =mm LANZ PARATMN OF THIS PLAN TO AVOID MI AXES, THE MAKER
AMMMUL GI6S OMMOSS, WI 50D1 CAN NOT GUARANTEE AGAD�YTTT HUMAN EPM THE
FOR C[T3I�OY HOliEB AND /�1DITION9 CONTRACTOR MUST CHECK ALL AND DETAILS
TEL (920) 428 - 1921 AND BE RESPMMBLE FDR ANY CHMEMOR ADJUSTMENTS
PAX (920) 426-8M REQUIRED DURING ACTUAL CONSTRUCTIM4
46` -8"
1121 -2r