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HomeMy WebLinkAbout0068004-Building CITY OF OSHKOSH No 0068004 4, OSH OSH H BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 75 ROLLING GREEN CIR Owner FOX CITIES CONST Create Date 1/4/99 Designer FOX CITIES Contractor FOX CITIES CONST CORP 5/4/98 Category 110 - New Single Family Plan C5- 022 -297MP Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size 46' X 50' Unfinished /Basement 1148 Sq. Ft. Rooms 5 Height 21 Ft. u Projection Finished /Living 1148 Sq. Ft. Bedrooms 2 Stories Quad -leve Canopies Garage 484 Sq. Ft. Baths 1 Signs Foundation . Poured Concrete O Floating Slab O Pier O Other 0 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 NS}-R/ Unfinished lower level - NU DECK UR PA 110 of Work HVAC Contractor MCM HEATING Plumbing Contractor JIM'S PLUMBING Electric Contractor SCHAFER ELECTRIC Fees: Valuation " 5,000.00 Pla Approval $40.00 Permit Fee Paid $262.50 Park Dedication $100.00 Issued By: Date 1/4/99 Final /O.P. U Permit Voided In the perfo of this rk I agree to perform all work pursue t to rules governin t described construction. Signature � � n �° /! Date 7.--.(1g � eai''ewner L Address 1460 W SOUTH PARK AVE OSHKOSH WI 54901 - 0 Telephone Number 235 -8008 JOHN m -5 OSH'OSH GRADE STAKE FORM ON THE WATER Grade Stake Number 6090 Name FOX CITIES CONST Address 75 ROLLING GREEN CIR Create Date 01/04/99 Lot 41 Block Ward Subdivision Rolling Green Meadows Zone Street Number 75 Lot Dimensions Irrg 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 have the grade established b: re excavation has commenced. ( . / (513-g _ /� ��r:1 Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0068004 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 •• ii ' •; ® Constr 0 HVAC 0 Elec 0 Plbg ® Erosion ❑ Other: •wne s lame Mailing Address telephone No. FOX CITIES CONST 1460 W SOUTH PARK AVE OSHKOSH WI 54901 - 0000 on ra or: Con ❑ Elec ❑ HVAC El Plbg Lic/Cert # Mailing Address e ep one ' o. FOX CITI J I;VNJ 1 l VKl' 514 /ytS 1305 1460 W SOUTH PARK AVE OSHKOSH WI 54901 - 0000 235 -8008 JOHN ontractor n Con ® Elect] HVAC ID Plbg Lic/Cert # Mamng Haaress I elepnone No. SCHAFEK tLtl; I Kll. 6326 PAYNES PT NEENAH WI 54956 - 0000 725 -2031 585 -3 L ontractor D Con Ej Elec El -HVAC 0 Plbg Lic/Cert # Matnng 1 elepnone NO. MCM HEA 1 iNu 6122 COUNTY ROAD M WINNECONNE WI 54986 - 9780 582 -4402 Lontractor: Con 0 Elec - FIVAC� Plbg Lic/Cert # Matumg Address i elepnone No. JIM'S PLL� tsuNti ❑ W -6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 757 -5258 OR 75 � .� �° ���� � _ �'=q` � '• : Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W - ui • ing ' • . ress ubdivision Name Lot No. Block No. 75 ROLLING GREEN CIR Rolling Green Meadows 41 zoning Distnct(s) Zoning Permit No. Front Rear Lett Right Setbacks ft ft. ft. ft §:' a . y is ❖ :•i:• �i : ❖i :•i • ••i i ` ". �,. �•• •te � • a. • i• � d a' t s - ' .i:❖i : ❖ :•i X' .+.' '' '1 s � �.�w � !.iiirw €'E"��.....>.;§' ii!!r � £ �"� . <<: ....� i � �v, t .... iiiiiiiiiiiiiiiiiii :.� :!:: :! :! :n! :.c ® New ❑ Repair I►14 Single Family ntrance 'ane Forced Air Furnace .•. Fuel 0 Alteration 0 Raze • Two Family Size: 200 am. • Radiant Baseboard or Panel Addition Move Garage Service: • Heat Pump Space Htg Z 0 0 0 0 ❑ Other (print): • Overhead • Boiler Water Htg ® 0 0 0 0 0 Other ►� Underground Central Air Conditioning Dwelling unit wil have 3 ki owatt or l' ' • •� , '' •.•. Other �:•� ' .o more installed electric space heating equip. t , � £ � ': ••: o '• � •••.. Z Site Constructed �� •. Concrete 36•=, 1^ •;;.;s.;;;;....;.;. .o;;.;, s••o•...•o •, p 9 O'•=- - -•• Infiltration control option is: 0 Full sealing Unfinished 0 Manufactured • Masonary Sewer of joints. Blower door test. Exterior Basement 1148 Sq. ft. ' ,,� . / Treated Wood j Municipal •` a s�v ....•.:•. • p air Intlltra IOn battler ■ Other Septic •i t 8'h �� i., _: `'� OOi i•0'iiiii� Living Area 1148 Sq. ft. 1-Story p .' � '' drv!•;ig�::i ;i ;i; e 2 -Story •R M•t•tifi -- Permit No. Envelope 1 . BTU /HR Garage 484 Sq. ft. Other easona vos ❖.-• •.•� Infiltration 19520 ��j Permanent • .. ❖.• ❖.•. ❖..� BTU /HR • Other Municipal U tilit ya '- 0 Plus Basement N Private On -Site Well $87,000.00 e app scan agrees to comp y wit a app Ica• e co•es, statues an• or•inances an. wi t e con •1 ions o t is permit, un• erstan • s t at e issuance o the permit creates no legal liability, ex• - s or i••plird, on t• • ep "rtme tor' u icipality`a d certife that all the above inform cc ation is aurate. APPLICANT'S SIGNATUR t l J, /, 7_ / Ad , , ; ? DATE SIGNED J ' - 7 V ( — APPROVAL CONDITIONS 1 his permit is Issued pursuant re following conditions. Fa ure to comply may result in suspension or revocation of this permit or other penalty ...... .. ....... • � r • LJ Town Village El City County State of: Municipality Number of Dwelling Location: °`• i' City Of Oshkosh 7 0 - 2 6 6 %;• i••;O••: ••••: • i•••••::: ••••••: • •• .v ••••• . ••••. ••••i • ••F •••v �..f!.3. } ---- �.•••i Pi x'.'-'.. - • •?•♦ —' ♦ •J: JOJ•: : : :::O: ❖ . i i s • • •. • • • • v.. • • . • :a:K* : • . • • • .. • v • • •. i: �tii ❖:iii•:ii ❖: ❖:': ❖: ❖:•i0•ii iii i•.O ❖i 0 . a !♦ •�• ,� f ...f; :!♦ ♦ t t•••••••• ••••••••••••••••••••••••••••••♦ x• ••••••••••••••••••••••••••••••• •♦ .e�m -• ♦♦ '• 4 i C' @.. 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No. 70266 SBD -5823 (R. 07/92) OSH'OSH (g) PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 75 ROLLING GREEN CIR Date 1/4/99 Name FOX CITIES CONST Address 1460 W SOUTH PARK AVE OSHKOSH WI 54901 Subdivision Rolling Green Meadows Lot 41 Building Permit Number 0068004 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature 0 / i Date 1 �� r / . , � . � Inspector's Signature � Date p$ N 00°24'00" W 90.0i' 1. \ I LOT *41 12,455 SQUARE FEET ROLLING GREEN SU5DIYISION = m OA OS1- 1KOSI -1, WUI w Li) O a? N ° "T1-1E CONOV M a 4 UPPER LEVEL ti) ANT. 7'L ` 11.1 I 30'-0" \ V( -1 14 A -el i , 1.0 Zp U to 1-10US it U 13' -1" Z 3d-6" CONCRETE j , / i F f POF2GH j /; f j CY %G4iRAG V 48I-9" 1 / „ 19' -2 � ��`° � nlzlveuar • s &:T O SILT ;I . ,,,/ \ N OO °240" W 64.61' I ROLLING GREEN CIRCLE N Z' 24-0 O Q h SOUSE 4 CONCRETE In PORC GARAGE 1 U) 1(1 1 a 46 -C` 1 I ' THE CONOvE