HomeMy WebLinkAbout0054896-Building t
s @ CITY OF OSHKOSH No 0054896
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 80 ROLLING GREEN CIR Owner CURTISS HOMES Create Date 9/27/96 '
Designer Contractor CURTISS HOMES 1
Category 110 - New Single Family Plan A5 -160 I996R !.
} ype l• Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R1 Class of Const: 8 Size Irrgg 47x41.5 I'
• Unfinished /Basement 1092 Sq. Ft. Rooms 8 Height 26 Ft. u Projection
t
t Finished /Living 1947 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 495 Sq. Ft. Baths 2 Signs
Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood SKOTZKE
Occupancy Permit Required Flood Plain No Height Permit Not Required I
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature Above grade for a nsfr and 2 car attached garage Note: The patio door is the required 2nd exit, steps must be in place at final inspection
• of Work •
i •
HVAC Contractor • BREWER HEATING Plumbing Contracto LARRY HANSEN PLBG.
Electric Contractor ( • I'
A Fees: Valuation $67,000.00 Permit Fee Paid fl
$ 282.50 ` n 6 6 d Park Dedication $100 Q 0
Issued By: Date' 10/4/96 Final /O.P.
U Permit Voided 17'C- 17'C- 6 U
,�D
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
ature 7 2 Date /0/V5 f')
"` A en
g VOwner
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Address 40 W 6TH AVE OSHKOSH WI 54901 - 0000 Telephone Number 426 -1973
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CATE 9 //6'h
NAME (,!1217 an 1t fIS ADDRESS
LOT c2 / BLOCK WARD
SU80I V ./ LL-in/G Cetiw liicA>11r►U ; , ZONE
STREET NO.') gGG/ui (c1 .t L) ( LOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO .a
BUILDING GRADE ELEVATIONS STAKES SET AT SITE c /-) ,19`f ( BY 1/t)
FEE; $15.00
/ d,41--/ - c- 1 4;e-//z-d -
DEPARTMENT OF PUBLIC 'WCRKS
I, the undersigned, owner or agent of the above described property agree To have the
grade estaaiished before excavation has commenced.
005547 .
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0054896
P.O. Box7969 APPLICATION Parcel No. f
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
"'•• - •ERMI (REQUEST e4 ;:; ® Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other:
..::::::::::::..............
Owner's Name Mailing Address Telephone No.
CURTISS HOMES Oshkosh WI 54901 - 0000
Contractor: ® Con ❑ Elec Ei HVAC El Plbg Lic /Cert # Mailing Address Telephone No. -
CURTISS HOMES 40 W 6TH AVE OSHKOSH WI 54901 - 0000 426 -1973
Contractor: ID Con ] Elec ❑ HVAC El Plbg Lic /Cert # Mailing Address Telephone No.
-
Contractor: ❑ Con ❑ Elec ® HVAC D Plbg Lic /Cert # Mailing Address Telephone No.
BREWER HEATING' N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494
Contractor: ❑ Con ❑ Elec ❑ HVAC ® Plbg Lic /Cert # Mailing Address Telephone No.
BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1748 -6494
:S7RO:J C.T >LOCATtO : :: Lot Area Sq. ft. 1/4, 1 /4,Section ,T N,l E(
Building Address Subdivision Name Lot No. Block No.
80 ROLLING GREEN CIR Rolling Green Circle 21
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft ft. ft.
iPRO.'`JE,K,.e' ri:::•::•:0:.�:•:�:❖:•::'i i7 ..• :: • • . : . i•• ❖. _+.•+•+•... : ; ;:e . ❖i •
• :: ❖o il:;:�'#'�"i1~A. r: ❖�• . ss: o:•r.•'12�1x[E�t�s3i!:S:F7YJ� �- •..•.: ❖. ❖.sss.....i. ...
........................... .
• • ® New ❑ Repair ■.:4 Single Family Entrance Panel ►mil Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
Alteration Ra ze
1
• Two Family Size: 200 amp • Radiant Baseboard or Panel Gas *
Addition Move
• Garage Service: • Heat Pump Space Htg ® ❑ ❑ ❑ El
i • Other (print): • Overhead • Boiler Water Ht ® ❑ ❑ ❑ ❑ ❑
El Other D Underground II Central Air Conditioning * • Dwelling unit will have 3 kilowatt or
, :'" NOT :" : +;SS?I: #tOUNDA11O: ; : ;: ;• Other more installed electric space heating equip.
• +• +•+ii i•+•+•+•+•+: .. .. '► i »> i »i +'i'i' + J
: A.1NVOL O ❖ .,,,. ® Site Constructed ®Concrete : .:••• + .e
���������� ...:..:::::: :.:.:... ,Infiltration control option is ❑Full sealing
Unfinished ❑ Manufactured ❑ Masonary Sewer of joints. ❑ Blower door test. ❑ Exterior
Basement 1092 Sq. ft. y S ��� Treated Wood ® Municipal infiltration barrier.
q• � �(�a;; Munici al air in
Living Area 1947 Sq. ft. ❑ 1 -Story Ill Other ❑ Septic %13 HEAT:L.OSS: >(CaIc tiat:.:i ?; ;:;:; :;:;:;:;:;:
® 2- Story ••'••'• Permit No. Envelope 25700 BTU /HR .
Garage 495 Sq. ft. ❑Other Seasonal •4; : :WA Infiltration 15844 BTU /HR
oo • • • .00000.w v 0a
® Permanent
❑ Other ® Municipal Utility ; 14 (EST. BIflLDlNG::COS ; ;;;;' ,;;; ? %;;; ;;;;;;;;'a
® Plus Basement ❑ Private On -Site Well $115,000;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 i plied, on the Department or uni ipality; and certifies that all the above information is accurate
APPLICANT'S SIGNATURE express K DATE SIGNED / i '? -6j
APPROVAL CONDITIONS This permit is issued pursuant to the f lowing conditions. Failure to comply may result in sus ension or'
revocation of this permit or other penalty
Maintain erosion control 2 Patio door is the required 2nd exit and steps to grade must be in place at final inspection 4.
I
;:4 ittOld i;+;4 Ei Town 0 Village El City County State of Municipality Number of Dwelling Location:
:: <RISDITIO 4.. 7 0 - 2 6 6
°'• � City Of Oshkosh
: � :: y: ❖ •: : : ❖ :s: ....... :• :• a* . ... - .. .. ... :• • •+. i 000•.0000..000000000.•. 000. ❖+.0..•..0000.•. o..• • • • +•
..... .........•........• ....0. �+FI1/I�`t` :.;� . ❖:;: ' •-•kJtillkt~klVl'#?Nt :.................... ,.�,..:: ❖0• :oo... ,,... ,,.
p ;; :�i,•o : +x +:•:•: •••: :•: :• :•: : <., :. : . :- :::::... ••• +: 4 : ..: :::::.:::::::: ::::,.. :.. :❖ o:•i i: o + + + . i . + . . i i ..+ . . ii+. . . ii..i..+.
.•ii ......:::::: s::::::::::::::::::::::.
- + - +� +++++:: +•�•� +:• :• ii:•:•i i i i++•ii•�++•ii+•iiiiii: ii•�•i 4st'a R :•i•:•:•:i:+. moo; • • • • • • • • • • • • • • • • ii+•i OOi+•i•� ii+•ii+ i iiii i•�• • • • • • • ) • • • • ••i
+ � � +- +- +- +�•- +- +- •� +� +- +- + - + - +�- �•� -� � � � +-+ � � � +�� � � �•- �� � � +• + +• •:•••,........, ..' •" +•� + + +• +• +: :� •: •� ��•: •: •: • � •:. - + - + -+ .� � +- +�- � � + - +u, +�- �i � �•- +-•- � .co � - + - +- 444.!+- - +� +� +� � mou� � - +� � � - - +.ice � � - - -ice � � - - e� - 4 - :+� -6
Plan Review $40.00 g Construction
N ame D ar n Burich
Inspection _ HVAC rY
Wis. Permit Seal • $30.00 — Electrical
Other Plumbing Date 09/30/96
Z Erosion
Total $70.00 176410 Cert. No. 5935
SBD -5823 (R.07/92)
•
OSHKOSH
(.
PARKLAND DEDICATION FEE COLLECTION RECORD
I ON THE WATER
Job Address 80 ROLLING GREEN CIR Date 10/4/96
Name CURTISS HOMES
Address Oshkosh WI 54901
Subdivision Rolling Green Circle Lot 21
Building Permit Number 0054896
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature / Date
Inspector's Signature Date
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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
Wi onsin Statutes 101 63 101 programs 'Privacy Law, s 15.04 (1) (m)I
iglititMil RFOU000V5 ('YI Constr J HVAC ❑ Eiec ❑ PIbg 0 Erosion 0 Other:
Owners Name Mailing Address Telephone No.
C urfI.ss Worn e. s __ is/O tf.) 6 - th //y) Yzi /77 •
Contract is Name: ❑ Con ❑ Elec ❑ HVA ❑ Plby Lic/Cert # Mailing Address Telephone No.
GLW'l�-.• a.0 ( )
Contractor's Name: ❑ Con [pcElec ❑ HVAC ❑ Plby Lic /Cert # Mailing Addr , Telephone No.
Se / rr m e r /e e , N/6 V 7 a -' /e e /e �► (9/ 73 /-,A- 9
Co actor's Name: ❑ 4qn ❑ Elei it HVAC ❑ Plbg tic /Cent # Mailing Address , Telephone No.
of 'ewer • iegTr n1 Atseoy lN. Do ef q 4S % 7y ,7- '9
Co '' actor's Name: Con ❑ Elec L HVAC [)4 Plby Lic /Cent # Mailing Address / , 4 t e e Telephone No.
h . e - j a r >t j no/ oV /Q 1 /'�/ 7o e r V e J Dr v . fie (Vt./ 74-748
PROJEC LOCATION % t 4-'O O Sy ft 1/4, 1/4, Section , T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
80 e0 111 �G r e en G','pe, 1-e pe //)'n1 4r e en hi�s1,24V . 1.-/ Zoning District(s) Zoning Permit No Front Rear Left Right
P-I Setbacks A ft. 1 " ft- /a ft. /b ft.
1 P1 O(EC"f': ... ::3 OCCUPANCY 6 ELEC'VRICAt. ; 9 HVACEQtJIPMENT ; .. : 'E2. ; ENERW4$0:Ulf1!C0 ..:
New ❑ Repair TA Single Fam ly Entrancr)j P N Forced Air Furnace F uel Nat L. P Oil Elec. Solid Solar
6 Alteration ❑ Raze ❑ Two Family Size: v( amp ❑ Radiant Baseboard or Panel Gas
❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Ht g ❑ ❑ E] ❑ (] ❑
❑ Other (print): ❑ Underground ❑ Boiler
❑ Overhead ❑ Central Air Conditioning Water Htg FZ1 ❑ ❑ ❑ ❑ ❑
❑Other ❑ Other * ❑ Dwelling unit will have 3 kilowatt or
:g ,. ,., ST Tfcl> #E 7 :it-�3tINDAT.10ri1: more installed electric space heating equip.
S ite Constructed C
® � 4 �7!�tEj4]�1�[i�;;; .. ' ` ;' "': > Infiltration control option is: 0 Full sealing
: A 1E1't11111.'i.VEt1
❑ Manufactured ❑ Masonry " ` .. of joints. ❑Blower door test. ❑Exterior
❑ Treated Wood Sewer air infiltration barrier
9a
Unfinished Basement stj ft
/� r 5.. S ORkE-$ :..... n
❑Other Mukipal :....:.. ,:..
�A►
�� > ><<� »�3H T �C`)�!S:t1itI3tecl�>
... Sep
I /� �/ ❑ 1- Story Ri ' :: : 5 ' ; : Perm NO.
Living Area / -/ / -7 Sq. ft.
Envelope BTU /HR
$2 -Story ❑ Seasonal
'V / :11. WATE >< < :::A::::::::::::: ? > Infiltration BTU /HR
I ❑ Other Permanent :....................
Garage Sq. ft. gMunicipal Utility <'14 EST BU jl.) NG: .SS ; `: «:s s:
Other
❑ Plus Basement _ ❑ Private On -Site Well $ C"4- 1 ,14)
J /
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 responsibility on the reverse
side of the pink ply. •
/
APPLICANT'S SIGNATURE A - ' /Lel / DATE SIGNED 9 egO/ 96
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may resulk in suspension or
revocation of this permit or other penalty.
•
............... ..............................
ISSUING ❑ Town El Village ❑ City ❑ County ❑ State of Municipality Number of Dwelling Location:
JURISSD1. WTION.:
R viuc . 1tVf1S::U11 E01tM PERMJ :: :: :� y , . .. . i :
oB :
iiii > ;;::: » > <•. . >:.: : ::<:::<::: >::
SEE: S:. ... ..... . • .....: : : ::.:::: :, .. ��.gg�i�yy . ICY �.;:;:.;:.;;;;;;;::.:::;;:.>:.>:;:.:: :.:>;::.;:.::.;;;:.; ;; :.;;:.::.:;;;;;;:.;:.::.;;;; ;:_
>::: i-;::>: >::< >;::;:;:::i >:Si:;S;i::> :: :IC:fi rR1IFS
Plan Review $ ❑ Construction
Inspection $ O 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 - Ovyner /Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
OSHKOSH •
ON THE WATER
Name CURTISS HOMES Address 80 ROLLING GREEN CIR Create Date 09/30/96
Construction Data ® New Construction 0 Addition O Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR and 2 car attached garage
Compliance Checklist
Deficient Comments
U Use
U Lot Width
Li Lot Area
11 Lot Area Per Family
U Flood Plain
Li Front Yard
U Front Yard Side Street
U Rear Yard
U Side Yard
U Building Area
U Parking Standards
U Off - Street Loading Standards
Li Vision Clearance
Transitional Yard Standards
U 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 O Denied •
Plan Commission Action Required
1 Variance(s) Required
Reviewed By Darryn Burich Date 09/30/96