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Home My WebLink About0055416-Building CITY OF OSHKOSH No 0055416 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 85 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 10/22/96 Designer J. ROSS Contractor CONTEMPORARY HOMES, INC Category 110 - New Single Family Plan B5- 179 -1096R Type le Building Q Sign 0 Canopy Q Fence Q Raze Zoning R1 Class of Const: 8 Size Irreg 50x52 Unfinished/Basement 1172 Sq. Ft. Rooms 6 Height 18 Ft. LJ Projection Finished/Living 1172 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 756 Sq. Ft. Baths 2 Signs Foundation Iv Poured Concrete 0 Floating Slab Q Pier 0 Other Concrete Block 0 Post 0 Treated Wood Skotzke Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use/Nature NSFR and 3 car attached garage of Work HVAC Contractor BREWER HEATING Plumbing Contractor* P &S PLUMBING Electric Contractor Fees: Valuation $44,800.00 Permit Fee Paid $227.50, ��. 6� Park Dedication $100.00 Issued By: Q t \ to 10/31/96 Final /O.P. U Permit Voided O e/ In the performance of this work I agree to perform 9II work pursuant to rules governing the described construction. Signature )/' 'Z .j/ Date X /e; .?7 9/ Agent/Owner Address 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 Telephone Number 236 -5610 DATE ID— I NAME � NAME E �^ �- , .-p c° ( ) Z, 'i ADDRESS LOT V' BLOCK WARD SUM) IV. ZONE STREET NO . r2 4)' C - I m f l c LOT D I MENS I CNS S I OEWA LK EXISTING YES El NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE /OA& 19 9G 3Ykj f FEE: $15.00 • DEBAR "tP:T OF l,c L I C WCRK_ 1, the undersigned, owner or agent of the above describeC property agree ro have the grade estaaiished before excavation has commenced. • fi le r, ' ®O+ 574 Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0055416 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 • - • .-.-.- jarRupw 23 Constr 0 HVAC 0 Elec 0 Plbg 1:83 Erosion 0 Other: Owners Name Mailing Address Telephone No. CONTEMPORARY HOMES INC 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 ontractor: im Con 0 Elec 1:1 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. CONTEMPORARY HOMES, INC 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 236-5610 Contractor: 0 Con D Elec 0 HVAC ID Plbg Lic/Cert # Mailing Address _ Telephone No. Contractor: 0 Con CI Elec El HVAC El Plbg Lic/Cert # Mailing Address Telephone No. BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1-748-6494 Contractor: El Con El Elec 0 HVAC cgi Plbg Lic/Cert # Mailing Address Telephone No. P&S PLUMBING PO BOX 2153 APPLETON WI 54913 - 0000 734-3912 Lot Area Sq. ft. 1/4, 1/4, Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 85 ROLLING GREEN CIR Rolling Green Meadows 42 Zoning District(s) Zoning Permit No. Front Rear Left Right Setbacks ft. ft. ft. ft. tiPMECri::::::::::::::::::::::::::::::::: :40000 PANCY:i:i:i:::: '."Sta. -: : '• ''.:. :::::::::'' ' r New 0 Repair CI Single Family Entrance Panel ■:4 Forced Air Fumace Fuel Nat. L.P. Oil Elec. Solid Solar 0 Alteration 0 Raze • Two Family Size: 100 amp • Radiant Baseboard or Panel Gas • Garage Service: • Heat Pump Space Htg E3000 0 0 0 Addition L:1 Move • Other (print): • Overhead • Boiler Water Htg E3000 0 0 C■ Underground 1• Central Air Conditioning * 0 Dwelling unit will have 3 kilowatt or 0 Other f .;;;..• '6. ...t.:, . ' :: ;.;:;:;$;:7::. ,* .1i;•••.: . 2 . ; i:ii • Other more installed electric space heating equip. ;:e :41/4REMW.O.WED K:K:K:K:K:, IZ Site Constructed 23 Concrete '/WPAANOMG :::::•:•:+:•:•:•:•:•x4: Infiltration control option is: 0 Full sealing Unfinished p Manufactured 0 Masonary Sewer of joints. 0 Blower door test. 0 Exterior Basement 1172 Sq. ft. i;; ;:0 Treated Wood , Municipal air infiltration barrier. gi .. r Living Area 1172 Sq. ft. M 1-Story M . Othe 0 Septic 2-Story •••••••••-•-•-•••• Permit No. Envelope 23502 BTU/HR Garage 756 Sq. ft. rn / Seasonal L j Other KMZEEMK:K;K:K;K:K;K:K:i Infiltration 14462 BTU/HR (83 Permanent 0 Other 21 Municipal Utility • MEMBOILD.1146:300%.: M:;::::1: El Plus Basement 0 Private On-Site Well $55,000.00 The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or i lied, on the Departmen or municipality; and certifies that all the above information is accurate. ,--, APPLICANT'S SIGNATURE '", DATE SIGNED This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty Maintain erosion control 2 Submit truss plans 3 Patio door exit is the required 2nd exit steps must be in place at final inspection 4 it f:*ii:E::::::::::::::: 0 Town 0 Village 23 City 0 County Ei State of: Municipality Number of Dwelling Location: N''' N:.....x.. • ••••••••• iliI■V'''.666663VIO 'I* 7 0 - 2 6 6 City Of Oshkosh :t:::!......:.:.:.:._.:.:.:..:.:.:.:...:.1....t:t: :::::::,,,,,ii•x•:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::•xx.)x waw ••:•vx: • • .....tttftsekiiritilema ni•:•:•:•::•:•:•:•:•:•:•:•:•:•:iii.:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:*X.:•:•:•:•:•:•:•:•:•:•:•X " :•::::$; EAP*:::::::::::::::::::::*k.: Plan Review $40.00 Construction Inspection 111 HVAC Name Darryn Burich Wis. Permit Seal $ 30.00 • Electrical • Plumbing Date 10/22/96 Other I Erosion Total $70.00 II 185859 Cert. No. 5935 SBD-5823 (R. 07/92) 9 OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 85 ROLLING GREEN CIR Date 10/31/96 Name CONTEMPORARY HOMES INC Address 2755 ALGOMA BLVD Oshkosh WI 54901 Subdivision Rolling Green Meadows Lot 42 Building Permit Number 0055416 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature Date f c 3 / 1 6 i4 0 Inspector's Signature 4-- `7 � r Date i (‹D ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name CONTEMPORARY HOMES INC Address 85 ROLLING GREEN CIR Create Date 10/22/96 Construction Data • New Construction 0 Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR and 3 car attached garage Compliance Checklist Deficient Comments U Use u Lot Width 11 Lot Area U Lot Area Per Family u Flood Plain U Front Yard U Front Yard Side Street U Rear Yard u Side Yard u Building Area u Parking Standards 11 Off - Street Loading Standards 11 Vision Clearance u Transitional Yard Standards u Landscape Standards LJ Height U Conditions of Approval u Compliance with P.C. or BZA Conditions of Approval LJ 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. 1. Approved 0 Denied 1 Plan Commission Action Required Variance(s) Required Reviewed By Darryn Burtch Date 10/22/96 (4 0 ,P( 406 Wisconsin Department of Industry, ' WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations Safety and Buildings Division PERMIT APPLICATION P.O. Box 7969 (See instructions on back of pink copy) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency Wisconsin Statutes 101.63 programs [Privacy Law, s. 15.04 (1) (m)]. al:041000: Constr 0 HVAC 0 Elec 0 Plbg 0 Erosion 0 Other: 0. er's = me , Mailing Addr-ss Telephone No. -444/11A4A 9 0 0 L wrIA t '. 4 # ,A7 .1d—,6 ; ' I it. I .. ( V ( 72.-2 10 Contractor's Na e: 7:1W1 Eon a Elec 0 HVAC 0 Plbg Lic/Cert # Ma' ' g Address Telephone No. ( ) K CoAtragtors Name: 0 Con 121,_ Elec 0 HVAC 0 Plbg iic/Cert # Mailing Address Telephone No. 0 / 11 11 4 V ) /1 CL&-if'ri (iO4r731-2-2, CoAtractor's Name; 0 Con 0 Elec 4HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. 6 14 etr t 9 ( @Yq‘ift-CWY CohtractoNlamei Ofonle Elec 0 HVAC &Plbg Lic/Cert # Mailing Address T elephone No. , r 1 Ft iAnio, in (wYR3ci -Icitc, poi EcrtOcAIIoNmd 4411 Sq. ft. 1/4, 1/4, Section ,T N, R E (or) W Building 45Idress . ..,, a Subdivision Name Lot No. Block No. 4 1; KO( 1 1 1 13 Or etve. Ko(i(67,,,,,,, Zoning District(s) Zoning Permit No Front I Rear ( ff Le I Right e, Setbacks 3 ft. I 4 55 (1 ft. /0/4' ft . 9 3,73 ft. AVPROJECTANi::::::::::::::::MMg: :3AOCCUP:AtiCYg:;:6 ttECtRICAtE 9 : 42 iitNERGIOttipitetiiiii:sffigi:::::::::iiiii:iiiiiiMM New 0 Repair i".: Single Family Entrance Panel Z orced Air Furnace Nat L. P Oil Elec. Solid Solar L'Alteration 0 Raze • Two Family Size: tr)C) amp 0 Radiant Baseboard or Panel Fuel Gas * 0 Addition 0 Move 0 Garage Se vice: 0 Heat Pump 0 Other (print): nderground 0 Boiler Space Htg lifl 0 0 0 D 0 erhead ID Central Air Conditioning Water Htg g 0 0 0 0 0 0 Other ki *0 Dwelling unit will have 3 kilowatt or O;.' 740.14tNDATiOtt .... ....... ......... ......... more installed electric space heating equip_ 6 Tre Site Constructed oncrete 1 :iiii::::kti.Miuidg0:::MS: Infiltration control option is: o Full sealing ........... Manufactured 0 Masonry AREKINVOtVE0 ( L:i:.::::.1.:3:::::::.i:::.::]: 0 ated Wood Sewer of joints. 0 Blower door test. 0 Exterior air infiltration barrier. . Unfinished Basement ft. :;5''S-TOftka DOther grf un $441001iit0 .............................. K 1_ Story g Permit No. { l7 a-- Envelope Living Area BTU/HR s q• ft : -- 2-Story [ It.ii Infiltration BTU/HR Garage 7 Sq ft. 0 Other ,,-.:-.--...,.,...,...,---...,...---:....-.,--.,..............-...--•..-, -•-•-••••••••,:•-::::::,:::::::::::::,:::::::::::::::::: 0 Other Ammicipal Utility .44.; .................................................................................. Plus Basement 0 Private On-Site Well $ 55 — 000, / The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of I the permit creates no legalliability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE --------) 0/7Q -......._________ DATE SIGNED ( APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. I ISSUINGAN:::::,' 0 Town 0 Village 0 City 0 County 0 State of: Municipality Number of Dwelling Location: . . . -:: --------:-..--- :-.::::::: iuRiSpiCTIohr:. — — — — — EEsv:::::::::::,,,:::::::,,,,::,:,::::::::::::::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::,, . ,.: ... .$F.:Ai:.110;; ..:::::::::::::::::....., ,...: . • ..„....... , ..:...::: ..,,,po y. atissuevit*:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: OgRi!::i::::. .:: ...:,,n:::::::::::::::::::::::::::g::::::::::::::::::.:::::::::.::::::.:::::::::::::::::':.i;;::::::.i:::::: Plan Review $ 0 Construction Inspection $ 0 HVAC Name Wis. Permit Seal $ 0 Electrical Other $ 0 Plumbing Date 0 Erosion Total $ 0 Cert. No. SBD-5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent Building Permit Work Card Job Address 85 ROLLING GREEN CIR Permit Number 0055416 Create Date 10/22/96 Owner CONTEMPORARY HOMES INC Contractor CONTEMPORARY HOMES, INC Category 110 - New Single Family pet • Building 0 Sign n Canopy 0 Fence L Raze Plan B5- 179 -1096R Zoning R1 Class of Const: 8 Size Irreg 50x52 Value $44,800.00 Unfinished /Basement 1172 Sq. Finished /Living 1172 Sq. Ft. Garage 756 Sq. Ft. Ft. Rooms 6 Bedrooms 3 Baths 2 Projection Stories 1 Height 18 Ft. Canopies Signs Foundation Poured Concrete L Floating Slab Pier Other Concrete Block O Post O Treated Wood Skotzke Occupany Permit Required Flood Plain No Height Permit Not Require Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSI-R and 3 car attached garage of Work HVAC Contr BREWER HEATING Plumbing Contr P&S PLUMBING Electric Contr Inspections: -- le Type Inspector J Approved II (3 ( - 7 F--�- r 1-1 ok C-5 S -� b ‹-i 573C 11-2 1- 0) f e�-� 4 T 0hd'c. tikA1-Q - — hfo✓'s � n .c..ccc�, cn6l ct � gca / l,, -rc,11 /_ e 1 1 115 c. 5 bt / C ed , 1 t , I1 CA. v \car c - e' u c� z y e! ki.,GIt ice,i I ; n ; kO k • "'II 0 3r `P ll L5J \ b S \�,Ps A ID (d' \ -- ./1 ��` \r‘ wry ( VI '1 D l 4,1 o cc. (" v to �' v c , ,k VIA �1es� -►� t�� ` vk�� `�^ .,�c.v✓� -e r)'1' . 6942 -'r 1 C A / /q ,i ecr- . cam, L(Q,� ,., 11 ' N e-Y-V.----- e." enc.c.,..).p.t.f3 6:2 4, c ey) ;4 v; \4,k0 1,,s VI Ac. 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