HomeMy WebLinkAbout0061506-Building CITY OF OSHKOSH No 0061506
OSH OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 90 ROLLING GREEN CIR Owner DAVIS CONCRETE Create Date 11/28/97
Designer Contractor DAVIS CONCRETE CONSTRUCTION
Category 110 - New Single Family Plan C6- 114 -1197R
Type al Building 0 Sign 0 Canopy O Fence 0 Raze
Zoning r -1 Class of Const: 8 Size IRR 51'x51'
Unfinished/Basement 200 Sq. Ft. Rooms 7 Height 22 Ft. r J Projection
Finished /Living 2378 Sq. Ft. Bedrooms 3 Stories Bi -level Canopies
Garage 576 Sq. Ft. Baths 3 Signs
Foundation Poured Concrete O Floating Slab O Pier 0 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-R/ New ,bi- level, single family home with a two car garage, and 8'x11' rear deck.
of Work
HVAC Contractor EC MERRILL CO Plumbing Contractor E C MERRILL INC
Electric Contractor i..1U■ #
, GS if /S
Fees: Valuation ` $85,000 // + • Pia 'Approval $40.00 Permit Fee'Pa $287.50 Park Dedication
O$100.00
Issued By: \ WIN Date 12/1/97 Final /O.P.
Li Permit Voided
In the performance of this w I e to perform all work pursuant to rules goveming the described construction.
Signature )n Date
Agent/Owner
Address 1042 TYLER AVE Oshkosh WI 54901 - 0 Telephone Number 920 -426 -3339
1@1
GRADE STAKE FORM
OSH OSH
ON THE WATER Grade Stake Number 5868
Name DAVIS CONCRETE Address 90 ROLLING GREEN CIR Create Date 11/28/97
Lot 22 Block Ward
Subdivision Rolling Green Meadows Zone
Street Number Lot Dimensions I 1 Sidewalk Existing
Building Grade Elevation Stakes Set At Site 00 /00 /00 Set By
Department of Public WorKs
1, the undersigned, owner or agent of the above described property agree to have the grade/established before excavation
has commenced. F rak)
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0061506
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
d - 1 :' t `' "'' : ® Constr HVAC 0 Elec El Plbg ® Erosion — Other:
Z ne s F ame Melling Address I elephane No.
DAVIS CONCRETE 1042 TYLER AVE Oshkosh WI 54901 - 0000 920 -426 -3339
contractor M Con 1 Elec J HVAC fl Plbg Lic/Cert # Mailing Address 1 elepnone No.
DAVIS CONCKE 1 E CONS I {UC 11 1042 TYLER AVENUE OSHKOSH WI 54901 - 0000 426 -3339
contractor. J Con J Elec 1J HVAC J Plbg Lic/Cert # Mailing Aaaress i elepnone rvo.
-
contractor: Li Con J Elec HVAC J Plbg Lic/Cert # Mamng Aaaress 1 elepnone No.
EC MERRILL CU 804 WITZEL AVE OSHKOSH WI 54901 - 0000 235 -3600
'Contractor. 1 Con J E J HVAC Plbg Lic/Cert # mailing Aaaress i elepnone rvo.
E C MERRILL INC 804 WITZEL AVE OSHKOSH WI 54901 - 0000 235 -3600
Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
i ul • Inge• • ress Subdivision Name Lot No. block No.
90 ROLLING GREEN CIR Rolling Green Meadows 22
Zoning Uustnct(s) Zoning Permit No. Front Kear Lett Right
Setbacks ft. ft. , ft.
:: . v oar
® New 0 Repair Single Family n rance • ane Forced Air Fumace Fuel�ki
Alteration C Raze Two Family Size: 200 amp Radiant Baseboard or Panel hil
Addition Move Garage Service: Heat Pump Space Htg 0 _ 0 J 0 ❑
0 Other (print): ❑ Overhead 7 Boiler Water Htg ® J 1 J 1 1
Other Underground Central Air Conditioning
El
= �'� ; � Oth er _ Dwelling d u nit wil have 3 ki owatt equip.
....
more install electric space heating quip.
< ' ..::::::::::::::::::::: Site Constructed Concrete . ., , a ..
5 .
;:; Infiltration control option is: 0 Full sealing
Unfinished Manufactured Ma ted Wood Sewer • • • • • • • • of joints. Blower door test. El Exterior
Basement 200 Sq ft. ® Municipal air intiitran barner.
Other
Living Area 2378 Sq. ft. 0 1 -Story M O Septic. t l
17 2 -Story �_ ... Permit No. Envelope BTU /HR
Garage 576 Sq. ft.
® Other M easona
Permanent :,.-, ,, ' ,, , :i:K:i:K$Kfititi:K Infiltration 29108 BTU /HR
Bi -level Other Municipal Utility
® Plus Basement M Private On -Site Well $100,000.00
The applicant agrees to comply with all applicab codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express mp d, artment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
APPROVAL CONDITIONS i ills permit is issued pursuant to the tollowing conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
- os • ui • ing perm on si e in a ron win • ow or pa io • oor once e roug raming is comp a e. ' ain ain erosion con ro . u • mi russ p ans on si e • y
the rough inspection.
• : : , l l 'tt • Town Village ®City County State of: Municipality Number of Dwelling Location:
pills City Of Oshkosh 7 0 - 2 6 6
r0 : ❖ : :• :• :•: :• •O.O• ••: :•: :•::: O.:: JO:.• • ". � „2 3 �t '� s E � "s t•I . :: . •
f ... O•:.•:•:•:•:• :•:• :• :• :• :•••••• ❖ <,. < ., <:.a ! �. 2.. * a' O •
000 •••••••••••••••••••••••••••••• �• •••••. •.• •�•.O•Oi •0•0iii0�0000•
. JOJOii• •••••••• '' • .___...= ...�•e..._.. -_._ ....0. ::.00••• 000•Oi •D ��.�
• ... • ... • • .. • ... • . • ....... ..OSOOSOS' ,_ • •• •. •• •O� 0•i i .•0001.0.00 0•�0•� 0•� • ... • •
. . . ...... . ....! ! !. •a ...: . _ ....!� �.•..: _ ... _ � . � !!! ! !._!!!!!!•_!!!! _._•_!•OJ_ .
Plan Review $40.00 X Constructio
Inspection _ HVAC Name Nicole Krahn
Wis. Permit Seal $30.00 Electrical
Other Plumbing Date 11/28/97
X Erosion
Total $70.00 196237 Cert. No. 248101
SBD -5823 (R. 07/92)
OSHOSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 90 ROLLING GREEN CIR Date 12/1/97
Name DAVIS CONCRETE
Address 1042 TYLER AVE Oshkosh WI 54901
Subdivision Rolling Green Meadows Lot 22
Building Permit Number 0061506
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 1 Fee Paid
Owner's Signature ` A Date
Inspector's Signature 1 Date
ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name DAVIS CONCRETE Address 90 ROLLING GREEN CIR Create Date 11/28/97
Construction Data • New Construction 0 Addition O Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR/ Bi -level with 1 car garage and deck
Compliance Checklist
Deficient Comments
j Use
Lot Width
U Lot Area
U Lot Area Per Family
Li Flood Plain
Li Front Yard
Front Yard Side Street
U Rear Yard
Li Side Yard
U Building Area
Li Parking Standards
Li Off - Street Loading Standards
Li Vision Clearance
Li Transitional Yard Standards
Landscape Standards
U Height
U Conditions of Approval
U Compliance with P.C. or BZA Conditions of Approv
u Signage Standards
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
Variance(s) Required
Reviewed By Nicole Krahn Date 11/28/97
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