HomeMy WebLinkAbout0054088-Building (EO CITY OF OSHKOSH No 0054088
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 95 ROLLING GREEN CIRCLE Owner CONTEMPORARY HOMES INC Create Date 8/12/96
Designer Contractor CONTEMPORARY HOMES, INC
Category 110 - New Single Family Plan A5- 126 -796R
Type 'e Building 0 Sign 0 Canopy () Fence 0 Raze
Zoning R1 Class of Const: 8 Size IRREG 44X48
Unfinished /Basement 0 Sq. Ft. Rooms _ 7 Height 20 Ft. I Projection
Finished /Living 1840 Sq. Ft. Bedrooms 3 Stories Bi -level Canopies
Garage 528 Sq. Ft. Baths 2 Signs
Foundation • Poured Concrete 0 Floating Slab 0 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, 10X12 REAR DECK AND 2 CAR ATTACHED GARAGE
of Work
HVAC Contractor BREWER HEATING Plumbing Co r P &S PLUMBING
Electric Contractor '�A�
I Ao. \
Fees: Valuation $52,650.00 Permit Fee Paid $247.50 0 Park Dedication $100.00
Issued By: �� 3 )5° Date 8/22/96 Final/O.P.
Permit Voided �v1 v
—
In the performance of this work I agree to perform all , • . ursuant to rules governing the described construction.
kignature _
Date
Agent/Owner
Address 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 Telephone Number 235 -5610
LATE a.- 1C-7 I,
NAME < L0■. 51 kv e.c ADDRESS
LOT W3 BLOCK WARD
ARD
S UBO I V . V \V► A s Cs- NJ:2- ,.,, \C" -e- 14 ZONE
STREET NO . QA \ \∎ n. C..... 1Q.$2 c,; it1c. LOT 0I MENS I GNS
S I OEWALK EXISTING YES El NO Pr
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 7/29 ,1g 9G BY ‹
FEE: $15.00
•
-----241612ki-1(22
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DEPARTMENT OF FUc L I WORKS
1, the undersigned, owner or agent of the above described property agree ro have the
grade estaaiished before excavation has commenced.
001:511 93 4,5
/ .
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
' , _ 141 Constr 0 HVAC ❑ Elec 0 Plbg 0 Erosion 0 Other:
• ne s , ame Mailing Address r elephone No.
CONTEMPORARY HOMES INC 2755 ALGOMA BLVD Oshkosh WI 54901 - 0 235 -5610
contractor :m Con Elec ❑ HVAC9 Plbg Lic/Cert # 1Vlailing Address I elephone No.
CONTEMI'UKAKT h7UMtb, !NU 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 236 -5610
contractor:El Con El Elec D HVAC ❑ Plbg uGt,emF Maiur g • .. - p
ie n one No.
1.ontractor: ❑ Con Q Elec IN HVACI3 Plbg LIGGert iF Mailing A ddres s r erepnone No.
Contractor:0 Con ❑ Elec 0 HVAC O PIbg LIGt..elT iF "Maning Address I eiepnone No.
,, Lot Area
�,. Sq• ft. 1/4, 1 /4,Section ,T N,R E(or)W
:in • ing • • • ress - Su division Name Lot No. block No.
95 ROLLING GREEN CIRCLE / ��) ,
Zoning Uistrict(s) Zoning Permit No. '�� H/ /o �� Front , e Lett Kight
Setbacks ft. ft. ft. ft.
ry .. � ama �, 3 �� �z .
IN New 0 Repair : Single Family n ranee ane i Forced Air Furnace Fuel i • o ar
Alteration Raze Two Family Size: 100 amp Radiant Baseboard or Panel
Move Garage Service: Heat Pump Space Htg ® E] 0 ❑ ❑ 0
Other (print): • Overhead Boiler Water Htg ® 0 Ej 0 0 ❑
0 Other Underground Central Air Conditioning * LJ Dwelling unit wil have 3 ki owatt or
, , Other
::,f.,.:, ; � more installed electric space heating equip.
mn Site Constructed 2 Concrete ,,f r o Infiltration control option is :0 Full sealing Masonary � , �
p g
Unfinished ry Sewer of joints. Blower door test. Ej Exterior
Basement 0 Sq ft. Municipal Wood Munici al air intltration barrier.
sue, ...��: tie Other
1-Story Septic 1,
Living Area 1840 Sq. ft. �
Garage 528 Sq ft 2 -Story " "easona Permit No Envelope • • BTU/HR
Other �_� Permanent ' } s Infiltration 11846 BTU /HR
Bi -level
Other Municipal Utility rmG�o
0 Plus Basement El Private On -Site Well $63,000.00
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 legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate.
LICANT'S SIGNATURE_ DATE SIGNED
APPROVAL CONDITIONS This permit is Issued pursuant the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
Maintain erosion control 2 Submit plans 3 The deck is the required 2nd exit 4 Garage wall is required to be separated from living unit per ILHR
21.08 5
€ Town 0 Village ® City — 1 County H State of Municipality Number of Dwelling Location:
Im o-:' X 1,
City Of Oshkosh 7 0 - 2 6 6
p r �
. _ . �„ .... . 4 . .<.-� .- ..w.�,._._
Plan Review
$40.0o Z C onstruction
Inspection HVAC Name Darryn Burich
Wis. Permit Seal $30.00 Electrical Date 08/12/96
Other — Plumbing
' Erosion
Total $70.00 176208 Cert. No. 5935
SBD -5823 (R. 07/92)
OSHOSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 95 ROLLING GREEN CIRCLE Date 8/22/96
Name CONTEMPORARY HOMES INC
Address 2755 ALGOMA BLVD Oshkosh WI 54901
Subdivision Rolling Green Meadows Lot 43
Building Permit Number 0054088
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
ner's Signature Date
Inspector's Signature Date
OSH'OSH
GRADE STAKE FORM
ON THE WATER Grade Stake Number 5556
Name CONTEMPORARY HOMES INC Address 95 ROLLING GREEN CIRCLE Create Date 08/12/96
Lot 43 Block Ward
Subdivision Rolling Green Meadows Zone R1
Street Number 95 Rolling Green Circle Lot Dimensions Sidewalk Existing
Building Grade Elevation Stakes Set At Site 07/29/96 Set By KN
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.
\-kUAC. - ,;250 P( (-f5oo €(ec c9 G60
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 pink copy) Parcel No.
Madison, WI 53707 The information you provide may be used by other government agency
Wisconsin Statytes 101.63. 101.73 r rams [Privacy Law, S. 15.04 (1) (m)j.
PERMIT REQUESTED Constr 0 HVAC 0 Elec 0 Plbg ❑ Erosion ❑ Other:
O ner's Name - Mailing Address Telephone No.
s•- ..LI • ■ - C Jr10 I. .•w _ ■ . di. 14V-00 c a 4-(142 - 6/0
Contractor's N. e: ISit ❑ Elec ❑ HVAC ❑ Plbg Lic/Cert # M - . ing Address Telephone No.
31N e, ( )
Conntr ctor's Name: ❑ Con KElec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
rhDMMer/ fleet-If-1c ( )131'lZRq .
Co ractor's Na ❑ cog ❑ Elec Fir HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
Co actor's,,qTIame: D�7 Con H, Elec ❑ HVAC g Plbg Lic /Cert # Mailing Address Telephone No.
6 taiyt ink' ( ) 73f -31',Z
PR CT E LO I N LoI/�rea
Buildin Address �J� Sq. ft 1/4, 1/4, Section , T N, R E (or) W
9 9,5 „....-
S S division Name Lot No. Block No.
foa in' � 6 Mead 605 L t
Zoning District(s) Zoning Permit No. Front (Re - r , rr Left f (t Right N
yyJy(y�= _ Setbacks 36 ft. MoD j l ft. 1 Q ' ft. 10 ft.
:::1:R'::Pi1V �': :::: i : : i ": :::::i::::is: : ::i::::i:<:: �Y C :: : C .. ; . i . : ::: .:i . :• : ' .::.: . . ._ . : : : i : :: : .i :: ..:.: .: ... .: ..: i..i..iii'.. :.
New .� �C 7 ....:... . . . :: . : . , , _
> OCCE�E? !±��CY C .�. ;::.: :;: .H1t�r� ��rLt(PM�I�tf':::..:� <: ' E2.: 1�1�1����`;�1�.C� <::: » >:_:::;: ..... :,
❑ Repair Single Family Entrance Panel 'e, Forced Air Furnace Nat L. P. Oil Elec. Solid Solar
Alteration ❑ Raze Two Family Size: (00 amp �j Radiant Baseboard or Panel Fuel Gas *
❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump
❑ Other (print): W Underground ❑ Boiler Space Htg ❑ ❑ ❑ El ❑
❑ Overhead ❑ Central Air Conditioning Water Htg jfk ❑ ❑ ❑ ❑ ❑
❑ Other
*0 * ❑ Dwelling unit will have 3 kilowatt or
>'4 C ST I 7' ::FOUND �TfON
(Site Constructed Concrete ' more installed electric space heating equip.
�] Manufactured Masonry PEUMIIFNG. Infiltration control option is: ❑ Full sealing
2 z ' MNV VE S ewer of joints. ❑ Blower door test. ❑ Exterior
❑ Treated Wood
air infiltration barrier.
Unfinished Basement Sq. ft ; STORIES ❑Other ,Municipal f
❑ 1- Story 8 USE ❑ Septic 1 : NIEATt(ira c..dGi13Ct't>
Living Area / O . Sq L Permit No Envelope BTU /HR
❑ 2 -Story ❑ Seasonal
5 0 [Other Permanent WATER' Infiltration BTU /HR
Garage Sq ft. t � yy -- X
1�L'LgA(.. ❑ Other ACL,MuniupalULlitY ;;'.'': SI BUIj CNG:tOSr...:;. ::;>
❑ Plus Basement ❑ Private On -Site Well $(3000, --""
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of
the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANTS SIGNATURE DATE SIGNED 7/2-4(qL
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of Itga permit or other penalty.
, : t IA Rt. CE .1\1 i
1UL ?f,t9gb
, - ..^ , 1 Z Il i
v't 1g
SSU ❑ Town ❑ Village ❑ City ❑ County ❑ State of: Municipality Number of Dwelling Location:
IURISDICTION
II $ $
s:
Plan Review $ ❑ Construction
Inspection $ ❑ HVAC Name
Wis. Permit Seal $ ❑ Electrical
Other $ ❑ Plumbing Date
❑ Erosion
Total $ ❑ Cert. No. .
SBD - 5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
OSHKOSH
ON THE WATER
Name CONTEMPORARY HOMES INC Address 95 ROLLING GREEN CIRCLE Create Date 08/12/96
Construction Data ® New Construction 0 Addition 0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR, 10X12 rear deck, with 2 car att. garage
Compliance Checklist
Deficient Comments
L j Use
j Lot Width
[J Lot Area
J Lot Area Per Family
Lf Flood Plain
Lf Front Yard
L1 Front Yard Side Street
Lf Rear Yard
Li Side Yard
LJ Building Area
LI Parking Standards
LI Off - Street Loading Standards
L j Vision Clearance
LI Transitional Yard Standards
Lf Landscape Standards
j Height
Li Conditions of Approval
Li Compliance with P.C. or BZA Conditions of Approval
Lf Signage Standards
L 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 Q Denied
Plan Commission Action Required
1 Variance(s) Required
Reviewed By Darryn Burich Date 08/12/96
Building Permit Work Card
Job Address 95 ROLLING GREEN CIRCLE Permit Number 0054088 Create Date 8/12/96
Owner CONTEMPORARY HOMES INC Contractor CONTEMPORARY HOMES, INC
Category 110 - New Single Family
e 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze Plan A5- 126 -796R
Zoning R1 Class of Const: 8 Size IRREG 44X48 Value $52,650.00
UnfinishedlBasement 0 Sq. Ft. Finished/Living 1840 Sq. Ft. Garage 528 Sq. Ft.
Rooms 7 Bedrooms 3 Baths 2 1 I Projection
Stories Bi -level Height 20 Ft. Canopies Signs
Foundation ! Poured Concrete Floating Slab Pier Other 0
Concrete Block Post Treated Wood
SKOTZKE
Occupany Permit Required Flood Plain No Height Permit Not Require
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR, 10X12 REAR DECK AND 2 CAR ATTACHED GARAGE
of Work
HVAC Contr BREWER HEATING Plumbing Contr P &S PLUMBING
Electric Contr
Inspections:
Date Type Inspector LJ Approved
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SALE 1a =20' DATE 7/23/96 I0 ALL RiMI RMUVM I @ ` _ JCW L. R+M WILE EVERY ATTEMPT HAS BEEN MADE IN THE PRE -
�...� ...�.. "A fxw ur" T *.� T . vs PAQATTM rlF THIS PLAN TD AVI TM MISTAKES. T Hr MAKER