Loading...
HomeMy WebLinkAbout0058319-Building O CITY OF OSHKOSH No 0058319 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 100 ROLLING GREEN CIR Owner JAMES MATHUSEK Create Date 5/21/97 Designer Contractor SHOWCASE CUSTOM HOMES Category 110 - New Single Family Plan C5- 055 -597R Type • Building 0 Sign 0 Canopy Q Fence 0 Raze I Zoning R1 Class of Const: 8 Size IRREG 49X58 Unfinished/Basement 1362 Sq. Ft. Rooms 6 Height 16 Ft. U Projection Finished/Living 1362 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 672 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 WITH A 2 CAR ATTACHED GARAGE of Work HVAC Contractor OWNER Plumbing Contractor AHERN -GROSS INC. Electric Contractor HOMEOWNER iae a, e0 y Fees: Valuation $72,500.00 Permit Fee Paid $297.50 4,0 C 3 o . op Park Dedication $100.00 Issued By: Date 6/4/97 Final/O.P. 1 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature -�„ Date f6 g / q Agent/Owner Address 0 - 0000 Telephone Number OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 5746 Name JAMES MATHUSEK Address 100 ROLLING GREEN CIR Create Date 05/21/97 Lot 23 Block Ward Subdivision ROLLING GREEN MEADOWS Zone R1 Street Number 100 ROLLING GREEN CIRCLE Lot Dimensions 1 I 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 before excavation has commenced. 5 Plk►.,bi• 3 S©c , lec?'ric -4 /So ' F/ ea 1; ' - 5 I c:).- Soo . 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 Wisc. nsin t. t• 111.. 181.7 pro. rams IPrivac Law, s. 15:04 (1) (m)]. <> ► Constr 0 HVAC 0 Elec 0 Plbg Erosion ❑ Other: Owner's Name Mailing Address Telephone No. t s /l�us.e I cx) $ 5 44 1 n,, duet ( YH ) .235 -56 C, Contractor's Name: ❑ Con ❑ EIec HVAC ❑ Plbg Lic /Cert # Mailing Addr ss Telephone No. g re -e r olly)Nr -e,, y Contractor's Name: ❑ Con ❑ Elec ❑ HVAC�.PIbg LiUCert # Mailing Address Telephone No. 11 5 /y) S > 4" / - /WV Contractor's ame: ❑ Con (ec ❑ HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. mo w• CS In ....' ce sek (yiq) .235-5-6/0 Contractor's -Name: jaCon ❑ Elec HVAC " Plbg LiUCert # Mailing Address Telephone No. v s e ( SG /O f t 1� t Lot Area efje i ri N' : :: Sq ft. 1 /4 , 1/4 Section T N, R E (or) W Building Address Subdivision Name Lot No. Block No. /0© v \bL Ft h( ‘reek Ci ✓GJC cZ©KV,r‘s (°7r cep 44 .ea/LEA..) S .23 Zoning District(s) / I Zoning Permit No. Front Left Right Setbacks .. : �jQ .. ft. near 6, 1 ft - ft. (0 ft. . . ... .. .. ..... .. . ..... .. .: .: :• : ':•: �:::: .:. t '. .....�ya�yy�� ii:: i. .: i•: ...:.:.:....:::.:. .::: ..::..:.:.:.. : ..... i::::s: : `:i:::� ii - ' .Y i: i::. y' ::ii : : '.:.i, � : i IP.MENT::::i:::::::::::: '.:::::: y • ' C :: ::i ::.` :: ::::::::`::::> y . y y, `Wy���fA!I�.�. � y{Ky��. lt. ���1� `��y� *y� �ay : h i i i :�i:iF.�..11l . /� ...fh�I�1f1 i ;: . :' �� y»»��■■' ��::==yy:: i :: i :::::::: : i :: .::: . : iv ?::, v :: :::vi::::i::i::::i> . :::: ;:: . '. :: .: .i ■�.:y: : yg , '/y�� v. ::.: .i: pii: :.yµµV..:� 1j1,��.�yt .�if1� �M l;11 ��1 4Y ... ; i :. } :•::• ; : % ^ :. i :. i ^ i:i': iii::.: iii` is��.; ��Y��. l:! I. . \;1�::::����: . ::: ... .... ._. � 5 ,�. .. .... � .... ...- ..... • New ❑Repair � Singlefamily Entra Panel , Fuel ❑Alteration ❑Raze ❑ Two Family Size: s2pO am p ❑ Radiant Forced Air Baseboard Furnace or Panel Gas L. P. Oil ,` * EIec. Solid Solar ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg ,J7� ❑ ❑ ❑ ❑ ❑ ❑ Other (print): ,Underground ❑ Boiler 0 Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ Other i ••. >i „•. : ❑ Other * ❑ Dwelling unit will have 3 kilowatt or !'[�`Ti' >TfiIRIE » >FT'iFNATiIC1> .......: more installed electric space heating equip Site Constructed Concrete ? < Infiltration control o option is: Fu ll sealing $n ifi #��'t�E3)Ii�H1�'Cii':`` <' ><; > .:: P ❑ 9 ��— ❑ Manufactured aso or test. Exterior M Blower E Sewer of joints. ❑ Blowe door ❑ *� %- ': : � : :..::, : :i :::,.: ❑Treate n ry Wood air infiltration barrier. Mumci al hr 1t� P ��!!' EE Ot e J f � ❑ Unfinished Basement �,�5 t . `.: ': > > : • :. : :> ❑Sept [:'. >:::: > #:;'�:H!►: s�! ��. ��' k`.# �.�d.:?C�1.: :..:..::: 8 US > #> :'i3 »'s »:z<s >< �y y Living rea / � �poZ S ft. � 1- Story Permit No. Envelope Of pf � BTU /HR g q' ❑ 2 -Story ❑ Seasonal ' • ` '���` ?A ° . .....<z'• » > > > < »' ?<E > >; Infiltration � Intraton c Garage S ft. ❑Other Permanent ::::: �.:::.:: � (0-ti �i. BTU /HR G e pp� �P q li t M ni i I ti 9 u c a U ['Other ❑ Plus Basement ❑ Private On -Site Well $ S 0 006 , oo 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 1 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 = . DATE SIGNED 5 -2c-9' 7 T 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. Town Village it Count State of: Municipality Number ofDwelling ❑ ❑ 9 Y ❑ Y ❑ P Y 9 Location: JURISDICTION ns10%,IeC,�,5Lt -7 Z 4: .1_ :::;-;;:';:::: Y.:;;::;::::>:< ::: : :::::::::<:?:::::::::: : : :;: >:::;: :: ::i:: i ::i � ': ': :.i; :.i:<.:< }'�.' ..;:.:�,:t.�,q Mot � �' �; �y:...:;::;;:::::;:;::::; 2<:: Y::>: �: ?:;:::> �;'::::� �'..2:<; Y::;: :: ":'`y:'::':`:::: : ±: y�y� �y :;:i: ::•':•:v: <.: ::':•'::::::i:.: : :: ::::::::: : ::: �Ir(s'::':::.::::: I:Si�:WI1 PERMIT:::::i :: ` `:,x: : : is s: i:: :. i':::::::�:. i:::::::::.< i:::::.::.:.::.:;.> i:.: :ii:.:::.::.::.:.:::::::: y�y { ��yy µ•, Hwy, iy.� iliF�1 i s ::i: :: is ::ii:: �iiiiiiii : : ::i::iiiii:ii : i::Lv iii > }i :'R�:��:Kfi::i::i'::::: i::i::: �:: i::: ii i::::; i i:i: :;:::::: � ' . . � : ' .:. �.�::::::... .. .. ::: ii: R :i:::i:i::ii:::i iiiiiiiii::i:: :i:: ii :::iii iii::::i:i i:i':'ii:i:!::n rii::::::::::! ::•::::. :: S ' ::::::::::::::::::i :::: :$04Lilo : : ,, :::<::«:iv:;:::::::q::;: l i:::: i :::::::::: i::i::::::::::;<:::::::;:>.: i:::::><: ::«:::::::i:: :;::::: i ::<::: >::::: <:: i> i:: :::<::::::<::«::i::::::i::i :i::ii: >:::ii: .: ' i', i: i::.: .::�::�.. :4i:::�iii . i:4iiiii :.i::�i::.' :U is ^:': i:iiii:•i:�i :�i:�i ::............................. .......... ............. .....................................................;; ...................... .. Plan Review $ l"! O °� Construction Inspection $ ❑ HVAC Name L / Cr�iV1 (�.. Wis. Permit Seal $ 3 A d0 ❑ Electrical il Other $ ❑ Plumbing Date ,� t ( ° �• T ! Total $ 7 C'a2 Erosion iSI HOC SI 3c • Cert. No. SBD5823 (R. 07/95) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 100 ROLLING GREEN CIR Date 6/4/97 Name JAMES MATHUSEK Address 2755 ALGOMA BLVD Oshkosh WI 54901 Subdivision ROLLING GREEN MEADOWS Lot 23 Building Permit Number 0058319 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature Date 641D_ Inspector's Signature: Date ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name JAMES MATHUSEK Address 100 ROLLING GREEN CIR Create Date 05/28/97 Construction Data • New Construction 0 Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR WITH A TWO CAR ATT. GARAGE Compliance Checklist Deficient Comments U Use 11 Lot Width U 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 U Off - Street Loading Standards U Vision Clearance U 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 05/28/97 1 a C7 i I 00 0' 15' 30' 60' 90' 7.5' 1 S' DENOTES PROPOSFED SILT PENCE s I CO R IS THE CONTRACTOR'S REISPONSIBIUIY TO ENSURE PROPER EROSION CONTROL BY USE OF SILT FENCING. GRAVEL ACCESS ROADWAY OR OTHER APPROVED METIM BY LOCAL AUTHORITY. CONSULT I.LKR. 21.128. LLH.R 21.13. AND LOCAL BUILDING INSPECTOR FOR ANY QUESTIONS. STOCKPILED SOIL MUST BE SEES WITH RYE GRASS OR CORED WITH A TARP. EROSION CONTROL SHAD. BE PLACED AT DOWN SLOPE OF THE STOWILE. Parcel Addrew ROLLING GREEN CR LOT 23 ROLLLING GREEN MEADOWS Scale: 1' =20' Data EhLador: Contempory/Showcase HOmes 414 - 235 -5610 JI�(9 IOHN Ia 9 WHILE EVERY BEEN h 3N PRE- o�� I 4120 !(IY .IINS F THIS PLAN N T HAS PAK2ATIDp1 F HIS PLTO ID MISS, Mi(I =R [ AVO MIS TAKE S, THE M A Cl� OSHKOSH, vi "Ni CAN HET GUARANTEE AGAINST HUMAN � THE FOR CUSTOM HOLIES AND ADDl1TONS TIL (414) 42.11 -»1921 _ RESPONSIBLE FOR ANY OR ADJUSTMENTS FAX (414) 426-8809 REQUIRED DURING ACTUAL CONSTRUCTION