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Home My WebLink About0054893-Building (D , CITY OF OSHKOSH No 0054893 OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 105 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 10/2/96 Designer Contractor CONTEMPORARY HOMES, INC Category 110 - New Single Family Plan B5- 164 -996R Type • Building 0 Sign 0 Canopy O Fence 0 Raze Zoning R1 Class of Const: 8 Size IRREG 50X30 Unfinished /Basement 672 Sq. Ft. Rooms 6 Height 24 Ft. U Projection Finished /Living 1400 Sq. Ft. Bedrooms 3 Stories 2 Canopies Garage 616 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 AND TWO CAR A 1 1 ACHED GARAGE of Work HVAC Contractor BREWER HEATING Plumbing Contra P&S PLUMBING Electric Contractor � P P Fees: Valuation $53,950.00 Permit Fee Paid $250.00 1 K - ` PO ark Dedication $100.00 Issued By: c\ k Dated 10/3/96 Final /O.P. \ ..\/ 0 Permit Voided e6C In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 7/0 / 3 A._ Signatu Date Agent/Owner Address 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 Telephone Number 236 -5610 CATE 9/..)- /Va NAME �-t1-ti A-S &L (1577)m hM Al ES ADDRESS LOT 4 BLOCK WARD SU80I V . gI la tELAI / 6p ZONE STREET NO. AS &JAIL ( i?JE.EAl N. LOT OIMENS IGNS SIDEWALK EXISTING YES 0 NO 0 , B U I L D I N G GRADE ELEVATIONS STAKES SET AT SITE c i /71 , 19 q C ° BY / FEE: $15.00 .r: J.+ /4' ■ 14 I —... OE. ARTMENT OF U L I C WORKS I, the undersigned, owner or agent of the above described property agree TO have the grade established before excavation has commenced. 0O ` a-� / ZL Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0000000 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 _ Wisconsin Statues 101.63, 101.73 , a P ® Constr E] HVAC D Elec 0 Plbg ® Erosion ❑ Other: • ne s erne Mailing Address 1 elephone No. CONTEMPORARY HOMES INC 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 t.ontractortila Con El Elec El HVAC 0 Plbg Lic/Cert # Mailing Address 1 eiepnone No. CONTEM UKAKY IIUMtb, !NU 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 236 -5610 rantraelOr Er on ec g Lid/Cert # Mailing Address i eiepnone No. Contractor: ❑ Con ❑ Elec ® HVAC ❑ Plbg Lic/Cert # Malnng Address i eiepnone No. BREWER i-itA I INI, N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494 Lontractor: LJ Con 0 Elec ❑ HVAC ® Plbg Lic/Cert # mallIrtgwiaress i eiepnone NO. P &S PLUMesiNU PO BOX 2153 APPLETON WI 54913 - 0000 734 -3912 i 3 LOt Area sq. ft. 1/4, 1 /4,Section ,T N,R E or W =uI • ing ' • • ress Subdivision Name Lot No. Block No. 105 ROLLING GREEN CIR Rolling Green Meadows 44 Zoning District(s) Zoning Permit No. Front Rear Lett Right Setbacks ft, ft. ft. ft. ® New o Repair : Single Family n rance - ane : Forced Air Furnace Fuel 1211111111111 o ar 0 Alteration E3 Raze Two Family Size: 200 am• Radiant Baseboard or Panel ID Garage Service: Heat Pump Space Htg ® 0 0 0 0 0 Addition El Move Other (print): • Overhead i Boiler Water Htg ® O ❑ D ❑ El ❑ Other Underground — Central Air Conditioning • ❑ Dwelling unit wil have 3 ki owatt or ,[ ° . Other more installed electric space heating equip. Site Constructed p�� Concrete Infiltration control option is Full sealing Unfinished Manufactured • Masonary Sewer of joints. fl Blower door test. 0 Exterior Basement 672 Sq ft. g , a Treated Wood Municipal air intiItratiio i barner. Living Area 1400 Sq. ft. 1 -Story Other 0 Septic 2 -Story '�` -� - - - °e Permit No. Envelope • BTU /HR Garage 616 Sq. ft. Other . easona 12820 CI Permanent �� '` �� H e < Infiltration BTU /HR Other Municipal Utility "' -; • °�_> ® Plus Basement El Private On -Site Well $65,000.00 The applicant agrees to comply with all applicable codes, sTatues andordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or implied, on the 1 •artment or municipality; and certifies that all the above information i acc Nrate. APPLICANT'S SIGNATURE A DATE SIGNED l67j. � 6 APPROVAL CONDITIONS I his permit is issued pursuant to the following conditions. Failure to comply may result In suspension or revocation of this permit or other penalty Submit truss plans 2 Maintain erosion control 3 Summit calcs for steel beam in basement as it may be undersized Town 0 Village ® City ❑ County ❑ State of Municipality Number of Dwelling Location: . � City Of Oshkosh 7 0- 2 6 6 Plan Review $40.00 g Construction Inspection HVAC Name Darryn Burich Wis. Permit Seal $30.00 — Electric Date 10/02/96 Other Plumbing 7 Erosion Total $70.00 176414 Cert. No. 5935 SBD -5823 (R. 07/92) OSHOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 105 ROLLING GREEN CIR Date 10/3/96 Name CONTEMPORARY HOMES INC Address 2755 ALGOMA BLVD Oshkosh WI 54901 Subdivision Rolling Green Meadows Lot 44 Building Permit Number 0054893 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee / Signature `— Date 7:0/ Inspector's Signature Date OSHKOSH t .114) GRADE STAKE FORM ON THE WATER Grade Stake Number 5595 Name CONTEMPORARY HOMES INC Address 105 ROLLING GREEN CIR Create Date 10/02/96 Lot 44 Block Ward Subdivision Rolling Green Meadows Zone R1 Street Number 105 Rolling Green Circle Lot Dimensions I Sidewalk Existing Building Grade Elevation Stakes Set At Site 09/24/96 Set By KN 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. E(e� 2,1s oD P ( � 5-o o o {�-U 3as-0 Wisconsin Department of Industry, �V 1/ ISCONSIN 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 Statutes 101 63, 101 73 pr grams 'Privacy Law, s. 15.04 (1) (m)]. / :PERM' REQUESTED :. Constr ❑ HVAC ❑ Elec ❑ Plbg ❑ Erosion ❑ Other: • Owner's Name Mailing Address Telephone No. j I: t, 44 l co' • ' 5 i - 1. . ,t -r. 7/SS-4(9d ('iuot. - t(CesC,, co. c (4 -3 / o Cpptractor's ame: ❑ C. n Elec ❑ HVAC ❑ Plbg LidCert # Mailing Address Telephone No. t by s 1P.• fa V es c.. Sowt -� - (4A6 Z to • C trpcto� � r's ame: 0 Con Elec ❑HVAC ❑Plbg LidCert # Mailing Address Telephone No. CI✓YS/VtP/ cleCAlr`‘- g Co ractor's Name: Elec HVAC ❑ Plbg Lid ho Cert # Mailing Address Telephone No. 6 /P.w� e: Con i A C ( ) 70 eAf Cg tt ` r c orr Namei 0 Con ❑ ec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. j- c �, � ( )73((-- 9? Z. e I.d E 104 Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Ad ress S division Name Lot No. Block No. (�� ( o Ire � t ,e. KO( (ih G 4kJ1nodo\ -)s L4..(-( Zoning District(s Zoning Permit No. Front Setbacks 30 ft. l Rear Left Right W ( l ( ,r ft. ( ( 3/ 25 `` ft. 1 I f rl ft. ......< . >. . . :. .... >� 3 CUi�ANCY .;:..�..;:El.�C'IE'��:: HY�#! � tQiJIE��1E111'#':::: ��.::NIER> � : ��: >:< > New ❑ Repair ■ Ingle Family Entrance Panel : orced Air Furnace Nat L. P Oil Elec. Solid Solar ❑ Alteration ❑ Raze • wo Family Size: 70f) amp ❑ Radiant Baseboard or Panel Fuel Gas ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Other (print): Under round Space Htg - ❑ ❑ ❑ ❑ ❑ ❑ (P g ❑ Boiler ❑ Overhead ❑ Central Air Conditioning Water Htg L ❑ ❑ ❑ ❑ ❑ ❑ Other 0 Other * ❑Dwelling unit will have 3 kilowatt or $ifFE 7, ;IFIftNHA7fQltk ite Constructed rdConcrete more installed electric space heating equip. 1a. AEUMHl1IG Infiltration control option is: ❑ Full sealing ❑Manufactured ❑ Masonry ' ' ARE II 11rQ! V' ..A y Sewer of joints. ❑ Blower door test ❑ Exterior ❑ Treated Wood air infiltration barner Unfinished Basementt7ZSq ft >, ST ' < ❑ Other ,'Municipal • 1 Story (��S ' .HF ►T , .0$ :. . 0 ...< ❑ y l;:' US Permit No Living Area 1L (0 O Sq ft. Envelope BTU /HR -Story ❑ Seasonal . Garage (ol (2 Sq ft. ❑other Permanent 19 WATER Infiltration BTU /HR ❑ Other %Municipal Utility 14 EST. EEHIDING CDST ...:.:: Plus Basement ❑ Private On -Site Well $ 5 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. APPLICANT'S SIGNATURE )_- DATE SIGNED 9 - 2 f- '6 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. 9 JSSUIN ❑ Town ❑ Village ❑ City ❑ County ❑ State of: Municipality Number of Dwelling Location: iURISDICTION F E E S fl RMr S S UNI FORM PERNpT :PpER T 1SSI ED 8 : ::: Plan Review $ ❑ Construction Inspection S. ❑ 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 OSHKOSH ZONING /LAND USE COMPLIANCE CHECKLIST ON THE WATER Name CONTEMPORARY HOMES INC Address 105 ROLLING GREEN CIR Create Date 10/02/96 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 Li Lot Width Li Lot Area Li Lot Area Per Family Li Flood Plain Li Front Yard Li Front Yard Side Street Li Rear Yard U Side Yard Li Building Area U Parking Standards u Off - Street Loading Standards Li Vision Clearance Li Transitional Yard Standards Li Landscape Standards Li Height Li Conditions of Approval Li Compliance with P.C. or BZA Conditions of Approval U Signage Standards 11 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. i ® Approved Q Denied Plan Commission Action Required l 1 Variance(s) Required Reviewed By Darryn Burich Date 10/02/96 1 EC I dwm v SEP 24 1996 F t ARUK NORTH . t 4 MEADOWS N CIRCLE • A • J ' I �Ul LAJ a EC I dwm v SEP 24 1996 F t ARUK NORTH . t 4 MEADOWS N CIRCLE • A • J ' I �Ul