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HomeMy WebLinkAbout0055875-Building c/K) CITY OF OSHKOSH No 0055875 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD , ON THE WATER Job Address 125 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC. Create Date 11/7/96 Designer Contractor CONTEMPORARY HOMES, INC Category 110 - New Single Family Plan B5- 194-1196R Type l• Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R1 Class of Const: 8 Size IRREG 55X48 Unfinished/Basement 1157 Sq. Ft. Rooms 6 Height 19 Ft. u Projection Finished/Living 1157 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 684 Sq. Ft. Baths 1 Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 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 A 3 CAR ATTACHED GARAGE of Work HVAC Contractor BREWER HEATING Plumbing Contra • P &S PLUMBING i f Electric Contractor Fees: Valuation $55,350.00 Permit Fee Paid $255.00 � ri� ,i h lark Dedication $100.00 Issued By: l \Date 12/3/96 FinaUO.P. S o Permit Voided 4`` ci In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. / Signature >< , _.� -4 Date �C (1 ' 3 / 0) kp Agent/Owner 111 Address 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 Telephone Number 236 -5610 CATE tt, ` /46 NAME ��� w. � f `'1 .� ,,,,a_ AOORESS LOT `lam BLOCK WARD SUBDIV. 1 9 - ..0% Cc \vy, ��t - ZONE V STREET NO \ oc,- , Y��. LOT DIMENSIONS SIDEWALK EXISTING YES El NO a BUILDING GRADE ELEVATIONS STAKES SET AT SITE II i I 1 ,I9 q G BY V- _1 FEE; $15.00 • it7i4( 4 (1 - 4-6, -a r DEPARTMENT OF P U B L I C 'WCRK_ 1, the undersigned, owner or agent of the above described property agree ro have the grade estaaiished before excavation has commenced. 5 00E595 Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0055875 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 gtgatialtetg N Constr 0 HVAC 0 Elec 0 Plbg El Erosion 0 Other: Owner's Name Mailing Address Telephone No. CONTEMPORARY HOMES INC. Oshkosh WI 54901 - 0000 on ra or: ■.7,4 Con El Elec El HVAC D Plbg Lic/Cert # Mailing Address Telephone No. CONTEMPORARY HOMES, INC 85 FOX FIRE DR OSHKOSH WI 54901 - 0000 236-5610 Contractor: 0 Con ] Elec 0 HVAC El Plbg Lic/Cert # Mailing Address - Telephone No. Contractor: 0 Con El Elec csi HVAC Ei Plbg Lic/Cert # Mailing Address Telephone No. BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1-748-6494 Contractor: 0 Con [] Elec 0 HVAC El 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. 125 ROLLING GREEN CIR ROLLING GREEN MEADOWS 45 Zoning District(s) Zoning Permit No. Front Rear Left Right Setbacks ft. ft. ft ft. VPRMCri:::::::::::K:K:::::::::::K:::qOQOVPAtfa;::'>;K:' "ii '''. ..:::..: : : • *..:: •:::::: MAVECIMIENT•:::::::::::::::i;iltatater:::"... cgi New El Repair C Single Family Entrance Panel oD Forced Air Fumace Fuel Nat. L.P. Oil Elec. Solid Solar 0 Alteration El Raze • Two Family Size: 100 amp • Radiant Baseboard or Panel Gas Addition • Garage Service: • Heat Pump Space Htg El 0 0 0 0 0 0 Move • El • Other (print): • Overhead • Boiler Water Htg (8] 0 0 0 0 0 Underground • Central Air Conditioning • Dwelling unit will have 3 kilowatt or 0 Other U ' 00/ ' ii : ; 9 . IIIIM . t ; • Other .............., more installed electric space heating equip. )e ::i:ARESINV.QMO'K:K:K:K:K: Z Site Constructed 0 Concrete CEM=::::::::::::::::::::::::::::: Infiltration control option is 0 Full sealing Unfinished 0 Manufactured • Masonary Sewer of joints. 0 Blower door test. 0 Exterior Basement 1157 Sq. ft 02=K • Treated Wood El Municipal air infiltration barrier. ... • Other 0 Septic i:"MISAVEdift:: S. .r. ••••:(-> •:::!:;:;:•".:K:K:K;K:i Living Area 1157 Sq. ft. El 1-Story p N 2-Story Envelope 28399 BTU/HR Garage 684 Sq. ft. r-1 • Seasonal L j Other :i4M" :K::::::;K:K:i Infiltration 13985 BTU/HR M Perrnanent Other Municipal Utility MENVOLKOMPOS:.: El Plus Basement Private On-Site Well $65,000.00 The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE \I-$ DATE SIGNED ( - 1 1 s 1/4 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 Patio door is the required 2nd exit, steps must be in place for occupancy 3 :::•' .t :::•:::•:::.•:: ii Town 0 Village E3 City Ei County 0 State of: Municipality Number of Dwelling Location: *::::;:::::•:;::::: .......!-!..!•:::. toilornon :::$ City Of Oshkosh 7 0 - 2 6 6 6m.:.:.:.:.;;:..:..:.....:.;:..:.:.....m: x.:•:•:•:•:•: , t . •-•x•:•:: • • •.::: : • • • • : . • , n•x•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•»:•:•:•:•:•:•:•:.:•:•:•:•:•):•:•:•:•:•:•:.x.:•:•:•:.:•:•:•:•:•:•: .:•:.v•tvil+:•:•:•:.:•:•:•:•:•:.:•:•:•:•:•:.:•:•:•:•:.:.:•:•:•:•:•:.:•:•:•*:+: ..:...RMIM x.x.....:...;.:::UNIMI.M.:.:...R10..:.r . . opArnss ... •:•:•:•:•:•:•:•:•:.*:•:+:•:•:•:+:•:•:•::+:•:•:•:•:•:•:•:•:•:•:+:. :::::f.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;::::::::;:y ::::•:::::÷:::::*:•:•:•:::::•:<•:•:•:•:•:•:•:•:•:•:•:•:•:+:•:::•:.: : ! : ! : ! : ! : *:!:!:!.:*: , :z!:!:.*:!:!:!:!:!:!:!:!:!:!:!:.tzt:!:!:*:!:!:!:!:!:.t:m . :v..:: . : . ' .. ...............:....+:•:•:•::::::„ , :..:A..,..,..:,!:!:.*:!.*:!*:!:z! . ,*:!:!:!:!:*:z!:*:::::!:z!:.*:!:!:::*:;:;:z;t;:;:;:;:*:;:;:;:;:i:;:.;:;:;.:i:;:;:;t;.:;:;:;: ! :;:;: Plan Review $40.00 1 Construction Inspection . HVAC Name Darryn Burich Wis. Permit Seal $ 30.00 • Electrical • Plumbing Date 11/07/96 Other 4 Erosion Total $70.00 II 185879 Cert. No. 5935 SBD-5823 (R. 07/92) OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 125 ROLLING GREEN CIR Date 12/3/96 Name CONTEMPORARY HOMES INC. Address Oshkosh WI 54901 Subdivision ROLLING GREEN MEADOWS Lot 45 Building Permit Number 0055875 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature �.. .BUJ \c�� Date Inspector's Signature t? Date ), ) 111 H-u A-c - S , - PCB - 360a E o o. 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 Statutes 101 .63 101 73 programs [Privacy Law, s. 15.04 (1) (m)1. :PER ITREQUESiTED jaConstr 0 HVAC ❑ Elec 0 Plbg ❑ Erosion ❑ Other: Owner's N- me Mailing Addr -ss Telephone No. _. .. V • e _4 L. �') S 1� I�4 to vo( 11 qe0Sti , ( ). -,-G Contractor Con ID El • c ❑ HVAC ❑ PI .9 Lic/Cert # Maili : • ddress Telephone No. ( ) C tr ctor s Name: ❑ Co FrElec ❑ H,YAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. 1M MeV 1 e rUe. ( )7 - ea C t C tractor's Name ❑ C ❑ Elec ZI HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. •' eak-) rn ( PW - -6 •tiG, Crtra�tolj Name: ,J Con ec ❑ HVAC' Plbg Lic/Cert # • Mailing Address Telephone No. V ( PROJECT LOCA N Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building dress S division Name Lot No. Block No. ZS g a (ve, Grp 0. vrLe., N o dit; �j 6 ✓e.ev\ Ikeac' o w s coning District(s) Zoning Permit No v Front Rear / / �� ft. ( Left ( �/ Ri t / if Setbacks ft. ft. l <:1::> hk . ; :. ; : .::.;:;. :iiii ; :. ; :.;;:.;:. ; ;: :: . "': , . ,: >'::. >: ;> > '< V :: : .......:�. aSCCE. EI��t►�CY;;: ,...... :..:.. » >:: >: >: ::; ::::;;: .. ; >. .: :.<:>::::>: : >:::::::: ><:: >:: »:: >:::<�>:<: ...: ..... K.�......... III# t�C. E. IEi�M�N'#'.. E�..: i�t�IwR?��:. �v��IE:.:....... >;:.;:.;; !i New ❑ Repair _4 Single Family Entrance Panel 1 Forced Air Furnace Nat L. P. Oil Elec. Solid Solar • Alteration ❑ Raze • Two Family Size: 10 0 amp ❑ Radiant Baseboard or Panel Fuel Gas ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg 4 ❑ ❑ CI ❑ ❑ Other (print): Underground ❑ Boiler ��/ Overhead ❑ Central Air Conditioning Water Htg • ,AiL ❑ ❑ ❑ ❑ ❑ ❑ Other ❑Other * ❑ Dwelling unit will have 3 kilowatt or 4 !C# $T :Typ >` ; .: IFouN DATtnIfE t I I ❑ S ite Constructed Concrete .. electric space heating equip. ���t. E,JIII�HI�It+C9 . ,.; more ins al ed a ': Infiltration control option is: 0 Full sealing `E" ❑ Manufactured S of Joints ❑ Blower door test. ❑ Exterior ❑T Maso reated nry Wood wer air infiltration bier. Unfinished Basement ii, •ft. 5 STt3RIE* ❑ Other Municipal arr ; , : ,..,,.. X1- Story - ❑septic q3 : HIEA►T ASS { ) tti .W.1 y 8' USE c Permit No. Living Area (I Envelo , • Sq. ft. ❑ 2 -Story Seasonal Envelope BTU /HR Garage sq. ft. ❑ Other ermanent 1'�If{A�TEIR;ii Infiltration BTU /HR ❑ Other AMuniupal Utility 14 _EST.81i[IDING:COST': .; Plus Basement ❑ Private On -Site Well ,500 ©r _-- The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal hability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE �� DATE SIGNED (( -5 9 i . APPROVAL CONDITIONS This permit is issued pursuant tothe following conditions. Failure to comply may result in suspension or it revoc of this pe or othe p en a lt y. ' ISSUIN ❑ T own ❑ Village ❑ City ❑ County ❑ State of: Municipality Number of Dwelling Location: JURISDICTION - FI ES I RM I'It {S ; ,UNIFORM PER T' 1:$:$0 ID 7 , 7 77, i1I*SHEi� 8Y k S E,0.L r40 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 125 ROLLING GREEN CIR Create Date 11/07/96 Construction Data 0 New Construction Q Addition Q Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR AND A 3 CAR ATTACHED GARAGE Compliance Checklist Deficient Comments U Use U Lot Width U Lot Area U Lot Area Per Family U Flood Plain Li 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. ID Approved 0 Denied Plan Commission Action Required Variance(s) Required Reviewed By DARRYN BURICH Date 11/07/96 m, � d r a JL t a C o d. 0! r I I I X n a R� [t- I "9 �' Navy �AlKk4�p L it 32 -O I v �r ' I 1!t I +Var�YH I + , Rxo�-LjWCc, GRFe�j - I MC iE� RO -L l"C. ll M E -.DoWb ,OSHKOSH �-OT 4 5 ACaP -RE'S 125 t?OLLO —)G GRF'tQ CIRCLE , aCA, LE f rr 2p , O .. �1 OTE : HocJ5t: Lo%Lrc;;,i'T Oct E:5 d` 1PJC 7H E DFTI OQ;AL F r �l