HomeMy WebLinkAbout0065285-Building CITY OF OSHKOSH No 0065285
OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 150 ROLLING GREEN CIR Owner CONTEMPORARY HOMES Create Date 7/21/98
Designer Contractor CONTEMPORARY HOMES INC 5/20/98
Category 110 - New Single Family Plan C6 -082 -798R
Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size IRR 605:36'
Unfinished/Basement 878 Sq. Ft. Rooms 6 Height Ft. (9 Projection
Finished/Living 1658 Sq. Ft. Bedrooms 3 Stories 2 Canopies
Garage 737 Sq. Ft. Baths 2 Signs
Foundation Poured Concrete 0 Floating Slab 0 Pier 0 Other
Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ 2 story home w/ 3 car att. garage, NU DICK
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor P &S PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation $75,000.00 Plan Approval $40.00 Permit Fee Paid $262.50 Park Dedication $100.00
Issued By: Date 7/22/98 Final /O.P.
L Permit Voided
In the perform nce of this work I agr perform all workrPursuant to rules goveming the described construction.
Signature Ct Date
Agent/Owner
Address 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0 Telephone Number 235 -5610
OSH OSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6003
Name CONTEMPORARY HOMES Address 150 ROLLING GREEN CIR Create Date 07/21/98
Lot 25 Block Ward
Subdivision ROLLING GREEN MEADOWS Zone
Street Number Lot Dimensions I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 07/21/98 Set By D.W.G. BK -534, P-63
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.
Wisconsin Department oflndustry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0065285
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
•• •® Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other:
V ne s 'erne malting Address Telephone No.
CONTEMPORARY HOMES 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 235 -5610
• - • • L•4 on • ec u .' • • - .g i e : ' at ing . • • ress a ep one '0.
CONTEM UIiARY HUMS INC 5/ 2078 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 235 -5610
Contractor: J Con X Elec ❑ HVAI; J Plbg ic/Cerf# ' - • Address eiepnone No.
SCHOMM =It bLtC I KICAL CON N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 31 -2299
Contractor: I I Con L_ Elec X HVAC J P ic/Cert # ' - • Aaaress eiepnone No.
BREWER HbA I ING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 - 748 -6494
LontractoT Con J Elec HVAC X Plbg ic/Cert # ' - • Aaaress eiepnone No.
P &S PLUMBINU — PO BOX 2153 APPLETON WI 54913 - 0000 34 -3912
•• LUt HlCil Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
• �- - w • ing • • • ress ubdivision Name Lot No. Block No.
150 ROLLING GREEN CIR ROLLING GREEN MEADOWS 25
Zoning Dlstnct(s) zoning Permit No. Front Rear Lett Right
Setbacks ft. ft. ft ft.
® New L •Repair ® Single Family n rance -ane ® Forced Air Furnace Fuel 12�1i iiiiiiiiiiiii
❑ Alteration ❑ Raze ❑ Two Family Size: 200 am• ❑ Radiant Baseboard or Panel
❑ Garage Service: ❑ Heat Pump Space Ht J ❑ ❑ ❑ ❑ ❑
❑ Addition J Move
Other (print): ❑ Overhead Boiler Water Htg ® ❑ ❑ ❑ ❑ ❑
❑ Other L Underground Central Air Conditioning
•, ❑ J Dwelling unit wil have 3 ki owatt or
❑ Other more installed electric space heating equip.
Z Site Constructed ® Concrete Infiltration control option is ❑ Full sealing
Unfinished ❑ Manufactured ❑ Masonary Sewer of joints. n Blower door test. p Exterior
Basement 878 Sq. ft. • I ❑ Treated Wood ® Municipal air intiltratiiTh barrier.
El Other
g ❑ 1 -Story •....•• • ❑ Septic s< ;•;•:•:•x•:•;•;•:
Livin Area 1658 Sq. ft. • • ....•, .. -:.. =
Garage 737 Sq. ft. ® 2-Story •♦ easona�• Permit No Envelope • BTU /HR
Ill ;Infiltration 10312 BTU /HR
® Permanent '. •'Ss:
❑ Other Municipal Utility
® Plus Basement ❑ Private On -Site Well $95,000.00
The applicant agrees to comply wi 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 r implied, on the Depa nt or municipality; an certifies that all the above information is accur te.
APPLICANTS SIGNATURE rk,r 77 ,....., a DATE SIGNED / 3/ e
APPROVAL CONDITIONS i nis permit is ussuedtursuant to the tollowing conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
• :I • ' - -v ♦ I -• • •• v Tr. . . . -• •' •. -• ••
❑ Town ❑ Village IN City – 1 County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh
7 0 - 2 6 6
.. Plan Review ------- ---- °- $ 40.00 • COr1StrUCtlO ❖= • =----- ..:..,.......:..:.::::::_:_:::..I.2:: _ :_ ::.------------...----------
Inspection HVAC Name NICOLE KRAHN
Wis. Permit Seal $30.0o Electrical Date 07/21/98
Other Plumbing
X Erosion
Total $70.00 207821 Cert. No. 248101
SBD -5823 (R. 07/92)
( a) ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name CONTEMPORARY HOMES Address 150 ROLLING GREEN CIR Create Date 07/21/98
Construction Data New Construction 0 Addition 0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR/ 2 Story home w/ 3 car att gar, NO DECK
Compliance Checklist
Deficient Comments
U Use
u Lot Width
Li Lot Area
U Lot Area Per Family
Li Flood Plain
u Front Yard
u Front Yard Side Street
u Rear Yard
L Side Yard
_I Building Area
Li Parking Standards
u Off - Street Loading Standards
Li Vision Clearance
u Transitional Yard Standards
Li Landscape Standards
Height
Li Conditions of Approval
u Compliance with P.C. or BZA Conditions of Approv
• 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.
00 Approved O Denied
Plan Commission Action Required
I Vanance(s) Required
Reviewed By NRK Date 07/21/98
OSH OSH PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 150 ROLLING GREEN CIR Date 7/22/98
Name CONTEMPORARY HOMES
Address 2755 ALGOMA BLVD Oshkosh WI 54901
Subdivision ROLLING GREEN MEADOWS Lot 25
Building Permit Number 0065285
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature cu V Date _4310
Inspector's Signature Date
v'
NSA - ME
140' - 0 "
74 /- O p 36/-Ox f/ 30' -0"
lug
0
1
rI
stock
pile
1
0
roadway
LTi�■ilrll�
DENOTES PROPOSTED SIT FENCE
a
lO
I
Tr IS THE CONTRACTOR'S RESPONSIBILITY To ENSURE PROPER
EROSION CONTROL BY USE OF SILT FENCING, GRAVEL ACCT
ROADWAY OR ORFIER APPROVED MET IM BY LOCAL AUTHORITY.
CONSULT I.LH.R. 21.126, LL.H.R 21.13. AND LOCAL BUILDING
INSPECTOR FOR ANY QUESTIONS.
STOCKPAM SOL MUST BE SEEDED WITH RYE GRASS OR COWERED
WITH A TARP. EROSION CONTROL SHALL BE PLACED AT DOWN SLOPE
OF THE STOCKPILE.