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Home My WebLink About0064897-Building CITY OF OSHKOSH No 0064897 OSH' OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 165 ROLLING GREEN CIR Owner CONTEMPORARY HOMES Create Date 6/26/98 Designer Contractor CONTEMPORARY HOMES INC 5/20/98 Category 110 - New Single Family Plan C6- 070 -698R Type r :LB • ing ign anopy ence - aze Zoning R -1 Class of Const: 8 Size IRR 46'X50' Unfinished/Basement 1092 Sq. Ft. Rooms 6 Height 16 Ft. U Projection Finished/Living 1092 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 504 Sq. Ft. Baths 1 Signs Foundation Poured Concrete O Floating Slab O Pier o Other t Concrete Block O Post O Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSI-W 1 Story home w/ 2 car attached garage, NU DECKS of Work HVAC Contractor BREWER HEATING Plumbing Contractor P &S PLUMBING Electric Contractor SCHOMMER ELECTRICAL CON Fees: Valuation $55,000.00 Plan Approval $40.00 Permit Fee Paid $212.50 Park Dedication $100.00 Issued By: J 37J JS Date 7/1/98 Final /O.P. Li Permit Voided In the performance of thi work I agree to perform work pursuant to rules governing the described construction. 0.,Q, Signature / /ra Date / Agent/Owner 6 / [[[ 98 Address 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0 Telephone Number 235 -5610 OSH OSH GRADE STAKE FORM ON THE WATER Grade Stake Number 5991 Name CONTEMPORARY HOMES Address 165 ROLLING GREEN CIR Create Date 06/26/98 Lot 47 Block Ward Subdivision Rolling Green Meadows Zone Street Number Lot Dimensions I Sidewalk Existing Building Grade Elevation Stakes Set At Site 06/26/98 Set By D.W.G. BK -534, P-49 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 of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0064897 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 • • •• ® Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other: • s `ame Mailing Address 1 elephone No. CONTEMPORARY HOMES 2755 ALGOMA BLVD Oshkosh WI 54901 - 0000 235 -5610 ontractor: Con ] Elec I T HVAC ❑ Plbg Tic/Cert # mailing Address e ep one '0. CONTEMPUKAKY HUMES INC: 5/ 2078 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 235 -5610 i..ontractor. Con m Elec H HVAC ❑ Plbg Lic/Cert # Mailing Aaaress i eiepnone No. SCHOMM:K ELECTRICAL. RICAL CON N 164 TWO MILE ROAD APPLETON WI 54915 - 9121 731 -2299 ontractor: Con 1 Elec Z HVAC Plbg tic/Cerf# • Mailing Aaaress i eiepnone No. BREWER AI ING — Ht N8804 N DOUGLAS ST RIPON WI 54971 - 0000 1- 748 -6494 ontractor 1 1 Con Elec _j HVAC Z Plbg Lic/Cert # mailing Aaaress i eiepnone No. PBS PLUMBINU PO BOX 2153 APPLETON WI 54913 - 0000 734 -3912 Lot-Area •. • • Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W ! ui • ing • • ress Subdivision Name Lot NO. IiIOCK No. 165 ROLLING GREEN CIR Rolling Green Meadows 47 Zoning Distnct(s) Zoning Permit No. 1-ront - ear Lett Right Setbacks ft. ft. ft ft ® New ❑ Repair ® Single Family n rance - ane ® Forced Air Fumace Fuel III - ❑ Alteration ❑ Raze ❑ Two Family Size: 100 am • ❑ Radiant Baseboard or Panel ❑ Addition El Move U Garage Service: ❑ Heat Pump Space Htg ❑ ❑ n ❑ ❑ F U Other (print): ❑ Overhead ❑ Boiler Water Htg ® ❑ ❑ n ❑ Other �� Underground Central Air Conditioning ❑ ❑ on ❑ Dwelling unit wil have 3 ki owatt or • . ❑ Other more installed electric space heating equip. ® Site Constructed Concrete •® :i ,,,,,,,,,,,••„ Infiltration control option is:❑ Full sealing Unfinished n Manufactured ❑ Masonary Sewer of joints. Blower door test. Exterior Basement 1092 Sq ft •: .; ❑ Treated Wood ® Municipal air intiltra ion barrier. ❑ Other — Living Area 1092 Sq. ft. ®1 -Story • • • • Septic tic Garage 504 Sq. ft. ❑ 2-Story . easona Permit No. Envelope 1 BTU/HR • ® Permanent :3 :• : ❖ :• In filtration 6683 BTU /HR ❑ Other ® Municipal Utility f - ® 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 'mplied, on the D - rtment or municipality; and certifies that all the above information is accurate. APPLICANTS SIGNATURE d L J 1.4 ∎ I' DATE SIGNED " • a APPROVAL CONDITIONS is perm is issu = • 1. ursuan o e o owing con • i ions. al ure o comp y may resu in suspension or revocation of this permit or other penalty Post the building card on site at all times. Maintain erosion control on site. :; ❑ Town ❑ Village ® City ❑ County ❑ State of Municipality Number of Dwelling Location: ii. '' City Of Oshkosh •' 7 0 - 2 6 6 Plan Review $40.00 • Con ••--- - - - - -- :---------------•-•-------•--------------------------- - - - - -- Inspection HVAC Name Nicole Krahn Wis. Permit Seal $30.00 Electric Date 06/26/98 Other Plumb Erosion Total $70.00 207810 Cert. No. 248101 SBD -5823 (R. 07/92) OSH OSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 165 ROLLING GREEN CIR Date 7/1/98 Name CONTEMPORARY HOMES Address 2755 ALGOMA BLVD Oshkosh WI 54901 Subdivision Rolling Green Meadows Lot 47 Building Permit Number 0064897 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature /3 (/I Date 7 J Inspector's Signature 1 j ��"' "`"��+ Date ZONING /LAND USE COMPLIANCE CHECKLIST OSH OSH ON THE WATER Name CONTEMPORARY HOMES Address 165 ROLLING GREEN CIR Create Date 06/26/98 Construction Data , New Construction O Addition Q Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR/ 1 story home w/ 2 car att gar/ NO DECKS Compliance Checklist Deficient Comments Li Use U Lot Width u Lot Area Li Lot Area Per Family U Flood Plain U Front Yard L Front Yard Side Street u Rear Yard u Side Yard U Building Area Li Parking Standards u Off - Street Loading Standards Li Vision Clearance Li Transitional Yard Standards Li Landscape Standards u Height Li Conditions of Approval U Compliance with P.C. or BZA Conditions of Approv U Signage Standards • 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 Vanance(s) Required Reviewed By NRK Date 06/26/98 /