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CITY OF OSHKOSH No 0077407
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 190 ROLLING GREEN CIR Owner THIRD MILLENNIM CORP Create Date 05/25/2000
Designer Ross Design Contractor SHOWCASE CUSTOM HOMES INC 5/29
Category 110 - New Single Family Plan C8- 057 -0500R
Type • Building O Sign O Canopy O Fence O Raze
Zoning R -1 Class of Const: 8 Size 39' x 61' irrg
Unfinished /Basement 1526 Sq. Ft. Rooms 5 Height 19 Ft. ❑ Projection
Finished /Living 1526 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 552 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/ New single family w/ attached garage and driveway and 12' x 15' deck
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor P &S PLUMBING
Electric Contractor SCHOMMER ELECTRICAL CON
Fees: Valuation $90,000.00 Plan Approval $40.00 Permit Fee Paid $300.00 Park Dedication $100.00
Issued By ) 1 Date 05/30/2000 Final /O.P.
❑ Permit Voided
In the performa this work I agr to perform all work pursuant to rules goveming the described construction. •
Signature / . 1) , ��J� Date _ a •
L _ate .�� ,)`( ,:
Agent/Owner
Address 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 Telephone Number 235- 5610/585 -9046
OSHKOSH GRADE STAKE FORM
ON THE WATER Grade Stake Number 6377
Name THIRD MILLENNIM CORP Address 190 ROLLING GREEN CIR Create Date 05/25/2000
Lot 27 Block Ward
Subdivision ROLLING GREEN MEADOWS Zone
Street Number Lot Dimensions IRRG 1 1 Sidewalk Existing
Building Grade Elevation Stakes Set At Site 05/25/2000 Set By D.W.G. BK - 554, P - 33
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have s - grade established before excavation
has commenced. 411 / J / ,
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0077407
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statues 101.63, 101.73
0 Constr ❑ HVAC ❑ Elec ❑ Plbg 0 Erosion ❑ Other:
Owner's Name Mailing Address Telephone No.
THIRD MILLENNIM CORP 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000
Contractor: 12 Con • Elec U HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
SHOWCASE CUSTOM HOMES INC 2201 2755 ALGOMA BLVD OSHKOSH WI 54901 - 0000 235- 5610/585 -94
Contractor: Con 0 Elec . HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
SCHOMMER ELECTRICAL CON N 164 TWO MILE ROAD APPLETON WI 54914 - 9121 (920) 731 -2299
Contractor: . Con • Elec 0 HVAC MI Plbg Lic/Cert # Mailing Address Telephone No.
BREWER HEATING N8804 N DOUGLAS ST RIPON WI 54971 - 0000 (920)748 -6494
Contractor:. Con • Elec II HVAC Di Plbg Lic/Cert # Mailing Address Telephone No.
P &S PLUMBING PO BOX 2153 APPLETON WI 54913 - 0000 734 -3912
Lot Area S.. ft. 1/4, 1 /4,Section ,T N,R E(or W
Building Address Subdivision Name Lot No. Block No.
190 ROLLING GREEN CIR ROLLING GREEN MEADOWS 27
Zoning District(s) Zoning Permit No. Front ®� Right •
- • „ • iliMI 0 New ❑ Repair 0 Single Family Entrance Panel 0 Forced Air Furnace
Fuel Nat. Oil Elec. Solid Sola ❑ Alteration ❑ Raze ❑ Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Ga *
❑Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg 0 Ell ❑ El
❑ Other (print): ❑ Overhead ❑ Boiler Water Htg 121 . ❑ ❑ ❑ ❑
❑Other 0 Underground II Central Air Conditioning *
Site Constructed Other or Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Q d 0 Concrete _ ` Infiltration control option is: ❑ Full sealing
Unfinished ❑ Manufactured ❑ Masonary Sewer of joints.
Treated Wood 1 ❑Blower door test. Exterior
Basement 1526 Sq. ft. Li Treated Municipal air infiltration barrier.
1 -Sto • Other ❑ Septic
Living Area 1526 Sq. ft. 0 rY
❑ 2 -Story Permit No. Envelope 30367 BTU /HR
Garage 552 Sq. ft. Other MI Seasonal
❑ Infiltration 18690 BTU /HR
Q Permanent
❑ Other 0 Municipal Utility
Q Plus Basement ❑ Private On -Site Well $103,500.00
The applicant agrees to comply with all a. , licable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, exprr .r implied, on - De. rtme t o municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE ' ♦ ` 2 ' le , r A t / A . J DATE SIGNED -.3( -` G7
APPROVAL CONDITIONS This permit is ' sued pu - nt to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
See standard conditions of approval
❑ Town ❑ Village 0 City ❑ County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $4o.00 0 Construction
Inspection il HVAC Name Brian Noe
Wis. Permit Seal $30.00 Electrical
Other
MI Plumbing Date 05/25/2000
0 Erosion
Total $70.00 II 237911 Cert. No. 70266
SBD -5823 (R. 07/92)
OSHKOSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 190 ROLLING GREEN CIR Date 05/30/2000
Name THIRD MILLENNIM CORP
Address 2755 ALGOMA BLVD OSHKOSH WI 54901
Subdivision ROLLING GREEN MEADOWS Lot 27
Building Permit Number 0077407
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature j -- , I � � � 4 Date 5� -'L'' ?2. ✓
Inspector's Signature Date
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CITY OF OSHKOSH
STANDARD CONDITIONS OF APPROVAL
Project Address 170 ,ot1 /A6 6/q" Permit #
Please read the following information and sign at the bottom to acknowledge that you have read
and agree to comply with these conditions.
1. All habitable rooms must be provided with 8% light and 3.5% ventilation. Bedrooms
located on the second floor or below ground level must be provided with egress windows
in addition to the light and ventilation requirements. Basement windows are also
required to have window well areas in accordance with ILHR 21.03.
2. Garage spaces shall be separated from the dwelling unit in accordance with ILHR 21.08.
The door and frame assembly between the dwelling unit and an attached garage shall be
labeled by an independent testing agency as having a minimum fire- resistive rating of 20
minutes. All drywall joints are required to be taped/sealed unless the joints are fitted so
that the gap is no more than a dimes thickness ( 1/20 -inch) and backed by solid wood or
drywall with the joints staggered.
3. All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in the
return air spaces.
4. Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
detectors are required to be hardwired and interconnected.
5. Hydromassage tubs are required to have an access panel to motor. The access panel must
be accessible without removing the finish of the house.
6. All overframing must be designed by the truss manufacturer, according to standards set
by the truss plate institute, or structural calculations must be provided prior to the rough
building inspection.
7. Truss plans must be submitted and approved prior to framing the roof.
8. Truss plans including the truss layout must be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all microlams with point loads on them.
9. Calculations must be provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10. The property owner and applicant is responsible for compliance with ILHR 21.125
(Erosion Control). When installing access drives, a minimum of 2 " -3" diameter stone is
required in addition to a minimum of 6" depth, 30' -50' length, and 14' -20' width. Erosion
control measures must be maintained until the lawn is established.
11. All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the end of each workday. Repair any
siltation or erosion damage to adjoining surfaces and drainageways resulting from land
development or disturbing activities.
12. The building placard must be posted on site at all times. Once the rough framing is up
the placard must be posted on the patio door or on a kitchen window. If the placard is
not present at any inspection, stop work orders will be posted. Additional placards can be
obtained through our department if the cards are misplaced.
13. All mechanicals must be roughed in prior to requesting the rough building inspection. If
on the inspection the mechanicals are not roughed in, the inspection will fail and a $25 re-
inspection fee will be charged. .
14. Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid $25 re- inspection fees per inspection.
15. When requesting final inspections please note that a minimum of 2 days notice is needed
from the time the inspection is ready. Furniture is only allowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final inspection no furniture or personal belongings are allowed in the
house. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electrical inspector needing to look at the power serving the appliances.
A 6' stepladder must be on site at the final inspection to provide access to the attic.
16. The building placard must remain on the patio door or on a kitchen window until
occupancy is approved. Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
given.
17. All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor.
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