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HomeMy WebLinkAbout0052988-Building CITY OF OSHKOSH No 0052988 O OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3172 BELLFIELD DR Owner RUSCH HOMES Create Date 6/17/96 Designer Contractor RUSCH HOMES Category 110 - New Single Family Plan B4- 015- 12/94MP Type 0 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R1 Class of Const: 8 Size Irreg 43x46.5 Unfinished /Basement 959 Sq. Ft. Rooms 6 Height 18 Ft. Projection Finished /Living 959 Sq. Ft. Bedrooms 2 Stories Bi -level Canopies Garage 440 Sq. Ft. Baths 1 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 ' • an. car a ac e• garage ' c' in ey of Work HVAC Contractor BREWER HEATING Plumbing Cont or SCHROEDER & HANSON Electric Contractor 1 A OL P Fees: Valuation $40,000.00 Permit Fee Paid $215.00 2 t Pa Dedication $100.00 Issued By: 1 ,' Date 6/20/96 Final /O.P. Permit Voided (, �V� In the performa f this work I a to perform all work pursuant to rules governing the described construction. Signature "5 C_ Date I Z 4 Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number DATE (— `± F IL, NAME L`-. � t�w.� s ADDRESS LOT (r)c\ BLOCK WARD SUM 1V. \ 1 Aka ('e_ti ZONE STREET NO. \-1 LOT DIMENSIONS SIDEWALK EXISTING YES [7-] NO zi B U I L D I N G GRADE ELEVATIONS STAKES SET AT S I T E ,/ , 19 BY ` f, FEE: $15.00 • )21_11,Q.J.ri DEPARTMENT OF PLEL I C WCRK: 1, the undersigned, owner or agent of the above described property agree TO have The grade estaaiished before excavation has commenced. 4 Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 1 ; ® Constr 0 HVAC 0 Elec El Plbg 0 Erosion El Other: ewne s 'ame Mailing Address Telephone No. RUSCH HOMES Oshkosh WI 54901 - 0 L.ontractor: ® Con El Elec El HVAC 0 Plbg Lic/cert # Mailing Address I elephone No. RUSCH HUMtb 2760 Westmoor Road Oshkosh WI 54904 - 0000 414 - 231 -8203 Zontractor.D Con ❑ Elec El HVACEI Plbg Lrcn,ert 3F 'Marling • • • - _ - • • e NO. t,ontractor:0 Con El Elec ® HVAC J Plbg Llcn,err # mailing Aadress i elepnone No. Lontractor:D Con El Elec ❑ HVACl21 Plbg L.err# mailing Aaaress i elepnone No. , " p sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W ui • Ing . • . ress - Subdivision Name Lot No. Block No. 3172 BELLFIELD DR • 1 .i • oning 1is n s oning 'ern 'o. ro n - ear e' - Ig Setbacks ft. ft. ft ft. ® New 0 Repair • Single Family n rance 'ane Forced Air Furnace Fuel oar 0 Alteration 0 Raze ►�� Two Family Size: 200 amp. Radiant Baseboard or Panel �• �� Addition Move ■ Garage Service: II Heat Pump Space Htg ® 0 ID 0 0 0 • Other (print): • Overhead • Boiler Water Htg ® EI ED El 0 El 0 Other ►�i Undergroun I. Central Air Conditioning * ❑ Dwelling unit wil have 3 ki owatt or Other r ' " � more installed electric space heating equip. a Site Constructed Z Concrete - h :, at a Infiltration control option is: 0 Full sealing Unfinished Manufactured Masonary Sewer of joints. 1 Blower door test. El Exterior H Basement 959 Sq ft i i — Treated Wood Municipal air IntiItrat barner. a �, -< — Other Living Area 959 Sq. ft. 1 -Story Septicte, 2 -Story Permit No. Envelope r c BTU /HR Garage 440 Sq. ft. easona Other permanent Infiltration 15532 BTU/HR Bi -level Other Municipal Utility ® Plus Basement Private On -Site Well $50,000.00 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 DATE SIGNED r evoca APPROVAL CONDITIONS his permit is Issued pursuant to the following conditions. Failure to comply may result in suspension or ti on o thi permi or o pena Maintain erosion control until stabilization - a l i g ❑ Town 0 Village ® City E County 11 State of Municipality Number of Dwelling Location: ` , - , '- i:- City Of Oshkosh 7 0 - 2 6 6 erg a a a1 Plan Review $40.00 X Construction Inspection HVAC Name Darryn Burich Wis. Permit Seal $30.00 Electrical Date 06/17/96 Other — Plumbing V Erosion Total $70.00 192595 Cert. No. 5935 SBD -5823 (R. 07/92) I \4 M OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 3172 BELLFIELD DR Date 6/20/96 Name RUSCH HOMES Address Oshkosh WI 54901 Subdivision Village Green Lot 69 Building Permit Number 0052988 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100. Fee Paid Owner's Signature Date O Inspector's Signature /�y� Date C- gL).€.74, OSH'OSH GRADE STAKE FORM ON THE WATER Grade Stake Number 5517 Name RUSCH HOMES Address 3172 BELLFIELD DR Create Date 06/17/96 Lot 69 Block Ward Subdivision Village Green Zone R1 Street Number 3172 Bellfield Dr Lot Dimensions 1 Sidewalk Existing i Building Grade Elevation Stakes Set At Site 00 /00 /00 Set By 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 BUILDING Application No. Labor and Human Relations PERMIT APPLICATION Safety and Buildings Division P.O. Box 7969 (See instructions on back of white ply) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency Wi 4V fi : S I I SgI ��j�: §l t 7l :.: programs 'Privacy Law, s. 15.04 (1) (m)I. < ERMIT Q_ © Constr ❑ HVAC ❑ Elec ❑ Plbg ❑ Erosion ❑ Other: Owners Name Mailing Address Telephone No. Rusch Homes 1 2760 Westmoor Rd. Oshkosh WI. ( 414 231 -8201 Contractor's Name: ® Con ❑ Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. Same . ( ) Contractor's Name: ❑ Con g Elec ❑ HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No Cummings Electric 1414 Cty Tk JJ Neenah 54957 ( )231 -5946 Contractor's Name: ❑ Con ❑ Elec [HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. Brewer Heating N8084 N Douglas Ripon 54971 ( )748 -6494 Contractor's Name: ❑ Con ❑ Elec ❑ HVAC EkPlbg ic/Cert # Mailing Address 5 4 9 1 5 Telephone No. Schroeder & Hans n ( 550 N Rluemound Dr i�pp1etnn ( ) 730 -0705 p ! fR � 1C A Lo Area :O E � IO :i ii 1!4 1/4 Section T N, R E (or) W Building Address Subdivision Name Lot No. Block No 1 72 U.,a,ta6e. , 1t.9.uvv Left y Zoning Distri s Zonin Permit No. Front Rear Left Right Setbacks a51 ft. I 6P7 r ft. 12 ,6 '' ft. / Z ,4 1 r ft. - L:>: ' ;::9::::HVA.CE Q : IMMEN.! '?: > >::.. ..Fits . NICY: >::: ;:6:.:f~1LEC'1� Y � ' ;f:.. >�:i>:PRE3�.� }:: >< ><:�:E«��'�< ><�: >«: €�::9�: >aiCC .�. ...............��,..f~NER� . tr. (2 New ❑ Repair ® Single Family Entrance Panel 17 Forced Air Furnace Fuel Nat L.1 Oil Elec Solid Solar ❑ Alteration ❑ Raze ID Two Family Size: 200 amp ❑ Radiant Baseboard or Panel Gas * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg ® ❑ ❑ ❑ ❑ ❑ ❑ Other (print): ❑ Underground ❑ Boiler ['Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ ❑Other " . ['Other * ❑ Dwelling unit will have 3 kilowatt or C "CONST'`` YPE'` 7' IF 1(I ' more installed electric space heating equip L Site Constructed (Concrete Infiltration control option is: 9 Full sealing Manufactured Masonry ".. r'•• °' .. ❑ ❑ Y of joints. ❑Blower door test. ❑ Exterior . : }:- }:- }:- . } }: { - }:- }:. } Sewer :.. : ; : }:;•:rr> : } : >: ❑Treated Wood Municipal Unfinished Basement air infiltration barrier. ® P 7 J Z Sq. ft. `:S..T ? >' > > >: ❑ other } : ;..: }....:. E , : . :: . : ., : ..... : >:> :: » ? <: >::: > > . :: ii ❑ Septic :::::::<::' :3 .HfrA►1 "OW r;11a e± };:;: . o El 1- Story :::: ,t .i: S { }:: : »{ Permit No. Envelope BTU /HR Living Area I I Z Sq. ft. ❑ 2 -Story ❑ Seasonal :< ' + 1 A i s >: :< ' >: : : :: Infiltration BTU /HR Garage 5 � -/ gOt er [�Permanent .............................. ............................... tJ S . ft. q ❑ Other IA Municipal Utility 424th , #iiit Nero '' ❑ Plus Basement ❑ Private On -Site Well $ 5''O o ®C 1 agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certify that all the above information is accurate If I am an owner applying for an erosion control or construction permit, I have read the cautionary statement regarding contractor financial responsibility on the reverse side of the pink ply. APPLICANT'S SIGNATURE DATE SIGNED 4f/f f 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. ' ^` } }:.}; }}} ❑ ':_ ❑ Town ❑ Village City ❑ County ❑ State of Municipality Number of Dwelling Location: 1 -55.. y ti3 `'} } }' {, ': }::: 4:.::- i' } } } } }i }:: i ; {: s t:- �:. f}} :- : i } } :::: } } } }}: :: {:: }: {ih:.: i. }'n }: } } }:. }: .iii:: <:.:.�y .. . . .. .. . }i }' }: i. �" -:.:' ..:.:: �: " .... ...... ...... ., . .... .... ... .}... . .....:.- ri..... :.,:• .::.:...... .. .... .. .. .. : •i : }} :• }: } : } } } } } } }:i } } } } } } } } }:::.; . }:: i: is is ii:•i:':�iii:•: :•ii } } };� }i }i } } }ii: }:•iiii :r�i :::.: '. i:- :iii:'. :::::: iv3:w:: r {•r • +•• : ::: • • :: • :S::f .T :: +S S,v •::: •::::. ,{ ::: '�:. -:: x :.: rvv:::::.:.: \ . r .... .... .{•' �...: r . .......... �y : :: iii::: : ?:. 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ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name RUSCH HOMES Address 3172 BELLFIELD DR Create Date 06 /17/96 Construction Data 0 New Construction Q Addition Q Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR and 2 car att. garage (Mcftley) Compliance Checklist Deficient Comments U Use U Lot Width U Lot Area Lf Lot Area Per Family U Flood Plain U Front Yard U Front Yard Side Street U Rear Yard I 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 I 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. 0 Approved 0 Denied I 1 Plan Commission Action Required 1 Variance(s) Required I Reviewed By Darryn Burtch Date 06/17/96 C O U 8 r'3 8 .r 0 8 a) CO O w YE o . g M 2 g J Y e C t p cr J O 0 o ili s$ ' bu d €- i fift $ z 'rgh O y U lgt1 «b lit cn 8 0 ■Immummilini P... C INn l � , rn IJ J ZS- 22.'6 - Z N 4 11 7 Vi z,, N 6- OC) hn o I OA A