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HomeMy WebLinkAbout0051978-Building g) , CITY OF OSHKOSH No 0051978 OSH''OSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3176 BELLFIELD DR Owner RUSCH HOMES Create Date 4/29/96 Designer Contractor RUSCH HOMES Category 110 - New Single Family Plan F2- 002- 7/94MP Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R1 Class of Const: 8 Size IRREG 46X44 Unfinished /Basement 1056 Sq. Ft. Rooms 6 Height 16 Ft. Projection Finished /Living 1056 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 528 Sq. Ft. Baths Signs Foundation Poured Concrete O Floating Slab O Pier o Other Concrete Block O Post O Treated Wood SKOTZKE Occupancy Permit Required Flood Plain No Height Permit Not Require Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR AND ATTACHED GARAGE (MAPLEWOOD MODEL) of Work HVAC Contractor BREWER HEATING Plumbing Contr ctor SCHROEDER & HANSON Electric Contractor 4 , � v P Fees: Valuation $45,000.00 Permit Fee Paid $227.50 11.",6 b . 6O Park Dedication $100.00 0 Issued By: Q C R 4 b ate 4/30/96 Final /O.P. Ut Permit Voided i In the performanc g or - . - to perform all work pursuant to rules governing the described construction. Signature 1...--- Date 16 4 Agent/Owner Address 2760 WESTMOOR RD Oshkosh WI 54904 - 0000 Telephone Number 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 ° l ' m ® Constr p HVAC 1=1 Elec El Plbg El Erosion El Other: owner s`ame Mailing Address i elephone No. RUSCH HOMES 2760 WESTMOOR RD Oshkosh WI 54904 - 0 L.ontractor: ® Con J Elect] HVAC ❑ Plbg Lic/Cert # Mailing Address i elephone No. RUSCH Humtb 2760 Westmoor Road Oshkosh WI 54904 - 0000 414 - 231 -8203 uontractor:D Con ❑ Elec IJ HVAC ❑ Plbg ici ert s mamng Aaaress r erepnone No. c.ontractor:D Con El Elec ® HVAC ❑ Plbg Lrci (.err# mailing Address r erepnone No. Contractor:El Con ❑ Elec ❑ HVAC ® Plbg LIcn.ert g mamng Aaaress r erepnone No. -,m d : @ ,;,, - , ., Lot Area „, S4 ft 1/4, 1 /4,Section ,T N,R E(or)W - ui • ing A .. ress Subdivision Name Lot No. block No. 3176 BELLFIELD DR Zoning District(s) Zoning Permit No. Front Rear Lett Right Setbacks ft. ft. ft. ft. ”" s ( °� d yi_ a rg k a m c $ss� e �la M.. .;. _. ' �' » ono 3 v � utS�S. � :., «.e ecamm ■: New El Repair ■7 Fuel Single Family n ranee •ane ► :i Forced Air Furnace H��� • � o ar 0 Alteration 0 Raze Two Family Size: 200 amp . Radiant Baseboard or Panel Addition Move Garage Service: • Heat Pump Space Htg ® El El E El El Other (print): • Overhead • Boiler Water Htg ® El El El El El ► Underground • Central Air Conditioning Other unit wil have 3 ki owatt or e, ���� ��'t�� ;,,1111 Other more Dwelling installed electric space heating equip. ,, s � Site Constructed ��� Concrete , ,, . , � Infiltration control option is: El Full sealing Unfinished LJ Manufactured II Masonary Sewer of joints. Blower door test. El Exterior Basement 1056 Sq. Treated Wood q ft. ca °; g � Municipal air intutra ion barrier. Living Area 1056 Sq. ft. 1 -Story Other Septic g . wag a uaq . • 2 -Story � <�P�s <_aF Permit No. Envelope BTU /HR Garage 528 Sq. ft. Other III easona ,a a Infiltration 26261 BTU /HR 0 Permanent ' � � a • Other Utility�� ® Pius Basement ® Municipal Private On -Site Well $55,000.00 The applicant agrees to comply with all applicable codes atues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, expre o i t epartment or municipality; and certifies that all the above infor ation ' s accurate. APPLICANT'S SIGNATURE V— DATE SIGNED 1 6 9( APPROVAL CONDITIONS I his permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty MAINTAIN EROSION CON I ROLTJNTIL STABILIZATION U aril -r v 1 Town ❑ Village ® City ❑ County Ell State of: Municipality Number of Dwelling Location: 1 � l ' � City Of Oshkosh 7 0- 2 6 6 ,,fi g � i ,,„ , , ' � � � Plan Review $40.00 X Construction Inspection HVAC Name DARRYN BURICH Wis. Permit Seal $30.00 Electrical Date 04/29/96 Other Plumbing V Erosion Total $70.00 192563 Cert. No. 5935 SBD -5823 (R. 07/92) ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name RUSCH HOMES Address 3176 BELLFIELD DR Create Date 04/29/96 Construction Data 0 New Construction O Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR AND ATTACHED GARAGE(MAPLEWOOD) Compliance Checklist Deficient Comments U Use U Lot Width U Lot Area U Lot Area Per Family U Flood Plain U 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. $ Approved 0 Denied Plan Commission Action Required I 1 Variance(s) Required Reviewed By DARRYN BURICH Date 04/29/96 a Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Lafem 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 con In St t t 1 1. 3 101.7 programs /Privacy Law, s. 15.04 (1) (mil. lkitait RtEQ ESTER j © Constr 0 HVAC 0 Elec ❑ PIbg ❑ Erosion ❑ Other: Owner's Name Mailing Address Telephone No. Rusch Homes 1 2760 Westmoor Rd. Oshkosh WI. ( 411 231 -8203 Contractor's Name: ® Con ❑ Elec ❑ HVAC ❑ PIbg Lic/Cert # Mailing Address Telephone No. Same ( ) Contractor's Name: ❑ Con g Elec ❑ HVAC ❑ Plbg LiUCert # Mailing Address Telephone No. Cummings Electric 1414 Cty Tk JJ Neenah 54957 C 1231-5946 Contractor's Name: ❑ Con ❑ Elec [HVAC ❑ PIbg Lic /Cert # Mailing Address Telephone No. Brewer Heating N8084 N Douglas Ripon 54971 ( )748 -6494 Contractor's Name: ❑ Con ❑ Elec ❑ HVAC la Plbg LiUCert It Mailing Address 5 49 1 5 Telephone No. Schroeder & Hanson 550 N Bluemonnd Dr Appleton ( )730 -0705, PROJECT LOCAI IO1►I> I Lot Area Sq. ft. 1/4, 1 /4, Section , T N, R E (or) W Building Addre s Subdivision Name Lot Ng. Block No. 3 /76 t e4 64-4A %u, , - s its 414..) 6 Zoning District(s) 1 Zoning Permit No. Front Rear Left Right /� r ; Setbacks p25r ft. I (. q 7 ft. 9 ft. ( ft_ 1 f tOIEC!' `:s:> > > . »;::; ::.:::::: 3 : ... :;6:::E > : . >::HVVAC::E I N PMET ::> ' t2, ::E IE G .: , : : � < » > « > i:Rig Q . .. _ . ............❑ Repair .:.,: OCCUPANCY ........ ':.: :.: . , .:. :. .. ��.. �Nl a�l��..�ClEII���.. : :...:.:-- New M Single Family Entrance Panel Ei Forced Air Furnace Nat L. P Oil Elec. Solid Solar ❑ Alteration ❑ Raze ❑ Two Family Size: 700 amp ❑ Radiant Baseboard or Panel Fuel Gas * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump ❑ Other (print): ❑ Underground ❑ Boiler Space Htg ® ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other ; ,, : , ❑Other * ❑ Dwelling unit will have 3 kilowatt or faSite Constructed :.:: ;;•.; :::.;•,.;; :.:.:.:::.:.:::: <:::: :: < : >:: >:::::;:<::: >::: >;::>::: more installed electric space heating equip. [Concrete � ' #�:�I1��1�IH��I�,is ��< Infiltration control option is: ❑Full sealing 0 Manufactured ❑Mason w of joints. ❑ Blower door test. ❑ Exterior ` '`` A VIO ' ' ' ' : : ❑ Treate Wood Sewer air infiltration barrier. Municipal : ; > : ::•;: :;•:•,;:•;- :- :•::•;•:,•. �� CC// 5`<S1G'�f�lE " >:::: >i':: > >:: >' 'pother ® Unfinished Basement I(�bSq. ft ................. ........��.......... ❑ <:><::::>:>:;< �;:»::; :•;;: >;::;:•:::•,;•;•:»: :.:< � �... .::::;.. : .:..... ...................... . Se tic 1e7 1- Story >: Permit No. / Y': z. :'. >:z' >:: >:'.:<::i'• >:: • Living Area / 056 Envelope BTU/HR Sq- ft- ❑ 2 -Story ['Seasonal P �J I AI " #<> ? 3 `a '; ' Infiltration BTU/HR �or� S ft ❑Ot her [Permanent M ...................... ......... Garage q- ❑ Other l Municipal Utility • ❑ Plus Basement ❑ Private On -Site Well $ I 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. / adti APPLICANT'S SIGNATURE J,/�yy[ DATE SIGNED 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. W Town Village City Count State of: Municipality Number of Dwelling Location: ❑ ❑ 9 ❑ Y ❑ Y O P Y 9 JURIS - DI TON f :::. _ .: : :: :: ' :' . .. {/' i :v. S EAL : PER NO M T i' .. i .K.iiiiii: }ii:: ni: + i:.i . . F.. � :i:..... : .. ..: R . :. . .. . ........... . : .......................r::ii::< iii {: ?j$:iij::i:Y:i >.::ii:iii::i: .: ����: : : . .:: . . �: . ::.: :.: ::.. v r. .:.�::::::::.�::::::: .:.�:: ... ::::{•::•:•.i i 4i ii :.. ..{y.�� yy.'���ypy.. :. '.}wy, ♦ ♦♦ ■may■ {`�.. ..... .......................... n.. ...........:......:.......... :. ..... ... .... .........::.:.........: ....::<... .:...� ..:::::::::::. ::::::::::: .. .::::::::::.r .. .� ..........i..i }..........iii..i . ........... .PEAN��`1�*UE€p > �� \�: K..:::::::::::: •:::::::::..::::::::rT:::::. �:::::: n•:::::.�.: :_:::::. . :: ......... .,. :. :._.. : ... ....: ... . :. : .. . :: .::� ... .:... : JEAN. ll��a ::::::::..:::::::.:..:: .:: . .:: . .: ..:.::::. :.:. �..::.:::::. ::::::::: :::::::::.;w:::::::::::.�:: is �i:i ::: i.iii. . : : :::: Plan Review $ ❑ Construction Inspection $ ❑ HVAC Name Wis Permit Seal S ❑ Electrical Other S ❑ Plumbing Date - :I Erosion Total 5 ❑ Cert. No. SBD -5823 (R. 07/95) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent II 1 CD i s tI 5 C §'W" 0 c§ a M CO $ $ o C' u) O w -_ °. w II 0 cD ÷, � d - 1 11 w U b O o J 0 V(n .g" €o C$ _.sci ; _ " �a� >ti $ ", m 8 0 11E�� k � 0 < <— C5J N CD rn ,hZ cp O N l 1 ) o 0 ;i �1J S N O 00 (O MIN LCD 00 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /Z! ✓E Owners Name " Name of Subdivision V K.Lft G Orelf_f_Al Lot # tag Bldg. Permit # No. of Units / Fee Required /06.0 Fee Paid /t9Dj att Owner's signcture ncture 9 Date 4( Inspector's signature Date 130 - 56 Parks Subdivision Improvement Accts. Rec.: 362 -041 ` DATE L '^ �° `1 NAME J d-- „. .,-- ADDRESS LOT La BLCCK Tf,=1 SUBOIV. ■V\ k ►'� ZONE STREET NO. h 11 \\ 12 1 LOT OI MENS I ONS SIDEWALK EXISTING YES 0 NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 5— / / 19 RS 9Y N F EE; $15.00 Alm Or' DEPARTMENT OF PUBLIC WCRK. I, the undersigned, owner or agent of the above described property agree ro have the grace estaoi before excavation has commenced. • 0 r-- Col //