HomeMy WebLinkAbout0050221-Building r e
i CITY OF OSHKOSH No 0050221
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3184 BELLFIELD DR Owner RUSCH CONSTRUCTION Create Date 12/7/95
Designer Contractor RUSCH CONSTRUCTION
Category 110 - New Single Family Plan F2- 003- 7/94MP
Type 0 Building 0 Sign () Canopy 0 Fence () Raze
Zoning R1 Class of Const: 8 Size IRREG
Unfinished /Basement 1345 Sq. Ft. Rooms 6 Height 18 Ft. u Projection
Finished/Living 1345 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 400 Sq. Ft. Baths 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 Require
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature
of Work
HVAC Contractor BREWER HEATING Plumbing Contractor SCHROEDER & HANSON
Electric Contractor COMINGS ELECTRIC I Z SD
1 Li Fees: Valuation $45,000.00 Permit Fee Paid $227.50 Park Dedication $100.00
Issued By: Date 12/20/95 Final /O.P.
J Permit Voided
In the performance of this work I / agree to perform all work pursuant to rules governing the described construction.
Signature .... -- (e, ,� "`°�„-
Date /4- /�.5—
. ge • . Owner
Address Oshkosh WI 54901 - 0000 Telephone Number 1'y f 323
ZONING /LAND USE COMPLIANCE CHECKLIST
OSHKOSH
ON THE WATER
Name RUSCH CONSTRUCTION Address 3184 BELLFIELD DR Create Date 12/12/95
Construction Data NO New Construction 0 Addition 0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSF (FOXMOOR)
Compliance Checklist
Deficient Comments
11 Use
u Lot Width
u Lot Area
I-_I Lot Area Per Family
Li Flood Plain
11 Front Yard
u Front Yard Side Street
11 Rear Yard
I_ Side Yard
u Building Area
u Parking Standards
u Off- Street Loading Standards
11 Vision Clearance
1
Li Transitional Yard Standards
L] Landscape Standards
Li Height
Li Conditions of Approval
11 Compliance with P.C. or BZA Conditions of Approval
f 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 O Denied
1 1 Plan Commission Action Required
1 Variance(s) Required
Reviewed By DARRYN BURICH Date 12/11/95
Wisconsin Department oflndustry, 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
® Constr 0 HVAC ❑ Elec 0 Plbg 0 Erosion 0 Other:
ne s ame Mailing Address I elepnone No.
RUSCH CONSTRUCTION Oshkosh WI 54901 - 0
contractor: ® Con Elec 0 HVAC ❑ Plbg Luc(•ert # Mailing Address I elepnone No.
RUSCH CVNJ i Kuc r run 2760 Westmoor Road Oshkosh WI 54904 - 0000 414 - 231 -8203
contractor: D Con ® Elec 0 HVAC Q Plbg ocicert # ivramng Aaaress i elepnone No.
0 - 0
tontractor:0 Con ❑ Elec ® HVAC El Plbg LltJCert g marring Aaaress i elepnone No.
0 - 0
contractor:[3 Con ❑ Elect] HVAC Plbg LIcit+ert f mamng Aaaress r elepnone No.
0 - 0
LOt Area
Sq. 1/4, 1 /4,Section ,T N,R E(or)W
ui ing ress "Subdivision Name Lot No. Block No.
3184 BELLFIELD DR
coning Dlstnct(s) Zoning Permit No. Front Rear Lett Right
Setbacks ft. ft. ft. ft.
® New o Repair ■7„ Single Family n rance - ane : Forced Air Furnace Fuel Eilliiiiiii oar
El Alteration ❑ Raze Two Family Size: 100 am • Radiant Baseboard or Panel
O Addition ❑ Move Garage Service: Heat Pump Space Htg ® 0 ❑ ❑ 0 0
Other (print): • Overhead Boiler Water Htg ® ❑ 0 0 0 0
O Other Underground Central Air Conditioning 9 e ing un wi ave i owe" or
• Other more installed electric space heating equip.
Site Constructed 0 Concrete Infiltration control option is: ❑ Full sealing
Unfinished Manufactured II Masonary Sewer of joints. n Blower door test. 0 Exterior
Basement 1345 Sq. ft. • Treated Wood Municipal air innitra ion barrier.
Living Area 1345 Sq. ft. 1 -Story • Other ® Septic
2 -Story Permit No. Envelope 11 1R
Garage Garage 400 Sq. ft. Other ■ easona
0 Permanent Infiltration 3 BTU /HR
• Other Municipal Utility
® Plus Basement ® Private On -Site Well $55,000.00
The applicant agrees to comply w all applicable codes, statues and ordinances an • w e con • ions o is perm , un • ers an • s a e issuance o
the permit creates no legal liability, a or p . on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE S f A, � 4" I 2 - //
DATE SIGNED / f
APPROVAL CONDITIONS I is p is issued pursuant to the tonowmg conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
1. MAIN i AIN EROSION CON I ROL UNTIL S I ABILIZATION.
❑ Town 0 Village ® City Ili County ❑ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $40.00 Z Construction
N DARRYN BURIC
Inspection HVAC
Wis. Permit Seal $30.00 Electrical
Date 12/12/95
Other
— Plumbing
' Erosion
Total $70.00 162443 Cert. No. 5935
SBD -5823 (R. 07/92)
OSH'OSH
PARKLAND DEDICATION FEE COLLECTION RECORD
ON THE WATER
Job Address 3184 BELLFIELD DR Date 12/20/95
Name RUSCH CONSTRUCTION
Address Oshkosh WI 54901
Subdivision VILLAGE GREEN Lot 66
Building Permit Number 0050221
Number of Dwelling Units 1 Number of Structures 1
Fee Required $100.00 Fee Paid
Owner's Signature Date
Inspector's Signature Date
(i) 'OSH
GRADE STAKE FORM
OSH
ON THE WATER Grade Stake Number 5406
Name RUSCH CONSTRUCTION Address 3184 BELLFIELD DR Create Date 12/12/95
Lot 66 Block Ward
Subdivision VILLAGE GREEN Zone
Street Number 3184 BELLFIELD DR Lot Dimensions I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 12/07/95 Set By KN
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.
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ZONING /LAND USE COMPLIANCE CHECKLIST
OSH'OSH
ON THE WATER
Name RUSCH CONSTRUCTION Address 3184 BELLFIELD DR Create Date 12/12/95
Construction Data New Construction 0 Addition 0 Alteration
Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSF (FOXMOOR)
Compliance Checklist
Deficient Comments
Li Use
U Lot Width
Li Lot Area
Li Lot Area Per Family
U Flood Plain
U Front Yard
Li Front Yard Side Street
Li Rear Yard
U Side Yard
U Building Area
U Parking Standards
Li Off-Street Loading Standards
Li Vision Clearance
U Transitional Yard Standards
Li Landscape Standards
U Height
U Conditions of Approval
U Compliance with P.C. or BZA Conditions of Approv
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
Vanance(s) Required
Reviewed By DARRYN BURICH Date 12/11/95
LATE a' ' I S
NAME 74 L.) -A.- ( -�-- •
� � AOORESS
LOT D (.0 8 LOCK r,•
rdFUD
SUM V. \/ I \\ k&y, C(ea,,, ZONE
STREET NO. , g` 1 \ - C6 (2., L MOT O I MENS I GNS
SIDEWALK EXISTING YES 0 NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE IZ '.� ,I9 9S BY g N
FEE : $15.00
xiZ &zi ne, Azdiohgoe-_
DEPARTMENT OF PUBLIC WCRK:
I, the undersigned, owner or agent of the above describet properD/ agree TO have he
grade estaaiished before excavation has commenced.
00 SC)3 3