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Home My WebLink About0054095-Building CITY OF OSHKOSH No 0054095 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3188 BELLFIELD DR Owner RUSCH HOMES Create Date 8/16/96 Designer Contractor RUSCH HOMES Category 110 - New Single Family Plan F2- 001 -794MP Type 40 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R1 Class of Const: 8 Size Irreg 44x54 Unfinished /Basement 611 Sq. Ft. Rooms 6 Height 18 Ft. u Projection Finished /Living 1104 Sq. Ft. Bedrooms 3 Stories Quad -level Canopies Garage 576 Sq. Ft. Baths 2 Signs Foundation ® Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 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 NSFR and two car attached garage (Fairfax model) of Work HVAC Contractor BREWER HEATING Plumbing ContiaQ or SCHROEDER & HANSON Electric Contractor fe CP Fees: Valuation $40,000.00 Permit Fee Paid $215.00 - - Park Dedication $100.00 • Issued By: /' QC� t D e 8/23/96 Final /O.P. Ct C/ L Permit Voided ‘P In the performanc : w• to p= . all work pursuant to rules governing the described construction. Signature Date C i .____ V Agent/Owner Address 2760 Westmoor Road Oshkosh WI 54904 - 0000 Telephone Number GRADE STAKE FORM 'OSH' OSH 5 ‘5.,)-CP ON THE WATER Grade Stake Number Name RUSCH HOMES Address 3188 BELLFIELD DR Create Date 08/16/96 Lot 65 Block Ward Subdivision Village Green Zone R1 Street Number 3188 Bellfield Dr Lot Dimensions Sidewalk Existing Building Grade Elevation Stakes Set At Site 00 /00 /00 Set By Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT P.O. Box7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 :;'.()I'1"(;;'1` Iii$;:; ® Constr ❑ HVAC ❑ Elec ❑ Plbg ❑ Erosion ❑ Other: Owner's Name Mailing Address Telephone No. RUSCH HOMES 2760 Westmoor Road Oshkosh WI 54904 - 0 Contractor: ® Con ❑ Elec ❑ HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. RUSCH HOMES 2760 WESTMOOR ROAD OSHKOSH WI 54904 - 0000 414 -231 -8203 Contractor: ❑ Con ] Elec 0 HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. - Contractor: ❑ Con 0 Elec ® HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. - Contractor: CI Con El Elec ❑ HVAC ® Plbg Lic /Cert # Mailing Address Telephone No. 3 ":> al 'p .;. Lot Area Sq. ft. 1/4. 1 /4.Section .T N.R Efor1W Building Address Subdiv n Name ^ Lot No Block No. 3188 BELLFIELD DR Y lino C � . Zoning District(s) Zoning Permit No. Front Rear Left Right Setbacks ft. ft. ft. ft. . 'f,......... ............. ........ 6GGtIPANl✓1f....... M.:.;hkVAME ........02gNPifYs:3E!t`rE301Et0 :':.................•. ® New ❑ Repair Single Family Entrance Panel ■i Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar El Alteration El Raze • Two Family Size: 200 amp • Radiant Baseboard or Panel Gas • Addition Move • Garage Service: • Heat Pump Space Htg ® ❑ El ID • Other (print): • Overhead • Boiler Water Htg ® ❑ ❑ ❑ ❑ ❑ El Other �� Underground Central Air Conditioning • U Dwelling unit will have 3 kilowatt or "� �� • °'•� � *'' �" �•�•�• °' "�' � � � • ' � � • • • s•�•�•� �t��'�`1~"iF1'' 1 ' � � �� Other more installed electric space heating equip. :ARE A'IlU1t£#LN ECt .,,,,,,.,,. ® Site Constructed ® Concrete ,. Q .«:.. . P. m . . . .............. Infiltration control option is ❑ Full sealing Unfinished ❑ Manufactured ❑ Masonary Sewer of joints. ❑ Blower door test. ❑ Exterior vg Tr eated Wood ® Municipal infiltration barrier. Basement 611 Sq. ft. � : mom . ��•�•�•�•�•�•�•�•� Munici al air in 1 El Other El Septic i:..3 H EAT:LOSS :: C'k o1at:r'. . ;:;:;:;:;;:;:;:y Living Area 1104 Sq. ft. . -... IL 2- Story ' ' '•�•�•�•�•;';••'-°- Permit No. Envelope 22022 BTU /HR Garage 576 Sq. ft. Other IN Seasonal r• ;;;•; • , . Infiltration 13243 BTU /HR Quad -level ® Permanent ❑ Other ® Municipal Utility ;? Ir ;i�tl�l'7lsy[ci=lig; ;3,3;, ;3;3;3 ;;,3;;3; ® 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 emu• ied, on the De• : ent or municipality; and certifies that all the above information is accur APPLICANT'S SIGNATURE 1 / 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 Maintain erosion control until stabilization ;;; ..��.� Town Village City County State of: Municipality Number of Dwelling ISSII1i l ° •• .. .:: : :: g ® Y❑ tY ❑ p Y 9 Location: . . :: UIDI` ' City Of Oshkosh 7 0 - 2 6 6 .. ❖ ❖ ❖: : :: ❖ + * : • : + :+ ❖: ❖:! �:•: • :•:, • - ; . : ❖::• ::❖ : ❖: ❖ ::: ❖: ❖: ❖ :5::: ❖:d.000000000 w. 44: 4 000... o :•:• . t M .... :: kf jl P E1 (1::., o .• a❖. ::: ❖:•:::.;. ❖.....o. ❖..... ❖...! • ; . :40: 0:400:4•:.:0 ...• ......... .... *� � !y �� Mai: SEf i::t: ..•...❖. ❖. ❖. ❖ ... ❖.❖ ❖.❖.•. i❖:•i........•i Oi i i::: ❖:::•ii:: ❖: ❖:•:::: ❖: ❖::: :::• R �i'.•i.•iii! ..{{;;�� ,,iice�: O.•i•...•i.•i•�•iii ii';'<'<''% .`,..• .• : :. .:: Q•.•iii• • • • • • • • • • • • • • • • • • • • • • •. • • • • . J .•i.' •••• ......••........•. •..•• .......•....... - - -. -- .. .••..• 14"+M7+:`IwM ..... ..•• ...•••....•••••...•••••. .0. ❖.•...�Oii•.�Oi00i..•i0•iOi O. Plan Review $40.00 Construction N D Inspection ._ HVAC Darryn Burich Wis. Permit Seal $30.00 — Electrical Date 08/16/96 Other Plumbing Z Erosion Total $70.00 176214 Cert. No. 5935 SBD -5823 (R. 07/92) OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 3188 BELLFIELD DR Date 8/23/96 Name RUSCH HOMES Address 2760 Westmoor Road Oshkosh WI 54904 Subdivision Village Green Lot 65 Building Permit Number 0054095 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid Owner's Signature C?G� Date oZ�f Inspector's Signature di Date j --e/ 6 x p f y WISCONSIN UNIFORM BUILDING - F:avii-ood . _____ _ VJiscunsin Department of Industry, Application Nu. I abor 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 can in t:t t• 101.63 101.73 irogramsI Laws- 15.04(1)(m)I. , < PERMJT REQUESTED; p Constr ❑ HVAC 9 Elec ❑ Plbg 9 Erosion 9 Other: Owner's Name Mailing Address Telephone No. Busch Homes 2760 Westmoor Rd. Oshkosh WI. ( 414 23I -8203 Contractor's Name: j Con ❑ Elec 0 HVAC (_(Plbg ic/Cert # Mailing Address Telephone No S _ a_me __ _ __ _ _ _ ( ) ---- ( iu i,. [ur's Name: Q Con `X lec ❑ HVAC ❑ Plbg ic/Cert / Mailing Address Telephone No. _ Cummings Electric 1414 Cty Tk JJ Neenah 54957 ( )231 -5946 Contractor's Name: ['Con ❑ Elec [HVAC ❑ Plbg _ic /Cert # Mailing Address Telephone No Brewer Heating x:084 N Douglas Ripon 54971 ( )748 -6494 Contractor's Name: ❑ Con Q Elec ❑ IIVAC ❑tPlbg .ic /Cert # Mailing Address 5 4 9 1 5 Telephone No. S .chroeder & Hanson 550 N Bluemound Dr Appleton ( )730 -0705 ! PROJEG`F'LOCATIQN :1 ...: of Area Sq. ft. 1/4, 1/4 ection , T N, R E (or) W ' Building Address Subdivision Name Lot No. Block No. 318 Cb ZLe/ m) 65 Zoning District(s) Zoning Permit No. Front Left t ' Right ■ Setbacks a5 r ft. 1'.7 t ft. 1" ft. f ' ft. : ` :6I '. ELECrRICA1; 9. HVAC::E UIPMEN: :: , -' ..: 115OUROE . :: > : : : !>. ;;1 PttdJEG"1' ;: ; � ; t)ICCI�PA.NCY . t.: � 5�....ENiE:�Cs ! [2 New ❑ Repair NI Single Family Entrance Panel N Forced Air Furnace Nat L. P Oil Elec. Solid Solar ❑ Alteration ['Raze ❑ Iwo Family Size; 200 amp Q Radiant Baseboard or Panel Fuel Gas (1 Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Q Other (print): Q Underground ❑ Boiler Spate Htg ® ❑ ❑ ❑ ❑ ❑ ['Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ - C1 Other ❑Other t ❑ Dwelling unit will have 3 kilowatt or 4 CvNSr• T `PE:: ZZIKWAInA 0 more installed electric space heating equip. [Site Constructed laConciete • '[q>� E '< ?> Infiltration control option is: Q Full sealing O Ma Manufactured ❑ Masonry "' "' of Joints. Blower door test. Exterior AIWA IN,,,IAMQ ` ' - ❑ Treated Wood Sewer air infiltra n barrier. ❑ Unfu Other Ijj Municipal ushed Basement ISO 5 t ._ ..... ......_ ........................ • :. . .:.:::::::: .. :::: . :::::: •::.,:::.� :: v::::::.:: :• <:.;:;.;.... , ...- ........ q f ,i:..,� >_._.,... -. i i[iii:i:iii:::ii: >::;5:;:: $iY::`': E 'i7afroi�4 ostp €X tii'tit - ;> i {i ❑ � Q Se ptic `l ❑ 1 Story : #: :'•> i rl»`::<niga: ?. ]. Permit No. Envelope • BTU/HR I lying Area �o y __ S ft C1 2 -Story ❑ Seasonal Garage 7 . ft Oth r [jPennanent 1 WAT :: >«><;:E E ? # r Infiltration BTU/HR c a f 'O 5 q . flit Municipal Ut ❑ Other I Y : e?(< .. ,.... - .... : _ _— _______ ❑ Pl Basement ❑Private On -Site Well $ SD , e�� 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 1 am an owner applying for an erosion control or construction permit, l have read the cautionary statement regarding contractor financial responsibility on the reverse side of the pink ply. / � APPLICANT'S SIGNATURE /1411 fideAti DATE SIGNED , .. 1 / 3/ 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. ISSUING ❑ T own ❑ Village ❑ City ❑ County ❑ State of: Municipality Num ber of Dwelling Location: JURISDICTION . > — — — — — Q I a: : • : ! P E • • : '. : . 1". aga . .. C � ` . .v: v. .. : : : .......:........ v..:: � iii ?::::: ` �IM� y/ : tSNU' �I�Y1(: isi?:' '•:i ^:::�• >:: :::.w:::.::..i•:.::. n....:..:.v:::.::. . ................................... . ..... .. .........nv . .:. 1 J ... ............:................. : .................::::::::: Ci: is•:• i:•:: vi: L• i:,.. v:: �:•> is�•: �: ti: ii::: 6•: ii:•: v' v:{• Y?::::• i `::J:'bi:.i:::_::::L::i:i::::G: Plan Review S _ ❑ Construction InspeCbun $ ❑ HVAC Name Wes Permit Seal $ ❑ Electrical Other $ ❑ Plumbing Date ❑ Erosion total $ Q Cert. No. SOD 5O23 (It. 07/95) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent (;_?) ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name RUSCH HOMES Address 3188 BELLFIELD DR Create Date 08/16/96 Construction Data ® New Construction O Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR and attached garage Compliance Checklist Deficient Comments L Use L Lot Width L Lot Area L Lot Area Per Family L Flood Plain L Front Yard L Front Yard Side Street L Rear Yard Li Side Yard Li Building Area LI Parking Standards L Off - Street Loading Standards L Vision Clearance U Transitional Yard Standards L Landscape Standards U Height L Conditions of Approval u Compliance with P.C. or BZA Conditions of Approval L 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 Plan Commission Action Required Variance(s) Required Reviewed By Darryn Burich Date 08/16/96 LATE 5/II /94 NAME K u -i (4r s AOORESS LOT (.5 BLOCK ,,. \ f , ARD SUED IV. V�l ( c_ Cpl ZONE T4 STREET NO.3/ AR # c, t 1 ",aLL (. LOT 0 I MENS I GNS SIOEWALK EXISTING YES E NO j:ZI BUILDING GRADE ELEVATIONS STAKES SET AT SITE / ,19 9 6 FEE; BY �� __. $15.00 , /1 _ A /1Ll_i,_! A I DEPARTMENT OF P!j.' I C WCRK: I, the undersigned, owner or agent of the above described property agree ro have The grade ester, iished before excavation has commenced. • 005526 +: C U ! a pp l : 1 i w I a in a) 11 P010 ° $ Q1 4- U °sgxt3by n 3 Z ..e , $ cZ . 911:11 ° o ii U ti-t111111 w a ° ,- n CO d C0 1 n I '� so' Q110 25- 1 c c ^ N t 36' ^^ h p o N `? 1 L X oo X Co V 51° O