The URL can be used to link to this page

Home My WebLink About0075241-Building CITY OF OSHKOSH No 0075241 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3193 BELLFIELD DR Owner RUSCH HOMES Create Date 01/10/2000 Designer Contractor RUSCH HOMES 5/21/00 Category 110 - New Single Family Plan F2- 001 -794MP Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRR Unfinished /Basement 480 Sq. Ft. Rooms 6 Height 21 Ft. ❑ Projection Finished /Living 1728 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 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/ MASTER PLAN "FAIRFAX "/ Quad -level w/ 2 car att garage, NO DECK OR PATIO of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor SCHROEDER & HANSON Electric Contractor CUMINGS ELECTRIC Fees: Valuation $70,000.00 Plan Approval $40.00 Permit Fee Paid $250.00 Park Dedication $100.00 Issued By: )1\4%...../ Date 01/27/2000 Final/O.P. ❑ Permit Voided In the performance of this work I to perform all work pursuant to rules governing the described construction. Signature Date 1 ,/ ?74 Agent/Owner Address 3807 A STATE HWY 21 OSHKOSH WI 54904 - 0000 Telephone Number 231 -8203 M851 -6000 C I OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 6310 Name RUSCH HOMES Address 3193 BELLFIELD DR Create Date 01/10/2000 Lot 37 Block Ward Subdivision 1ST ADD TO VILLAGE GREEN Zone Street Number Lot Dimensions Sidewalk Existing Building Grade Elevation Stakes Set At Site 01/11/2000 Set By D.W.G. BK - 546, P - 68 Department of Public Works 1, the undersigned, owner or agent of the above described property agree to have the grade esta • fore excavation has commenced. ( r--- Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0075241 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statues 101.63, 101.73 Q Constr ❑ HVAC ❑ Elec ❑ Plbg Q Erosion ❑ Other: Owner's Name Mailing Address Telephone No. RUSCH HOMES 2760 WESTMOOR RD Oshkosh WI 54901 - 0000 231 -8203 Contractor: Q Con • Elec 111 HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES 5/21/00 4781 3807 A STATE HWY 21 OSHKOSH WI 54904 - 0000 231 -8203 M851- Contractor: U Con 0 Elec . HVAC • Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC PO BOX 749 NEENAH WI 54957 - 0749 231 -5946 (Dick Contractor:. Con • Elec Q HVAC I Plbg Lic/Cert # Mailing Address Telephone No. CONDON TOTAL COMFORT 11 BLACKBURN ST RIPON WI 54971 - 0000 1- 800 - 416 -4282 Contractor:. Con • Elec M HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. SCHROEDER & HANSON 550 N BLUEMOUND RD APPLETON WI 54915 - 0000 730 -0205 Lot Area S•. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 3193 BELLFIELD DR 1ST ADD TO VILLAGE GREEN 37 Zoning District(s) Zoning Permit No. Front Right 1 1111111.111.1 1 a,ze+b q . *, . LG. - 0 New ❑ Repair Q Single Family Entrance Panel 0 Forced Air Furnace Fuel Nat. Oil Elec. Solid Sole ❑ Alteration ❑ Raze El Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Ga '® ❑ Addition El Move ❑ Garage Service: ❑ Heat Pump Space Ht ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other (print): ❑ Overhead ❑ Boiler Water Htg 0 - ❑ ❑ ❑ ❑ Other 0 Underground I Central Air Conditio ❑ mg Dwelling unit will have 3 kilowatt or ate � � m g a��, �,�F _ Other more installed electric space heating equip. P 9 0 Site Constructed 0 Concrete °� a= Infiltrat control opt i s: ❑ Full sealing Unfinished ❑ Manufactured ❑ Masonary Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 480 Sq ft. n � d of , , ��T� Treated Woo Q Municipal air infiltration barrier. ❑ Other ❑ Septic 1-Story Living Area 1728 Sq. ft. ❑ e u ❑ 2 -Story � ° °° Permit No. Envelope 25216 BTU /HR Garage 576 Sq. ft. II Seasonal Q Other Infiltration 14406 BTU /HR 0 Permanent Quad -level 0 Municipal Utilityw. _ ❑ Other 0 Plus Basement ❑ Private On -Site Well $70,000.00 The applicant agrees to comply with all applicable codes, stat - and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, expres or plied • i , - -rtment or municipality; and certifies that all the above information i accura APPLICANT'S SIGNATURE All j DATE SIGNED Gepe) APPROVAL CONDITIONS s permit is issued pursuant to the following conditions. Failure to comply may result in su pension 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 $40.00 12 Construction Name • HVAC ame NICOIe Krahn Ell Wis. Permit Seal $30.00 Electrical Date 01/10/2000 II Other Plumbing Q Erosion Total $70.00 Mil 233844 Cert. No. 248101 SBD -5823 (R. 07/92) QD OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 3193 BELLFIELD DR Date 01/27/2000 Name RUSCH HOMES Address 2760 WESTMOOR RD Oshkosh WI 54901 Subdivision 1ST ADD TO VILLAGE GREEN Lot 37 Building Permit Number 0075241 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid ra Owner's Signature Date /4 /1e5d Inspector's Signature p et". Date • 41. 4 4 :1 Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION Safety and Buildings Division 1 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 Wisconsin Statutes 101.63001.73 programs [Privacy Law. 5. 15.04 (1) (n)). 1141641tiiiiiiiiittiill I3 Constr El HVAC 0 Elec 0 Plbg El Erosion El Other: 1 Owner's Name Mailing Address Telephone No. Rusch Homes _ 2760 Westmoor Rd. Oshkosh WI. ( 414 231-8203 Contractor's Name: El Con 0 Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. Same. ( ) Contractor's Name: 0 Con g Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. Cummings Electric 1414 Cty Tk JJ Neenah 54957 ( )231-5946 Contractor's Name: fl Con 0 Elec [HVAC 0 Plbg Lic/Cert # Mailing Address P : got au/ Telephone No .g.r-la.u4ii-E—Z-e-a44-ffg Odnd0/ *8 Ripon 54971 ( )748-6494 Contractor's Name: 0 Con 0 Elec 0 HVAC pflbg ic/Cert # Mailing Address 54 9 1 5 Telephone No. Schroeder & Hanson 550 N Blue.mound Dr Apnleton ( )710-0205 iPFOJECTI.00AT1ON 1LotArea Sq ft. \ rf 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivme Lot No. Block No. I ' / , 41 , i 4 //.1 3 . ,....„ _ .. Zoning District(s) /Zoning Permit No. / Front I Rear Left Right Setbacks ..26 ' ft. 3c) ' ft. q ' ft. 1 1 ' ft. : ' ::::%::::IfilAttatmongp:::::::::IVENERGr Sailiftggi:::::::::!::::::::::::iiil:i::::::::111:::::i:ii:::::: ES New 0 Repair M Single Family Entrance Panel kg Forced Air Furnace , Nat. L. P Oil Elec Solid Solar 0 Alteration 0 Raze 0 Two Family Size: 200 amp 0 Radiant Baseboard or Panel Fue, Gas * 0 Addition 0 Move D Garage Service: 0 Heat Pump _ Space Htg IN D D 0 0 0 0 Other (print): 0 Underground 0 Boiler 0 Overhead 9 Central Air Conditioning Water Htg 0 _ 0 0L 0 0 0 0 Other 9 Other * 0 Dwelling unit will have 3 kilowatt or :iil::•! DtSite Constructed aConcrete ::•sit:,:•.outssiinisatt *A4 Infiltration control option is: 9 Full sealing 0 Manufactured 0 Masonry of joints. 0 Blower doOr test. 0 Exterior 2.-:::ARENINVONEII:::::ig:::::::: D Treated Wood Sewer air infiltration barrier. **.itidititsm:::::::: M Municipal Unfinished Basement L 'igo Sq. ft. 4■i:::::;‘.?..-Neir.s.maiti .. ; *::::;:::::1:::::;:::::::: . 0 Other AkHEATLOSV ....-: a te d) :::::::::::::::' 0 1- Story Living Area /72 8 Sc ft- D 2-Story 'I ................................................... 0 se fl Seasonal '!.. . . ............ No Envelope BTU/HR :!AtiNWStekm:;:::0:i Infiltration BTU/HR Garage 5-76 ag Other Sq. ft. 0,4444k aPermanent 0 Other Iii Municipal Utility-----... 14 t5t BUILDING ............................................. iC0........Sti 0 Plus Basement 0 Private On-Site Well $ 7.0, 006 I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand thatre issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certify that all the above information i'atcurate If 1 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. i. Padedti . APPLICANT'S SIGNATURE DATE SIGNED 1/5/9 / 1 APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or 1 revocation of this permit or other penalty. q 1 ;4 1 1 000e_ 1 1 . ................................................ .................................................. ::::: 0 Town 0 Village 0 City 0 County 0 State of: Municipality Number of Dwelling Location: 10.4$0 - — — — ................................................................ isicirriviii;,:i;iiii i..itt crifikagi:ekebikirr. .:::::;:*:::::::::::::::::::::::::::: F.PE:c• :::• Plan Review S 0 Construction Inspection $ 0 HVAC Name _ Ms Permit Seal $ 0 Electrical Other $ 0 Plumbing Date 4'''' 4'''' Ag SYegVI V) E o U I k �a o N E O L 8a N h 0 r z s g 8 0 . I Q G 6 o _o, a. _ C a a; $ • > - >, Z 0 I.e.er 1 U L yy cn A 1 K l 6 8 g a 0 k.A.J rn I ^ 00 l hn x s N OD x M N ` .5) IJ ■ C� IN 0 0 V