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HomeMy WebLinkAbout0053954-Building CITY OF OSHKOSH No 0053954 ' (4) OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2911 MONTCLAIR PL Owner RUSCH HOMES Create Date 4/17/96 Designer Contractor RUSCH HOMES Category 110 - New Single Family Plan F2- 001- 7/94MP Type 0 Building 0 Si 0 Canopy 0 Fence 0 Raze Zoning R1 Class of Const: 8 Size IRREG 50X54 Unfinished /Basement 480 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 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other Concrete Block Post SKOTZKE 0 0 0 Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR AND ATTACHED GARAGE(FAIRFAXI) NOTE: LOWER LEVEL IS UNFINISHED of Work HVAC Contractor BREWER HEATING Plumbing Contr rD SCHROEDER & HANSON Electric Contractor b 9 0 Fees: Valuation $50,000.00 Permit Fee Paid $240.00 Q V ° Park Dedication $100.00 Issued By: PP) 1 c t � Date 8/14/96 Final /O.P. at Li Permit Voided In the performance of this w perf r all work pursuant to rules governing the described construction. N` Signature C�--• Date �4 X,fo Agent/Owner Address 2760 WESTMOOR RE Oshkosh WI 54904 - 0000 Telephone Number GATE ' ` , NAME , \J L • AODRESS LOT \cpk c \' BLOCK WARD ARD SUBDIV.I'A h .� 40 T r“,\.--) ,Q ZONE STREET NO. oZ Q /1 ML r Al LOT O I MENS I GNS SIDEWALK EXISTING YES El NO ES BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4//D ,1g 9 = EY* Q‘" F EE: $15.00 • ,AU.tv.P_ril X?Sitithe. -1.; OEPARTMENT OF puaLiC wCriKS I, the undersigned, owner or agent of the above described property agree TO have The grade established before excavation has commenced. �s 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 : ;: ".:a tl%Il I RE( IEo `E �! :§:. ® Constr ❑ HVAC ❑ Elec ❑ Plbg ❑ Erosion ❑ Other: Owner's Name Mailing Address Telephone No. RUSCH HOMES 2760 WESTMOOR RE 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: 0 Con El Elec ® HVAC El Plbg Lic /Cert # Mailing Address Telephone No. Contractor: ❑ Con 0 Elec 0 HVAC ® Plbg Lic /Cert # Mailing Address Telephone No. •.:...:...: ......:..:...::: <..:;....;...:......: Lot Area ❖: ' ❖: Sq. ft. 1/4. 1/4. Section .T N.R E(or)W Buildin g Address Sub •v' ........ ......::::::..::::::.:::.....:. ion ,ie Lot No. Block No. 2911 MONTCLAIR PL `��j.►e` -� .j 1 4 _( ' J /� / Zoning District(s) Zoning Permit No. Front Rear Left Right Setbacks ft. ft. ft. ft. ..' PRO Orf:s.000..•..00. ❖.•iN:00 UPAN ® .......1 . ....... ..... 1:Y .... - >� .. � gzH#t�ACEttI�PM�I�'i' . ..❖.....o�.•�I�:PI%fE�:C�YSdEJi�� ,7:::::::::::::: :........ IN New ❑ Repair ■ Single Family Entrance Panel C Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar ❑ Alteration ❑Raze • Two Family Size: 200 amp Radiant Baseboard or Panel Gas ❑ Addition ❑Move • Garage Service: Heat Pump Space Htg ® ❑ ❑ ❑ ❑ ❑ • Other (print): • Overhead Boiler Water Htg IN ❑ ❑ ❑ ❑ ❑ Othe �� Underground Central Air Conditioning ❑ * ❑ Dwelling unit will have 3 kilowatt or r + ' t'' #0 NDA' 1R..1;:::■ Other more installed electric space heating equip. ,.i'' :AR€A :INV£I C! : ❖ .•..s ❖:•:se ............ . ., �- ® Site Constructed Concrete ••••••••... ® :� � �'•� �����:...•.......s s ., Infiltration control option is ❑ Full sealing Unfinished ❑Manufactured ❑ Masonary Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 480 Sq. ft. �;p 3;:;:;: Treated Wood q• �-�� F1�.. , Municipal air infiltration barrier. Other -- Living Area 1104 S ft. ❑ 1 - Story ❑Septic :IIAT:[ LO:Qril4^ttIef: `.� ❖: ❖:::.•.E 2-Story M�'�'���':- Permit No. Envelope 22022 BTU /HR Garage 576 Sq. ft. ® Other ■ Seasonal A t1'i: ® Permanent T: -'0;• • .filtration 13243 BTU /HR ' " . . .• . . . .. ••.•.•. ' Infiltration Quad - level ` Municipal Utility ;1?1:1zT'IR411 plttilCx�E79: ;;' ❑ Other ® p ,:,: ® Plus Basement ❑ Private On -Site Well $60,000.00 The applicant agrees to comply with all applicable codes, statu- and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or' -. . ent or municipality; and certifies that all the above information is accurat . APPLICANT'S SIGNATURE /f DATE SIGNED APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspensio or revocation of this permit or other penalty MAINTAIN EROSION CONTROL UNTIL STABILIZATION ..:.:......:. : K:i :%3'::� : I���jtllj El Town ❑Village ® City ❑ County ❑ State of: Municipality Number of Dwelling Location: i J S DrC'`'':tO.::; ... ,' ..... • ..........• City Of Oshkosh 7 0 - 2 6 6 • ... ... ............... .... ...... �.... fe M1T ❖ : ' � x winnow M ...................... ,..........•. .;.ss•..•.o o. ❖...•.sssss•.se. .. : ❖ ❖ ❖,. . ... : ❖ . ❖:: .......... ....,.,.,,.,., z.,,,.,> ......... f'1t+tI1>::I.S' — •::: ❖::: ❖:•:: . ...•...•...•..e „we ° ° °• -• -• - ... ° °° ....._ xxe :::eee.:.•e:: ° °° ° °e° ::.... .......:, . i :: _ :.:oee:....... _e.::.:.e:.:.:o.S:.:.:.a ..:.:.:.:.::::.:.SS::.:..:e :.:::::. :.::x.2:..53:.::::::::::::::::: Plan Review $40.00 Construction Inspection _ HVAC Name DARRYN BURICH Wis. Permit Seal $30.00 — Electrical Other Plumbing Date 04/17/96 g Erosion Total $70.00 192556 Cert. No. 5935 SBD -5823 (R. 07/92) OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 2911 MONTCLAIR PL Date 8/14/96 Name RUSCH HOMES Address 2760 WESTMOOR RE Oshkosh WI 54904 Subdivision 4TH ADDN TO FOX CHASE Lot 161 Building Permit Number 0053954 Number of Dwelling Units 1 Number of Structures 1 Fee Required $100.00 Fee Paid '' bil i617 Owner's Signature �^� k---- (...2z•,- Date Inspector's Signature Date C" (,,0 Application No. Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING 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 Wisconsin t t t 1 1 -63 1 1.7 programs IPnvacy Law, s- 15 -04 (1) (m)I- � -;; t' � �R"q; PERRAtt-R :: UESTEO © Constr ❑ HVAC ❑ Elec ❑ Plbg ❑ Erosion Other: ;;:; . ::„ : : : .:: ::::::.::..: ::.......... Telephone No. Owner's Name I Mailing Address Rusch Homes I I 2760 Westmoor Rd. Oshkosh WI. ( 4 ( 414 231 - Telephone No. Contractor's Name: RI Con ❑ Elec ❑ HVAC ❑ Plbg LiUCert # Mailing Address ( ) Same Mailing Address Telephone No. Contractor's Name: ❑ Con Q Elec ❑ HVAC ❑ Plbg LiUCert # g ress Cummings Electric 1414 Cty Tk JJ Neenah 54957 ( )231 Telephone No Contractor's Name: ❑ Con ❑ Elec [HVAC ❑ Plbg Lic /Cert # Mailing Address Brewer Heating N8084 N Douglas Ripon 54971 ( )748 Telephone No. Contractor's Name: ❑ Con ❑ Elec ❑ HVAC ❑flbg Lic/Cert 5 4 9 1 5 Cert # Mailing Address ( ) , o , Schroeder & Hanson II ` ' - "' I. o " ' t��EE Lot Area N, R E (or) W n ". : LOCA ION:: >:: :. S . ft. 1/4, 114, Section T :::. -. :. :. ::.:.::: :. q Block No. BuildngA Address Subdivision Lot No. Building Address 1 Name e�,�. ! 0/ ' 1 i• Ian . _-/ 'ear .. �. -' Le Right Zoning District Front District(s) Zoning Permit No. I Setbacks -�� I ft. 1 eI t ft. 2 3 ft. 3 1 r ft- :: ±Iaui :::<: >: »3 >::HV CE & . Et Miwlt ': .54) New ❑ Repair Ei Single Family Entrance Panel ® Forced Air Furnace Fuel Gas L. P Oil Elec. Solid Solar ❑ Alteration ❑ Raze ❑ Two Family Size: 700 amp ❑ Radiant Baseboard or Panel * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump _ Space Htg ® ❑ ❑ ❑ ❑ ❑ ❑ Other (print): ❑ Underground ❑ Boiler ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ * Dwelling unit will have 3 kilowatt or D Other .. _ ..... .... ❑ Other 1 : ' ; llF ? :T' 1 N# A >: ,....,,.::,....„.. more installed electric space heating equip d Concrete :::,• [> ` `:::i;i t'; Infiltration control option is ❑ Full sealing ; [$Site Constructed aConcrete [���f?!Ct 111+ 1H1 :::::::::: : :: ::: :: : :: .:.:...... .. .. Exterior ❑ Manufactured ❑ Masonry of joints. El Blower door test. ❑ Exte ,.;AIN. :; >... ... ❑ Treated Wood Sewer air infiltration barrier. Municipal 5 ' :51< I;IES >? »:::<: >:: >:: >:::: ❑ Other >; : : >: : : :: ::::11. H T LOSSs tuts •: ::<::: Unfinished Basement 1g0 Sq ft �.::.:: •:.. : ......:::::::::::::::.:::::. ❑ Septic 3 � " < :.: i € €: ; >> : <: Permit No. Envelope BTU/HR �J ❑ 1 Story � ...................... Perm Loving Area /Mg Sq ft ❑ 2 -Story ❑ Seasonal ;:.... :?� ..::: >::<:< ::<::: `:> « :: ::<::<::: >:<: >:: >:: Infil ra ion BTU/HR � Other L$ Permanent t.... : : : •. : <:< : : >: : : ::.:: ; : :;• ., •: .:;. •. :. :-. : �.:::.:.,:::,::;::<x >;:: >::: >: >:: ;:: >s »: Garage .7 /� Sq ft �i ❑ Other ( Municipal Utility al' ; ' k 0 I1 I1 000SES ?; a> <::; < ❑ Plus Basement 0 Private On -Site well $ .5b 0CI0 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. ' / � APPLICANT'S SIGNATURE J,(/yN " DATE SIGNED g QG APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in su pension or revocation of this permit or other penalty. ❑Town ❑ Village ❑ City ❑ County ❑ State of Municipality Number of Dwelling Location: - JURISDI ION,::; .:: .: . :::: :..::, .: ., )..;:;:;:: :.::.: .:RM: ! T: -. <.::: 2::::':: fi;::;:':::: i:: iss;:::;<;:::;:::::::::: r:::::::::::` �:::::::: i<:: i:.' d: 3::: 5r :- ::::: ::::..:::.::.:: >::.;: ,_ ,..::.;:: ::: :::.:...:.:.::.::.::::.:..:.. .:..; ,:.:::.;;;:::.::::.....: ,: :..::.:::::::::.:::; ::;:•;;:•::-.. •::.:: •::::::.,::.;. >; :::<- :.:.:; Plan Review S ❑ Construction Inspection S ❑ HVAC Name Wis Permit Seal $ ❑ Electrical ! Other $ ❑ Plumbing Date f ❑ Erosion E Total S ID Cert. No. j SBD 5823 (R.07/951 WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent , I c,...D ZONING /LAND USE COMPLIANCE CHECKLIST OSHKOSH ON THE WATER Name RUSCH HOMES Address 2911 MONTCLAIR PL Create Date 04/17/96 Construction Data ® New Construction 0 Addition 0 Alteration Type of Construction (i.e. fence, pool, parking lot, sign, etc. NSFR AND ATTACHED GARAGE (FAIRFAXI) Compliance Checklist Deficient Comments Li Use Li Lot Width Li Lot Area Li Lot Area Per Family Li Flood Plain Li Front Yard I_ Front Yard Side Street L Rear Yard Li Side Yard Li Building Area Li Parking Standards Li Off - Street Loading Standards Li Vision Clearance Li Transitional Yard Standards Li Landscape Standards U Height Li Conditions of Approval Li Compliance with P.C. or BZA Conditions of Approval Li Signage Standards Li 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 1 Variance(s) Required Reviewed By DARRYN BURICH Date 08/14/96 OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 5466 Name RUSCH HOMES Address 2911 MONTCLAIR PL Create Date 04/17/96 Lot 161 Block Ward Subdivision 4TH ADDN TO FOX CHASE Zone Street Number 2911 MONTCLAIR PLACE Lot Dimensions I 1 Sidewalk Existing Building Grade Elevation Stakes Set At Site 04/10/96 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. • .L - J mi. .4. - .■1 -L 1 ...► (0 03 -4 C) 01 4N. W N 1 O (0 00 —J C) al -P. co N 1 0 \ .1.- , 1 N co .A U1 ®© O Co (0 1 \ w"4 .,� 1 �� O .4 .;° , ate ....• E �w�� 1 23 , 6 „ 1 N 1 ` \ 1 . CO 1 I N -1 1 _ cAd(A{f eEQ, _ , r U1 1 1 I i 1 1Zxr .4 F -:; I t IT J 011,- a (f y . , R, 1 J J ^ v 1 . Cir N o s, m O L"," 2 z m . a _ \ P N _ 3 f 5 1 1 T N 2 �r CO $ '� 6 7/1 26172,&/ N