HomeMy WebLinkAbout0106067-BuildingOSHKOSH
ON THE WATER
.lob .Address 3130 BENNETT CT
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Contractor RUSCH HOMES LLC
Category 110 - New Single Family
No 106067
Create Date 12/05/2003
Plan E1-156-1203R
Type IO Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: 8 Size IRRG
Unfinished/Basement 1536 Sq. Ft. Rooms 6 Height 16 Ft. L~ Projection J
Finished/Living 1536 Sq. Ft. Bedrooms 3 Stories 1 Canopies 0
Garage 450 Sq. Ft. Baths 2 Signs 0
Foundation O Poured Concrete ~ Floating Slab ~ Pier ~ Other
~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/ New 1 story with 2 car attached garage and a 10' x 20' patio. The driveway will be 21' wide.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC INC
Plumbing Contractor HANSON QUALITY PLUMBING
$110,000.00 Plan Approval $75.00 Permit Fee Paid
$439.00 Park Dedication $200.00
Date 01/14/2004 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number 685-0241
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0106067
P.e. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
RUSCH HOMES LLC PO BOX 423 eMRe WI 54963 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
RUSCH HOMES LLC 000000 P e BOX 423 emro WI 54963 - 0 685-0241
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC INC 170792 PO BOX749 NEENAH WI 54957 - 749 920-722-1240
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
CeNDeN TOTAL COMFORT 3202 PO BOX 184 RIPEN W 54971 - 184 920-748-5050
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
HANSON QUALITY PLUMBING .550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205
Lot Area Sq. ft. 1/4, 1/4, Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3130 BENNETT CT PHEASANT CREEK 1 ST ADD'T 77
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks ft. ft. ft ft.
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground
[] Other: [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other = more installed electric space heating equip.
<.2 ~R!~ i~E.D ~ [] Site Constructed ~ Concrete Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 1536 Sq. ft. ~ ~ ~Ri~ <:~ Treated Wood [] Municipal air infiltration barrier.
Other
Living Area 1536 Sq. ft. [] 1-Story [] Septic
Garage 450 Sq. ft. [] 2-Story x8 ~ ~[] Seasonal
Permit No. Envelope 26501 BTU/HR
[] Other Infiltration 18801 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $130,000.00
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 or implied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
v' Construction
Plan Review $75.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 12/8/2003
Other [] Erosion
Total $105.00 · 306827 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 3130 BENNETT CT
Name RUSCH HOMES LLC
Address PO BOX 423
Subdivision PHEASANT CREEK 1ST ADD'T
Building Permit Number 0106067
Number of Dwelling Units 1
Fee Required $200.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 01/14/2004
OMRO WI 54963
Lot 77
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 3130 BENNETT CT
Lot 77 Block
Subdivision PHEASANT CREEK 1ST ADD"f Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 12/08/2003 Set By
Grade Stake Number 7072
Create Date 12/05/2003
Ward
D.W.G. BK-593, P-29
Sidewalk Existing
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.