HomeMy WebLinkAbout0106617-BuildingNo106617
CITY OF OSHKOSH
OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
RUSCH HOMES LLC
Job Address1240 JUDY LEE DROwnerCreate Date01/29/2004
DesignerContractorRUSCH HOMES LLC
Category110 - New Single FamilyPlanF1-008-0104R
TypeBuildingSignCanopyFenceRaze
R-1
ZoningClass of Const:8SizeIRRG
Sq. Ft.Projection
Unfinished/Basement1176Rooms5Height16Ft.
Finished/Living
1176Sq. Ft.Bedrooms3Stories1Canopies0
Garage528Sq. Ft.Baths2Signs0
Poured ConcreteFloating SlabPierOther
Foundation
Concrete BlockPostTreated Wood
Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required
Park DedicationRequired# Dwelling Units1# Structures1
NSFR/ New single family, 1 story, 2 car attached garage and 14' x 14' patio. Driveway shall not exceed 24' wide at the front property line.
Use/Nature
of Work
HVAC ContractorCONDON TOTAL COMFORTPlumbing ContractorHANSON QUALITY PLUMBING
Electric ContractorCUMINGS ELECTRIC INC
Fees: Valuation$70,000.00Plan Approval$75.00Permit Fee Paid$319.00Park Dedication$200.00
02/26/200400/00/0000
Issued By:DateFinal/O.P.
Permit Voided
Parcel Id #1342504900
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.
SignatureDate
Agent/Owner
P O BOX 423OmroWI549630000685-0241
Address-Telephone Number
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.
GRADE STAKE FORM
OSHKOSH
Grade Stake Number7097
ON THE WATER
NameRUSCH HOMES LLCAddress1240 JUDY LEE DRCreate Date01/29/2004
Block
Lot63Ward
SubdivisionPheasant Creek 1st add'tZone
Sidewalk Existing
Street NumberLot Dimensions
Building Grade Elevation Stakes Set At Site02/03/2004Set By M.B. BK - 577 , P - 49
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
BUILDING PERMIT
0106617
Safety and Buildings Division
P.O. Box 2509
Parcel No.
APPLICATION
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
PERMIT REQUESTED üü ConstrHVAC
ElecPlbgOther:
üü Erosion
Owner's NameMailing AddressTelephone No.
RUSCH HOMES LLCPO BOX 423OMROWI54963-0000
Contractor:
üü ConElecHVACPlbg
Mailing AddressTelephone No.
Lic/Cert #
RUSCH HOMES LLCP O BOX 423WI0
000000 Omro54963-685-0241
Contractor:Mailing AddressTelephone No.
Con üü ElecHVACPlbg
Lic/Cert #
CUMINGS ELECTRIC INCWI749
170792 PO BOX 749NEENAH54957-920-722-1240
Contractor:Mailing AddressTelephone No.
ConElec üü HVAC
Plbg
Lic/Cert #
3202 RIPONWI54971920-748-5050
CONDON TOTAL COMFORTPO BOX 184-184
Contractor:Mailing AddressTelephone No.
Con
ElecHVAC üü Plbg
Lic/Cert #
HANSON QUALITY PLUMBINGAPPLETON54914-0
550 N BLUEMOUND RDWI730-0205
Lot Area
PROJECT LOCATION
1/4,1/4,Section,TN,RE(or)W
Sq. ft.
Building AddressSubdivision NameLot No.Block No.
1240 JUDY LEE DR63
Pheasant Creek 1st add't
Zoning District(s)Zoning Permit No.FrontRearLeftRight
Setbacksft.ft.ft.ft.
1. PROJECT3. OCCUPANCY6. ELECTRICAL9. HVAC EQUIPMENT12. ENERGY SOURCE
üü New üü Forced Air Furnace
Nat.L.P.OilElec.SolidSolar
üü Single Family
Entrance Panel
Repair
Fuel
Gas
*
Two FamilyRadiant Baseboard or Panel
amp
Alteration
200
Size:
Raze
Garage üü
Space Htg
Service:
Heat Pump
Addition
Move
Other (print):Overhead
üü
Water Htg
Boiler
üü Underground
Other:Central Air Conditioning
*Dwelling unit will have 3 kilowatt or
4. CONST. TYPE7. FOUNDATION
Other
more installed electric space heating equip.
Concrete
2. AREA INVOLVED
üü Site Constructed
10. PLUMBING
Infiltration control option is:Full sealing
Masonry
Manufactured
Unfinished
Sewer
of joints.Blower door test.Exterior
Treated Wood
Basement1176Sq. ft.
air infiltration barrier.
üü Municipal
5. STORIES
Other
13. HEAT LOSS (Calculated)
üü 1-Story
Septic
Living Area1176Sq. ft.
8. USE
22451
EnvelopeBTU/HR
Permit No.
2-Story
528
GarageSq. ft.
Seasonal
14394
InfiltrationBTU/HR
Other
11. WATER
üü Permanent
14. EST. BUILDING COST
üü Municipal Utility
Other
$10,000.00
Plus BasementPrivate On-Site Well
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
State of:
TownVillage üü CityCounty
Municipality Number of Dwelling Location:
ISSUING
7 0 - 2 6 6
City Of Oshkosh
JURISDICTION
PERMIT(S)WIS. UNIFORM PERMIT
FEES:PERMIT ISSUED BY:
ISSUEDSEAL NO.
üü Construction
Plan Review$75.00
JOHN ZARATE
Name
HVAC
Inspection
Electrical
Wis. Permit Seal$30.00
1/29/04
Plumbing
Date
üü Erosion
Other
70330
Cert. No.
306837
$105.00
Total
SBD-5823 (R. 07/92)
PARKLAND DEDICATION FEE COLLECTION RECORD
OSHKOSH
ON THE WATER
Job Address 1240 JUDY LEE DRDate02/26/2004
NameRUSCH HOMES LLC
AddressPO BOX 423OMROWI54963
SubdivisionPheasant Creek 1st add'tLot63
Building Permit Number0106617
Number of Dwelling Units1Number of Structures1
Fee Required$200.00Fee Paid
Owner's SignatureDate
Inspector's SignatureDate
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