HomeMy WebLinkAbout0108569-BuildingOSHKOSH
ON THE WATE rR~
,Job Add~ess 1270 JUDY LEE DR
Designer
Category 110 - New Single Family
Type · Building
Zoning
Unfinished/Basement 1176 Sq. Ft.
Finished/Living 1176 Sq. Ft.
Garage 528 Sq. Ft.
· Poured Concrete O Floating Slab
(~ Concrete Block C) Post
Foundation
Occupancy Permit Required
Park Dedication Required
CITY OF OSHKOSH No 108569
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES Create Date 06/04/2004
Contractor RUSCH HOMES LLC
Plan F1-052-0504R
0 Sign 0 Canopy 0 Fence 0 Raze I
Class of Const: 8
Rooms 2
Bedrooms 3
Baths 2
0 Pier
0 Treated Wood
Flood Plain No
# Dwelling Units I
Height
Stories 1
C) Other
18 Ft,
Size IRR
[] Projection J
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature
of Work
NSFR/1 stow home with 2 car attached garage, 14'x14' rear concrete patio.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC INC
$90,000,00 Plan Approval
$75.00 Permit Fee Paid
[] Permit Voided
Plumbing Contractor HANSON QUALITY PLUMBING
$379.00 Park Dedication $200~00
Date 06/08/2004 FinallO. P. 00/00/0000
Parcel Id # 1342505200
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 applicatio~ easement, the City strongly urges the permit applicant to contact the easement
helder,s, and to se. n c ® , vals helere sta,ing such aoti*.
Signature L///'~----~ ~/¢¢4.~ Date
Agent/Owner
Address P O BOX 423 emro 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.
OSHKOSH
ON THE WATER¢
Name [~USCH HOMES
Lot 66
Subdivision 1st Add to Pheasant Creek
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
Grade Stake Number 7164
Address 1270 JUDY LEE DR Create Date 06/04/2004
Block Ward
Zone
Lot Dimensions LJ Sidewalk Existing I
06/04/2004 Set By D.W.G. BK - 596, P - 77
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade Cta~jlished before excavation
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53.701-2509
Wisconsin StatL~es 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
RUSCH HOMES
Contractor: [] Con~l Elect] HVAC ~ Plbg
RUSCH HOMES LLC
Contractor: L~ Con ~ Elec~j HVAC~j Plbg
CUMINGS ELECTRIC INC
Contractor: L~ Con ~j ElecL~j HVAC L~ PIb,c
CONDON TOTAL COMFORT
Contractor:~] Con ~ Elect] HVACL~j Plbg
HANSON QUALITY PLUMBING
Lic/Cert #
000000
LicJCert #
170792
Lic/Cer[ #
3202
,LicJCert #
Mailing Address
P O BOX 423 OMRO WI 54963 - 0000
Mailing Address
P O BOX 423 Omro wi 54963 - 0
Mailing Address
PO BOX749 NEENAH WI 54957 - 749
Mailing Address
PO BOX 184 RiPON WI 54971 - 184
Mailing Address
550 N BLUEMOUND RD
APPLETON WI 54914
1/4, 1/4,Section ,T
Lot No.
1270 JUDY LEE DR 66
Telephone No.
685-0241
Telephone No.
685-0241
Telephone No.
920-722-1240
Telephooe No.
920-748-5050
Telephone No.
~'30-0205
N,R E(or)W
Block No.
Zoning District(s) Permit No. Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Fumace
[] Alteration [] Raze Two Family Size: [] Radiant Baseboard or Panel
Garage Service: [] Heat Pump
[] Addition [] Move Other (print): Overhead Boiler
[] Other: Underground Central Air Conditioning Dwelling unit will have 3 kilowatt or
[] Site Constructed Concrete Other more installed electric space heat[n:
Infiltration control option is: [] Full sealing
Unfinished [] Manufactured Masonry Sewer of joints. [] Blower door test. [] Extedor
Basement 1176 Sq. ff. Treated Wood [] Municipal air infiltration barrier.
Living Area 1176 Sq. ff. 1 -Story Other [] Septic
[] 2-Story Permit No. Envelope 22451 BTU/HR
Garage 528 Sq, ft. [] Other [] Seasonal Infiltration 14394 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement Other [] Pdvate On-Site Well $145,000.00
The applicant agrees to comply with all applicable codes, and with the conditions of this permit, understands that the issuance of
the permit creates no legal lisbilit~ and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE 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
see standard condiitons of approval
[] Town [] Village [] City [] County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 0 2 6 6
Name Nicole Krahn
Date 6/4/04
Cert. No. 248101
Plan Review $75.00 Construction
HVAC
inspection Electrical
Wis. Permit Seal $30.00 Plumbing
Other Erosion
Tctal $105.00
SBD-5823 (R. 07/92)
3O6895
OSHKOSH
ON THE WATER
.lob Address 1270 JUDY LEE DR
Name RUSCH HOMES
Address P O BOX 423
Subdivision 1st Add to Pheasant Creek
Building Permit Number 0108569
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 06/08/2004
OMRO WI 54963
Lot 66
1 Number of Structures
$200.00 Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
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