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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 '" -',,P"'"' 60.00' 61.74' ~"~ 60.0 )' ,' 26(:) ~L ~ o. o. ,% ' 60.00' 60.00' 60.t o o~ ..... ~ ~ 0 . § o,~- ~:~ ........ -.m,<, =. -~, § ~- @ ......