HomeMy WebLinkAbout0103224-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
Zoning R-I
1285 FAIRFAX ST
110 - New Single Family
· Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Contractor RUSCH HOMES LLC
Canopy (~ Fence
Class of Const: 8
No 103224
Create Date 07/28/2003
Plan E1-096-0703R
0 Raze I
Size IRR
Unfinished/Basement 480 Sq. Ft.
Finished/Living 1728 Sq. Ft.
Garage 572 Sq. Ft.
Foundation · Poured Concrete (~ Floating Slab
(~ Concrete Block O Post
Occupancy Permit Required
Park Dedication Required
Rooms 4
Bedrooms 4
Baths 3
C) Pier
(~ Treated Wood
Flood Plain No
# Dwelling Units
Height 20 Ft.
Stories Quad-level
(~Other
[] Projection
Canopies 0
Signs 0
Height Permit Not Required
# Structures I
Use/Nature
of Work
NSFPJ Quad level home with a 2 car attached garage, 14'x14' rear patio, and concrete driveway.
HVAC Contractor CONDON TOTAL COMFORT
Electric Contractor CUMINGS ELECTRIC
Fees: Valuatio~p $80,000.00 Plan Approval
Issued By: /'~,~/'
$75.00 Permit Fee Paid
[] Permit Voided J
Plumbing Contractor HANSON QUALITY PLUMBING
$320.00 Park Dedication $t00.00
Date 07/31/2003 FinallO.P. 00/00/0000
In the per~orrr[ance of~k/~g~e
Signature ~ ~] ~..-v~/~
Address P O BOX 423
to pe[form all work pursuant to rules governing the described construction.
Date
Agent/Owner
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.
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 1285 FAIRFAXST
Lot 32 Block
Subdivision 1st Add to Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/28/2003 Set By
Grade Stake Number 6995
Create Date 07/28/2003
I,,,, I Sidewalk Existing
Ward
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade ~s)a~lished before excavation
has commenced. V
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr
RUSCH HOMES LLC
Contractor: [] Con[] EIoc'~
RUSCH HOMES LEG
Contractor:
CUMINGS ELECTRIC
Contractor:
COMFORT
Contractor:]~ Con
HANSON QUALITY PLUMBING
Building Address
1285 FAIRFAX ST
Lot Area
Zoning District(s)
Zoning Permit No.
WISCONSIN UNIFORM Application No.
BUILDING PERMIT 0103224
APPLICATION Parcel No.
[] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address
PO BOX 423 OMRO WI 54963 - 0423
Mailing Address
P O BOX 423
Telephone No.
Telephone NO.
Omro WI 54963- 0 685-0241
Mailing Address Telephone No.
PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Mailing Address Telephone No.
11 BLACKBURN ST RIPON WI54971 - 184 (920) 748-5050
Mailing Address Telephone No.
BLUEMOUND RD APPLETON WI 54914 -0 730-0205
1/4, 1/4,Secfion ,T N,R E(or)W
Subdivision Name Lot No. Block No.
1 st Add to Pheasant Creek 32
Front Rear Left Right
New [] Repair Single Family
I~r~AIterati°n [~ Raze Two Family
Addition Garage
[] Move Other (print):
[] Other:
Site Constructed
Unfinished Manufactured
Basement 480 Sq. ft.
1 -Story
Living Area 1728 Sq. ft. [] 2-Story
Garage 572 Sq. ft. [] Other [] Seasonal
Quad-level Permanent
[] Plus Basement Other
The applicant a
the permit creates no legal liability,
APPLICANT'S SlGNATI
APPROVAL CONDITIONS
see standard conditions of ~
Entrance Panel
Size: 200am []
Service:
Overhead
Underground
Concrete
Masonry
Treated Wood
Other
Forced Air Furnace
[] Heat Pump
Boiler
Central Air Conditioning
Other
Sewer
Municipal
Septic
Permit No.
[] Municipal Utility
[] Pdvate On-Site Well
Fuel
Space Htg
Water Htg
unit will have 3 kilowatt or
more installed electric space heatin
Infiltration control option is: []
of joints. [] Blower door teat. []
air infiltration barder.
Envelope 24395 BTU/HR
Infiltration 13513 BTU/HR
$145,000.00
statues and ordinances and with the conditions of this permit, understands that the issuance of
and certifies that all the above information is accurate.
DATE SIGNED
pursuant to the following conditions. Failure to comply may result in suspension or
permit or other penalty
[] Town [] Village [] City [] County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 0 2 6 6
Name Nicole Krahn
Date 7/28/03
Cert. No. 248101
Plan Review
Inspection
Wis. Permit Seal
Other
Total
$75.00 Construction
HVAC
Electrical
$30.00 Plumbing
Erosion
$105.00
292213
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
· Job Address 1285 FAIRFAX ST
Name RUSCH HOMES LLC
Address PO BOX 423
Subdivision lstAdd to Pheasant Creek
Building Permit Number
Number of Dwelling Units
Fee Required
Owner's Signature ~
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
0103224
1
$1 o
Date 07/31/2003
OMRO WI 54963
Lot 32
Number of Structures
Fee Paid
Date
Date