HomeMy WebLinkAbout0103225-BuildingOSHKOSH
ON THE WATER
Job Address 1290 FAIRFAX ST
Designer
Category 110 - New Single Family
Type · Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Contractor RUSCH HOMES LLC
Canopy C) Fence (~ Raze
No 103225
Create Date 07/28/2003
Plan E1-097-0703R
Zoning R-1
Unfinished/Basement 132 Sq. Ft.
Finished/Living 1742 Sq. Ft.
Garage 752 Sq. Ft. I~aths
Foundation · Poured Concre[e (~ Floating Slab (~ Pier
(~ Concrete Bock (~) Post (~ Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units
Class of Const: 8
Rooms 7 Height 20 Ft.
Bedrooms 3 Stories Bi-level
2
Other
Size IRRG
[] Projection
Canopies
Signs
Height Permit Not Required
# Structures I
Use/Nature 4SFR/New single family with 3 car attached garage and 14' x 14' deck. Driveway shall be a maximum of 24' wide at the front property
of Work ine.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~,
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
$95,000.00 Plan Approval
Plumbing Contractor HANSON QUALITY PLUMBING
$75.00 Permit Fee Paid $365.00 Park Dedication $100.00
Date 07/31/2003 FinallO.P. 00/00/0000
[] Permit Voided j
Signatln the P~re~;~ ~ '°r ance of~lc_, a efform all workAgent/OwnerPUrsuant to rules governing the described construcAion. Date
Address POBOX423 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
GRADE STAKE FORM
Name RUSCH HOMES LLC Address 1290 FAIRFAX ST
Lot 30 Block Ward
Subdivision 1st Add't Pheasant Creek Zone
Street Number Lot Dimensions
Grade Stake Number 6997
Create Date 07/2g/2003
L~ Sidewalk Existing
Building Grade Elevation Stakes Set At Site 07/30/2003 Set By D.W.G. BK - 590, P - 41
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade ~'~lished before excavation
has commenced.
Wiscon~n Department of Industry,
Labor and Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues t01.63, 101.73
WISCONSIN UNIFORM Application No.
BUILDING PERMIT 0103225
APPLICATION Parcel No.
[] Constr [] HVAC [] Elec [] PIbg [] Erosion [] Other:
Mailing Address Telephone No.
PO BOX 423 OMRO WI 54963 - 0000
Mailing Address Telephone No.
P O BOX 423 Omro WI 54963 - 0 685-0241
Mailing Address Telephone No.
PO BOX749 1414COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Mailing Address Telephone No.
BLACKBURN ST RIPON WI54971 - 184 (920) 748-5050
RUSCH HOMES LLC
Contractor: [] Con[] Elec[]
RUSCH HOMES LLC
Contractor:
CONDON TOTAL COMFORT
Contractor:'[~ Con
HANSON QUALITY PLUMBING
Lot Area
Mailing Address
ND RD
APPLETON WI 54914 -0
1/4, 1/4,Section ,T N,R E(or)W
Telephone No.
730-0205
Bui[dthg Address Subdivision Name Lot No. Block No.
1290 FAIRFAX ST 1st Add't Pheasant Creek 30
District(s) Permit No. Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace
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
Other more installed electric space heating equip
Site Constructed Concrete Infiltration control option is: [] Full sealing
Unfinished Manufactured Masonry Sewer of joints. [] Blower door test. Extedor
Treated Wood ~
Basement 132 Sq. ft. Municipal air infiltration harder;
Other
Living Area 1742 Sq. ft. l-Story Septic .
[] 2-Story - Permit No. Envelope 22270 BTU/HR
Garage 752 Sq. ft. [] Other [] Seasonal · Infiltration 11775 BTU/HR
Bi-level []' Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $115,000.00
The applicant agrees to compl,.
the permit creates no legal
APPLICANT'S SIGNATURE
ordinances and with the conditions of this permit, understands that the issuance of
and certifies that all the above information is accurate.
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:
CityOf Oshkosh 7 0 2 6 6
Plan Review $75.00
Inspection
Wis. Permit Seal $30.00
Other
Total $105.00
SBD-5823 (R. 07~92)
Construction
HVAC Name JOHN ZARATE
Electrical
Plumbing Date 7/28/03
Erosion
292160 Cert. No. 70330
OSHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
1290 FAIRFAX ST Date 07/31/2003
Name RUSCH HOMES LLC
Address PO BOX 423
OMRO WI 54963
Subdivision 1st Add't Pheasant Creek
Lot 30
Building Permit Number 0103225
Number of Dwelling Units
Fee Required
Owner's Signature ¢~.
Inspector's Signature
1
Number of Structures
Fee Paid
Date
Date