HomeMy WebLinkAbout0103222-BuildingOSHKOSH
ON THE WATER
Job Address 1245 FAIRFAX ST
Designer
Category 110 - New Single Family
Type · Building (~ Sign
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date
Contractor RUSCH HOMES LLC
Canopy O Fence O Raze
No 103222
07/24/2003
Plan E1-095-0703R
Zoning R-1 Class of Const:
Unfinished/Basement 590 Sq. Ft. Rooms 8
Finished/Living 2030 Sq. Ft. Bedrooms 4
Garage 672 Sq. Ft. Baths 3
Foundation · Poured Concrete (~ Floating Slab (~ Pier
O Concrete Block (~) Post (~ Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units
8
Height 20 Ft.
Stories Quad-level
(~Other
Size Irrg
[] Projection ~
Canopies
Signs
Height Permit Not Required
# Structures I
0
0
Use/Nature
of Work
NSFR/ New single family with 2 car attached garage and a 14' x 14' patio. Driveway shall not exceed 24' wide at the front property line.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:,~.
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
$100,000.00 Plan Approval
$75.00 Permit Fee Paid
[] Permit Voided~
Plumbing Contractor HANSON QUALITY PLUMBING
$380.00 Park Dedication $100.00
Date 07/31/2003 Final/O,P, 00/00/0000
In the perfo~an~ ~,~' .ork/l~./~e to perform all work pursuant to rules governing the described construction.
Signature/~,. ~_f!,..,~ I/~/(.,~ Agent/Owner Date
Address P O BOX 423 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. Wore 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 1245 FAIRFAXST
Lot 36 Block Ward
Subdivision 1st Add't Pheasant Creek
Street Number
Zone
Grade Stake Number 6996
Create Date 07/29/2003
Lot Dimensions L~ Sidewalk Existing j
Building Grade Elevation Stakes Set At Site 07/30/2003 SetBy 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 estab,~ishe~ before excavation
has commenced. ~
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
)wner's Name
RUSCH HOMES LLC
Contractor: [] Con[~ Elec~
RUSCH HOMES LLC
Contractor:
CUMINGS ELECTRIC
Contractor:
Contractor:'[~ Con
HANSON QUALITY PLUMBING
Building Address
1245 FAIRFAX ST
Zoning District(s)
WISCONSIN UNIFORM /Applicetion No.
BUILDING PERMIT I0103222
APPLICATION Parcel No.
Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address
P.O. BOX 423 OMRO
Mailing Address
P O BOX 423 Omro
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
WI 54963- 0000
WI 54963 - 0
WI 54957 - 749
Mailing Address
11 BLACKBURN ST
Mailing Address
RIPON WI54971 -184
BLUEMOUND RD
1/4,
APPLETON WI 54914 -0
1/4,Secfion ,T N,R
Telephone No.
Telephone No.
685-0241
Telephone No.
231-5946
Telephone No.
(920) 748-5050
Telephone No.
730-0205
Subdivision Name
1st Add't Pheasant Creek
Lot No.
36
Block No.
Zoning Permit No.
Front
Rear
Left
Right
New [] Repair Single Family
Alteration Two Family
Addition [] Raze Garage
[] Move ~ Other (print):
Other:
Unfinished
Basement
Living Area
Garage
Site Constructed
Manufactured
590 Sq. ft.
2030 sq. ft. 1-story
~ 2-Story
672 Sq. ff. ~
Other
Quad-level
Plus Basement
The applicant ~
APPLICANT'S SIGNAT~
APPROVAL CONDITIONS
SEE "STANDARD C(
Entrance Panel
Size:
Service:
Overhead
Underground
Concrete
Treated Wood
Other
~Seasonal
Permanent
Other
Forced Air Furnace
HeatPump
Boiler
CentralAir Conditioning
Other
Sewer
~ Municipal
~ Septic
PermitNo.
Fuel
Space Htg
Water Htg
unit will have 3 kilowatt or
more instaltsd electric space heating equil
Infiltration control option is: [] Full sealing
of joints, [] Blower door test. [] Exterior
air infiltrat On harder. : ~..
Envelope 25877 BTU/HR
Infiltration 16034 BTU/HR
[] Municipal Utility
[] Private On-Site Well $125,000.00
d 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
revocation of this permit or other penalty
PROVAL SHEET"
Town [] Village [] City [] State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
Plan Review
Inspection
Wis. Permit Seal
Other
Total
$75.00 Construction
HVAC Name John Zarate
Electrical
$30.00 Plumbing Date 7/25/03
Erosion
$105.0o [] 292161 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address 1245 FAIRFAX ST
Name RUSCH HOMES LLC
Address P.O. BOX 423
Subdivision 1st Add't Pheasant Creek
Building Permit Number 0103222
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
eMRO
Lot 36
Date 07/31/2003
WI 54963
I Number of Structures
$100.0__0 ~ Fee Paid
Date
Date
~ OSHI(OSH
City of Oshkosh
~ Community Development
1245 Fairfax St.
~. Lot 36
,.~ ~_ <'~r' 1st Addition to
Pheasant Creek Farm
,~ ~~ Scale: 1": 20'
5 0 5 10 15 20 Feet
120.00'
DISCLAIMER
~ July 17, 2003
By: JN
~ Source: City of Oshkosh GIS