HomeMy WebLinkAbout0109576-Building
e
OSHKOSH
ON THE WATER
Job Address 3145BENNETTCT
CITY OF OSHKOSH
No
109576
BUILDING PERMIT - APPLICATION AND RECORD
Owner
RUSCH HOMES
Create Date
07/20/2004
Designer
Ross
Contractor
RUSCH HOMES LLC
Category
110 - New Single Family
Plan F1-072-0704R
Type
I. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const:
VB
Size
Unfinished/Basement
1536 Sq.Ft.
~ Sq. Ft.
Rooms 3 Height 20 Ft.
Bedrooms 3 Stories 1
Baths 2
U Projection 1
Finished/Living
Canopies
0
Garage
~ Sq. Ft.
Signs
0
Foundation
. Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit
Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units
# Structures
NSFR/ New Single Family Residence with attached garage, driveway, and deck as per plans.
Use/Nature
of Work
HVAC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor
CUMINGS ELECTRIC INC
Fees: Valuation
$100,000.00
Plan Approval
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Issued By:
Date 07/26/2004
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1342505900
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 application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
POBOX 423
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.
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7186
Name RUSCH HOMES
Address
3145 BENNETT CT
Create Date 07/20/2004
Lot
73
Block
Ward
Subdivision 1 st Add Pheasant Creek
Zone
Street Number
Lot Dimensions
Irrg
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
07/21/2004
Set By
DW.G.
BK- 598, P - 48
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.
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
PERMIT REQUESTED
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0109576
Parcel No.
0 Constr
D HVAC D Elec
Mailing Address
D Plbg
0 Erosion
D Other:
Owner's Name
RUSCH HOMES
Contractor: ,/ Con
RUSCH HOMES LLC
Contractor: Con'/ Elec
CUMINGS ELECTRIC INC
Contractor: Con Elec ,/
CONDON TOTAL COMFORT
Contractor: Con D Elec D HVAC 0 Plbg
HANSON QUALITY PLUMBING
Telephone No.
OMRO
WI 54963 - 0000
Plbg Lic/Cert #
879882
Plbg Lic/Cert #
170792
HVAC D Plbg Lic/Cert #
3202
Lic/Cert #
Mailing Address
POBOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
550 N BLUEMOUND RD
S . ft. 1/4,
Subdivision Name
1 st Add Pheasant Creek
Front
Omro
WI 54963 - 0
RIPON
W 54971
-184
Telephone No.
685-0241
Telephone No.
920-722-1240
Telephone No.
920-748-5050
Telephone No.
730-0205
NEENAH
WI 54957 - 749
APPLETON
WI 54914
-0
PROJECT LOCATION
Lot Area
1/4,Section
Lot No.
73
Rear Left
ft.
,T
N,R E(or)W
Block No.
Right
ft.
12. ENERGY SOURCE
Nat. L.P. Oil Elec. Solid Sola
Gas
Space Htg 0 D D D D
Water Htg 0 D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
13. HEAT LOSS (Calculated)
Envelope 26501 BTU/HR
11. WATER Infiltration 18801 BTU/HR
0 Municipal Utility 14. EST. BUILDING COST
D Plus Basement D Private On-Site Well $160,000.00
The applicant aç¡rees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate.
Zoning Permit No.
ft.
1. PROJECT
,/ New
D Alteration
D Addition
D Repair
D Raze
D Move
3. OCCUPANCY
0 Single Family
D Two Family
D Garage
D Other (print):
Fuel
D
D
. AREA INVOLVED
. CONST. TYPE
0 Site Constructed
D Manufactured
Unfinished
Basement
1536 Sq.ft.
1536 Sq.ft.
785 Sq. ft.
Living Area
Garage
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 Conditions of Approval -@@No portion of structure or driveway permitted in drainage easement along East
propery line. Max driveway width of 24 feet at property line.
D Town
D Village 0 City D County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 a 2 6
6
Other
$75.00 EI Co",""c!;oc
HVAC Name Brian Noe
Electrical
$30.00 D Plumbing Date 7/22/2004
0 Erosion
$105.00 D 306906 Cert. No. 70266
Plan Review
Inspection
Wis. Permit Seal
Total
SBD-5823 (R. 07/92)
e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
3145 BENNETT CT
Date 07/26/2004
Name
RUSCH HOMES
Address
OMRO
WI
54963
Subdivision 1 st Add Pheasant Creek
Lot 73
Building Permit Number
0109576
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
~ Drainage Easement
~
OJHKOfH
02.55
15
20 25
10
Fe"
1 inch equals 20 feet
DISCLAIMER
This map is neither a legally recorded map nor
a survey and . is not intended to ba used as ona.
This drawing is a compilation of records. data
and Information located in "rious city, county
and slate offices and other sources affecting
the area shown and iI is to be used for reference
purposes only. The Cily of Oshkosh is not
responsible for any inaccuracies herein contained.
If discrepancies are found, ptease contact the
Cily of Oshkosh.
Source: City of Oshkosh G.I.S.
Tuesday, July 20, 2004