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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