HomeMy WebLinkAbout0109281-BuildingOSHKOSH
ON THE WATER
.lob ,Address 3170 REBECCA RUN
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION CORP
Contractor FOX CITIES CONST CORP
Category 110 - New Single Family
No 109281
Create Date 07/12/2004
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence ~ Raze
Zoning R-1 Class of Const: VB Size 50'x50' IRRG
Unfinished/Basement 451 Sq. Ft. Rooms 4 Height 21 Ft. ~J ProjectionI
Finished/Living 2187 Sq. Ft. Bedrooms 4 Stories Quad-level Canopies 0
Garage 540 Sq. Ft. Baths 2 Signs 0
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFR/New Single Family Residence with attached garage, driveway, and 11.5' x 10' deck as per plans.
of Work
HVAC Contractor MCM AIR INC
Electric Contractor SCHAFER ELECTRIC INC
Fees: Valuation $112,500.00 Plan Approval
Issued By:
Plumbing Contractor JIM'S PLUMBING & HEATING INC
$75.00 Permit Fee Paid
Permit Voided
$448.00 Park Dedication $200.00
Date 07/12/2004 Final/O.P. 00/00/0000
Parcel Id # 1342505400
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
Agent/Owner
Address 4614 RED FOX RD OSHKOSH WI 54904 - 0000 Telephone Number 235-8008
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
.lob ,Address 3170 REBECCA RUN
Designer
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION CORP
Contractor FOX CITIES CONST CORP
Category 110 - New Single Family
No 109281
Create Date 07/12/2004
Plan
Type I(~ Building (~ Sign (~ Canopy (~ Fence ~ Raze
Zoning R-1 Class of Const: VB Size 50'x50' IRRG
Unfinished/Basement 451 Sq. Ft. Rooms 4 Height 21 Ft. ~J ProjectionI
Finished/Living 2187 Sq. Ft. Bedrooms 4 Stories Quad-level Canopies 0
Garage 540 Sq. Ft. Baths 2 Signs 0
Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 0 # Structures 0
Use/Nature NSFR/New Single Family Residence with attached garage, driveway, and 11.5' x 10' deck as per plans.
of Work
HVAC Contractor MCM AIR INC
Electric Contractor SCHAFER ELECTRIC INC
Fees: Valuation $112,500.00 Plan Approval
Issued By:
Plumbing Contractor JIM'S PLUMBING & HEATING INC
$75.00 Permit Fee Paid
Permit Voided
$448.00 Park Dedication $200.00
Date 07/12/2004 Final/O.P. 00/00/0000
Parcel Id # 1342505400
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
Agent/Owner
Address 4614 RED FOX RD OSHKOSH WI 54904 - 0000 Telephone Number 235-8008
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 FOX CITIES CONSTRUCTION CORP
GRADE STAKE FORM
Address 3170 REBECCA RUN
Lot 68 Block
Subdivision 1st Add Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/12/2004 Set By
Grade Stake Number 7178
Create Date 07/12/2004
Ward
70.5' x 120.2' ~J Sidewalk Existing
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, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0109281
P.a. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
FOX CITIES CONSTRUCTION CaR PO BOX 3485 Oshkosh WI 54903 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
FOX CITIES CaNST CaRP 305 4614 RED FOX RD OSHKOSH WI 54904 - 0 235-8008
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
SCHAFER ELECTRIC INC 6364 COUNTY ROAD A NEENAH WI 54956 - 0 920-725-2031
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
MCM AIR INC 4264 6122 COUNTY ROAD M WINNECaNNfW 54986 - 9780 920-582-4402
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
JIM'S PLUMBING & HEATING INC W6166 GREENVILLE DR GREENVILLE WI 54942 - 0 920-757-5258
I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3170 REBECCA RUN 1 st Add Pheasant Creek 68
Zoning District(s) Zoning Permit No. Front ft. Rear Left Right
Setbacks ft. ft ft
~R~
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
[] Other: [] Other
[] Site Constructed ~ concrete - more installed electric space heating equip.
Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 451 Sq. ft. · Treated Wood [] Municipal air infiltration barrier.
Living Area 2187 Sq. ft. [] 1-Story · Other
Garage 540 Sq. ft. [] 2-Story ~ [] Septic
Permit No. Envelope 27391 BTU/HR
[] Other [] Seasonal Infiltration 16892 BTU/HR
Quad-level [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~
[] Plus Basement [] Other [] Private On-Site Well $166,000.00
The applicant agrees 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.
APPLICANT'S SIGNATURE 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 plan approval
I~I1'-,1~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~i~Bi~l~N City Of Oshkosh 7 0 - 2 6 6
~ Construction
Plan Review $75.00 _
HVAC Name Brian NoB
Inspection
Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 7/12/04
Other [] Erosion
Total $105.00 · 306902 Cert. No. 70266
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address 3170 REBECCA RUN
Name
Address PO BOX 3485
Subdivision 1st Add Pheasant Creek
Building Permit Number 0109281
Number of Dwelling Units 1
Fee Required $200.00
PARKLAND DEDICATION FEE COLLECTION RECORD
FOX CITIES CONSTRUCTION CORP
Oshkosh
Lot 68
Date 07/12/2004
WI 54903
Number of Structures
Fee Paid
Owner's Signature Date
Inspector's Signature Date
791.80'
N 89d 34' 20" 70.78'
}RAINAGE EASEMENT
791.20'
SETBACK
PER[METER LINE
NOTETOOWNERAND/OR
LANDSCAPER:
FINAL GRADE MUST BE 6" MIN.
FROM SIDING AND 8" MIN.
AT ANY CANTELEVERED
PORTIONS OF THE HOUSE.
COMPIANCE IS MANDATORY.
PROPOSED GRADE
AT HOUSE
793.20'
(T.O.W. = 793.87')
PHEASANT CREEK
1ST ADDITION
LOT 68
THE ANNENDALE
REBECCA RUN
792.70'
792.t4'
SILT FENCE
70.50'
79t.74'
........... REBECCA RUN ..........
SCALE: 1" = 20.00'
INDICATES DIRECTION
OF DRAINAGE
INDICATES PROPOSED
ELEVATION
7XX.XX