HomeMy WebLinkAbout0111243-Building
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OSHKOSH
ON THE WATER
Job Address 3150 REBECCA RUN
CITY OF OSHKOSH
No
111243
BUILDING PERMIT - APPLICATION AND RECORD
Owner
PO BOX 3485
Create Date
10/11/2004
Designer
Fox Cities
Contractor
FOX CITIES CONST CORP
Category
110 - New Single Family
Plan F1-109-104
Type
I. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const:
VB
Size 49' x 50.5'
Unfinished/Basement
1433 Sq.Ft.
~ Sq. Ft.
Rooms 3 Height 0 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
Use/Nature
of Work
NSFR/ New single family with attached garage, driveway, and patio as per plans - Elevation of patio is required to function with drainage
easments.
HVAC Contractor
MCM AIR INC
Plumbing Contractor
JIM'S PLUMBING & HEATING INC
Electric Contractor
SCHAFER ELECTRIC INC
Fees: Valuation
$99,000.00
Plan Approval
$75.00 Permit Fee Paid
$406.00 Park Dedication
$200.00
Issued By:
Date 1 0/22/2004
Final/O.P. 00/00/0000
U Permit Voided 1
Parcelld # 1342505500
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
4614 RED FOX RD
Agent/Owner
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.
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7220
Name PO BOX 3485
Address
3150 REBECCA RUN
Create Date 10/11/2004
Lot
69
Block
Ward
Subdivision 1 st add pheasant creek
Zone
Street Number
Lot Dimensions
70.5' x 120.16'
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
10/12/2004
Set By
DW.G. BK-601, P-22
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.
0111243
Parcel No.
0 Constr
D HVAC D Elec
Mailing Address
D Plbg
0 Erosion
D Other:
Plbg Lic/Cert #
1305
Plbg Lic/Cert #
Mailing Address
4614 RED FOX RD
Mailing Address
6364 COUNTY ROAD A
Mailing Address
6122 COUNTY ROAD M
Mailing Address
W6166 GREENVILLE DR
S . ft. 1/4,
Subdivision Name
1 st add pheasant creek
Front
Telephone No.
WI 54903 - 0000 Spec House
Telephone No.
235-8008
Telephone No.
920-725-2031
Telephone No.
WINNECONNIW 54986 - 9780 920-582-4402
Telephone No.
920-757-5258
OSHKOSH
WI 54904 - 0
Oshkosh
NEENAH
WI 54956 - 0
HVAC D Plbg Lic/Cert #
4264
Con D Elec D HVAC 0 Plbg Lic/Cert #
JIM'S PLUMBING & HEATING INC
PROJECT LOCATION Lot Area
Building Address
3150 REBECCA RUN
Zoning District(s)
GREENVILLE WI 54942
-0
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 27214 BTU/HR
11. WATER Infiltration 17928 BTU/HR
0 Municipal Utility 14. EST. BUILDING COST
D Plus Basement D Private On-Site Well $99,000.00
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.
1/4,Section
Lot No.
69
Rear Left
ft.
,T
N,R E(or)W
Block 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
1433 Sq.ft.
1433 Sq.ft.
457 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
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 10/14/2004
0 Erosion
$105.00 D 326559 Cert. No. 70266
Plan Review
Inspection
Wis. Permit Seal
Total
SBD-5823 (R. 07/92)
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OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
3150 REBECCA RUN
Date 1 0/22/2004
Name
PO BOX 3485
Address
Oshkosh
WI
54903
Subdivision 1 st add pheasant creek
Lot 69
Building Permit Number
0111243
Number of Dwelling Units
Number of Structures
Fee Required
$200.00
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
791.20'
792.30'
PHEASANT CREEK
1 ST ADDITION
LOT 69
THE ARGYLE
REBECCA RUN
790.60'
¡"
,-/
¡- --¡'¡o-¡:El-ö-õwÑE-R-á'¡õiöR---------u_------u~-:
i LANDSCAPER: i
i FINAL GRADE MUST BE 6" MIN. :
i FROM SIDING AND 8" MIN.
: AT ANY CANTELEVERED
i PORTIONS OF THE HOUSE.
'"
...
790.30'
12' X 12'
PATIO
w
19",
"""
,",0
g~
"'
PROPOSED GRADE
AT HOUSE
792.80'
(T.O.W. = 793.47')
~i=1
L:J
791.90'
m m _on-on u m
'"
'"
N
SIL TFENCE
---¿--~~~._----_.__._._.J
791.74' S 89~g~~0"w
L._-.-.-.-
791.35'
muwm R E BEe CAR U N ____m--
SCALE: 1" = 20.00'
INDICATES DIRECTION
OF DRAINAGE
INDICATES PROPOSED
ELEVATION
7XX.XX