HomeMy WebLinkAbout0110038-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
3140 BENNETT CT
Ross Design
110 - New Single Family
CITY OF OSHKOSH No
BUILDING PERMIT - APPLICATION AND RECORD
Create Date
Owner RUSCH HOMES
Contractor RUSCH HOMES LLC
Type O Building O Sign (~ Canopy (~ Fence O Raze
110038
08/16/2004
Plan F1-081-0804
Zoning R-1
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
730 Sq. Ft.
1519 Sq. Ft.
467 Sq. Ft. Baths
O Poured Concrete O Floating Slab O Pier
O Concrete Block O Post (~) Treated Wood
Required Flood Plain No
Required # Dwelling Units
Class of Const: VB
Rooms 3 Height
Bedrooms 3 Stories 2
3
Other
24 Ft.
Size 36' x 47'
[] Projection j
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature qSFPJ New single family w/attached garage, driveway, and 14' x 14' concrete patio as per plans submitted.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC INC
$100,000.00 Plan Approval
$75.00 Permit Fee Paid
[] Permit Voided
Plumbing Contractor HANSON QUALITY PLUMBING
$409.00 Park Dedication $200.00
Date 08/17/2004 FinallO. P. 00/00/0000
Parcel Id # 134250620,
In the performance of this work ] agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no a~l'O~to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit applicetio~within.~¥? easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec~/~C~ovals before starting such activity.
Signature (/"'- ~/ ~ I/ Date
Agent~Owner
Address P O BOX 423 Cram 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.
OSHKOSH
ON THE WATER
Name R~SCH HOMES
Lot 76
Subdivision 1st Add Pheasant Creek
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
Address 3140 BENNETT CT
Block
Zone
Lot Dimensions IRRG
08/16/2004 Set By
Grade Stake Number 7194
Create Date 08/16/2004
L_J_ Sidewalk Existing
Ward
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade esta~C~e.d~efore excavation
has commenced.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations Parcel No.
Safety and Buildings Division BUILDING PERMIT o11oo38
P.O. Box 2509
Madison, WI 53701-2509 APPLICATION
wisconsin statu~.s 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
RUSCH HOMES PO BOX 423 OMRO WI 54963 - 0000 Spec House
3.ontractor:~] Con~] Elec[] Mailing Address Telephone NO.
RUSCH HOMES LLC P O BOX 423 Omro WI 54963 - 0 685-0241
,3ontracter: Mailing Address Telephone No.
Contractor:
Contractor: [] Con
HANSON QUALITY PLUMBING
Building Address
3140 BENNETT CT
.ot Area
Permit No.
PO BOX 749 NEENAH WI 54957 - 749 920-722-t 240
Mailing Address Telephone No.
PO BOX 184 R[PON WI 54971 - 184 920-748-5050
Maiting Address Telephone No.
550 N BLUEMOUND RD APPLETON WI 54914 -0 730-0205
1/4, l/4,Secfion ,T N,R E(or)W
Subdivision Name Lot No. Block No.
1st Add Pheasant Creek 76
Front Rear Left Right
New [] Repair Single Family --ntranco Panel Forced Air Furnace
Fuel
[] Alteration [] Raze Two Family Size: __ [] Radiant Baseboard or Panel
Garage [] Heat Pump Space Htg
[] Addition [] Move Other (print): Overhead Boiler Water Htg
[] Other: Underground Central Air Conditioning unit will have 3 kilowatt or
[] Site Constructed Concrete Other more installed electric space heating equip
Unfinished [] Manufactured Masonry Infiltration control option is: [] Full sealing
Basement 730 Sq. ff. Treated Wood Sewer of joints. [] Blower door test. [] Exterior
Municipal air infiltration barrier.
Living Area 1519 Sq. ff. l-Stery Other Septic
[] 2-Story Permit No. Envelope__._ 23807 BTU/HR
Garage 467 Sq. ft. [] Other [] Seasonal infiltration 13819 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Sita Well $160,000.00
The applicant agrees to comply with all applicable codes, statu~)~nd ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or i~o ~.De~a~ent or municipality; and certifies that all the above information is accurate.
*..LICA.T'S SIGNATURE DATE SIC.ED
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
[] Town [] Village [] City [] State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name Brian Noe
Inspection Electrical
Wis. Permit Seal $30.00 Plumbing Date 8/17/04
Other ~ Erosion
Tota~ $105.00 306913 Cert, No. 70266
(R. O7/92)
OSHKOSH
ON THE WATER
Job Address 3140 BENNEqq' CT
Name RUSCH HOMES
Address PO BOX 423
Subdivision lstAdd Pheasant Creek
Building Permit Number 0110038
Number of Dwelling Units 1
Fee Required ~_ .
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 03/17/2004
OMRO WI 54963
Lot 76
Number of Structures
Fee Paid
Date
Date