Loading...
HomeMy WebLinkAbout0110037-BuildingOSHKOSH ON THE WATER Job Address 1245 JUDY LEE DR Designer Ross Design LLC Category 110 - New Single Family Type · Building Zoning R-1 Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication CITY OF OSHKOSH No '110037 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES Create Date 08/16/2004 Contractor RUSCH HOMES LLC Plan F1-082-0804R (~Sign O Canopy O Fence O Raze J 1176 Sq. Ft. 1176 Sq, Ft. 528 Sq. Ft. · Poured Concrete (~ Floating Slab ~'~ Concrete Block (~Post Required Class of Const: VB Size 44' x 48' Rooms 3 Height 16 Ft. [] Projection Bedrooms 3 Stories 1 Canopies Baths 2 Signs Required O Pier (~ Other (~ Treated Wood Flood Plain No Height Permit Not Required Cf Dwelling Units I # Structures 1 Use/Nature of Work If4SFR/New single family with attached garage, driveway, and 14' x 14' patio as per plans. HVAC Contractor Electric Contractor Fees: Valuation Issued By: CONDON TOTAL COMFORT CUMINGS ELECTRIC iNC $90,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit VoidedJ Plumbing Contractor HANSON QUALITY PLUMBING $379.00 Park Dedication $200.00 Date 08/17/2004 Final/O.P. 00/00/0000 Parcel Id Cf 1342506400 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 enfome easement restrictions of which it is not a party, if you perform the work described in this permit applicati.~"~v~hin an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any_.Q~C~S.S'j~ approvals before starting such activity. ~ ///'//'// Date Signature ~//x.~ /~ (~/ ~ Agent/Owner Address P O BOX 423 Omre 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. GRADE STAKE FORM OSHKOSH ON THE WATER Name RUSCH HOMES Address 1205 JUDYLEE DR Lot 78 Block Ward Subdivision 1ST ADD Pheasant Creek Street Number Zone Grade Stake Number 7193 Create Date 08/16/2004 Lot Dimensions IRRG I..-J Sidewalk Existing Building Grade Elevation Stakes Set At Site 08/16/2004 Set By Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade estal~lT~h/~d before excavation has co m m enced, <~-~/~__~//// Wisconsin Depadrnent of industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0110037 P.O. Box 2509 Madison, WI 53701-2509 APPLICATION Parcel No. Wisconsin Stat~jes 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 Contractor: ¢_j Con[] Bec[] HVAC LJ Plbg Lic/Cert # Mailing Address Telephone No, RUSCH HOMES LLC 879882 P O BOX 423 Omra WI 54963 - 0 685-0241 Contractor: LJ Con ~ Elec L_J HVACLJ Plbg Lic/Cert# Mailing Address Telephone No. CUMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH WI 54957 - 749 920-722-1240 Contractor: LJ con L_J Elecb~j HVAC L~ PIb.( Lic/Cert # Mailing Address Telephone No. CONDON TOTAL COMFORT 3202 PO BOX t84 RIPON WI54971 - 184 920-748-5050 Contractor: ~ Con L~ ElecLJ HVACI~J PIhg Uc/Cert # Mailing Address Telephone No. HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54914 - 0 /30-0205 Lot Area Sq. ft 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1205 JUDY LEE DR 1ST ADD Pheasant Creek 78 Zoning District(s) Zoning Permit No. Front t Rear Left Right Setbacks ft, I fi, it, ft L~ New [] Repair L~ single Family Entrance Panel ~ Forced Air Furnace Nat. L.P. Oil EIec Solid Sola [] Alteration [] Raze [] Two Famiiy Size: 200 amp ~ Radiant Baseboard or Panel Fuel Gas [] AdditionLJ Garage Service: ~ HeatPump SpaceHt, [] [] [] [] [] [] [] Move [] Other (print): [] Overhead ~ Boiler WaterHtg ~ [] [] [] [] [] [] Other: [] Underground ¢~ Central Air Conditioning * bJ Dwelling unit will have 3 kilowatt or ~ Other. more installed electric space heating equip. [] Site Constructed ~ Concrete ¢t~ Infiltration control option is: [] Full sealing Unfinished ............. [] Manufactured [] Masonry 3ewer of joints. [] Blower door test. [] Exterior [] Treated Wood ¢~ Municipal air infiltration barrier. Basement 1176 Sq. ft. ' [] Other ~ Septic Living Area 1176 Sq. ft. [] 2-Story Permit No. Envelope 22451 BTU/HR Garage 528 Sq. ff. [] Other [] Seasonal Infiltration 14394 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other ~ Private On-Sita Well $150,000.00 The applicant agrees to comply with all applicable codes, sta~s,and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express or ~//~a~.~ment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE /~ ¢.._.- ~'~./' ~ t,,, 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 [] Town [] Village [] City [] County b~ state of: Municipality Number of Dwelling Location: CltyOfOshkosh~~ 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 [] 306912 Cert. No. 70266 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER ~ob Address 1205 JUDY LEE DR Name RUSCH HOMES Address PO BOX 423 Subdivision 1STADD Pheasant Creek Building Permit Number 0110037 Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD OMRO Lot 78 Date 08/17/2004 WI 54963 1 ~ $200X)0 /O Number of Structures Fee Paid Date Date