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