HomeMy WebLinkAbout0099087 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1255 PHEASANT CREEK DR Owner RUSCH HOMES
Designer Contractor RUSCH HOMES LLC
Category 110 - New Single Family
No 0099087
Create Date 10/31/2002
Plan D1-165-1002R
Type IO Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning R-1 Class of Const: 8
Unfinished/Basement 1372 Sq. Ft. Rooms 6 Height 14 Ft.
Finished/Living 1372 Sq. Ft. Bedrooms 3 Stories 1
Garage 575 Sq. Ft. Baths 2
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit
Park Dedication Required # Dwelling Units 1 # Structures
Size Irrg
~J Projection
Canopies
Signs
Not Required
1
Use/Nature NSFR/ New single family, 1 story, 2 car attached garage. 14'x14' Patio
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
$90,000.00 Plan Approval $75.00
Plumbing Contractor HANSON QUALITY PLUMBING
Permit Fee Paid
$350.00 Park Dedication $100.00
Date 12/16/2002 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Omro
Address P O BOX 423 WI 54963 - 0000 Telephone Number 685-0241
OSHKOSH
ON THE WATER
Name RUSCHHOMES
GRADE STAKE FORM
Address 1255 PHEASANT CREEK DR
Lot 50 Block
Subdivision 1st Add't Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 11/01/2002 Set By
Grade Stake Number 6850
Create Date 10/31/2002
Ward
D.W.G. BK-579, P-69
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.
OSHKOSH
ON THE WATER
.lob Address 1255 PHEASANT CREEK DR
Name RUSCH HOMES
Address P.O. BOX 423
Subdivision 1st Add't Pheasant Creek
Building Permit Number 0099087
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 12/16/2002
OMRO WI 54963
Lot 50
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
1255 PHEASANT CREEK DR Owner RUSCH HOMES
Contractor RUSCH HOMES LLC
110 - New Single Family
· Building O Sign O Canopy O Fence O Raze
No 0099087
Create Date 10/31/2002
Plan D1-165-1002R
Zoning R~I
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Class of Const: 8
1372 Sq. Ft. Rooms 6
1372 Sq. Ft. Bedrooms 3
575 Sq. Ft. Baths 2
· Poured Concrete (~ Floating Slab (~ Pier
(~ Concrete Block (~ Post (~) Treated Wood
Required Flood Plain No
Required # Dwelling Units 1
Height 14 Ft.
Stories 1 :
Other
Size Irrg
[] Projectioni
Canopies 0
Signs 0
Height Permit Not Required
# Structures 1
Use/Nature NSFR/ New single family, 1 story, 2 car attached garage. 14'x14' Patio
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$90,000.00 Plan Approval $75.00 Permit Fee Paid
$350.00 Park Dedication $100.00
Date 12/16/2002 Final/O.P. 00/00/0000
[] Permit Voided
In the performan~,of this w~r~j~) perform all work pursuant to rules goveming the described construction.
Agent/Owner
Address P O BOX423 Omro WI 54963 - 0000 Telephone Number
685-0241
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name RUSCH HOMES Address
Lot 50 Block
Subdivision 1st Add't Pheasant Creek Zone
Street Number Lot Dimensions
1255 PHEASANT CREEK DR
Grade Stake Number 6850
Create Date 10/31/2002
Ward
Sidewalk Existing
Building Grade Elevation Stakes Set At Site 11/01/2002 Set By D.W.G. BK - 579, P - 69
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have ~e~d~l~efore excavation
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
Owner's Name
RUSCH HOMES
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
O099087
IParcel No:
[] Erosion [] Other:
[] Constr [] HVAC [] Elec [] Plbg
Mailing Address Telephone No.
P.O. BOX 423 OMRO WI 54963 - 0000
Lic/Cert # Mailing Address Telephone No.
879882 P O BOX 423 Omro WI 54963 - 0 685-0241
Lic/Cert # Mailing Address Telephone No.
170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Lic/Cert # Mailing Address Telephone No.
3202 1 BLACKBURN ST RIPON WI54971 - 184 (920) 748-5050
Lic/Cert # Mailing Address Telephone No.
550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205
SCl. ft. 1/4, 1/4,Section ;T N,R E(or)W
Block No.
Contractor: L~J co,[~] Elec'[~ HVAC ~ Plbg
RUSCH HOMES LLC
Contractor: L_J Con ~_~ ElecL__J HVACL_j Plbg
CUMINGS ELECTRIC
Contractor: L_J Con [_~ Elec~ HVAC [] Plbg
OONDON TOTAL COMFORT
Contractor: ~_J Con [] Elect] HVAC [] Plbg
HANSON QUALITY PLUMBING
Lot Area
Building Address
1255 PHEASANT CREEK DR
Permit No.
Subdivision Name
1st Add't Pheasant Creek
Front
ILot No.
50
Rear Left Right
New [] Repair Single Family Entrance Panel
[] Alteration [] Raze Two Family Size:
[] Addition Garage Service:
[] Move [] Other (print): [] Overhead
[] Other: [] Underground
Unfinished
Basement 1372 Sq. ft.
Living Area 1372 Sq. ft. 1-Story
[] 2-Story
Garage 575 Sq. ft. [] Other
[] Site ConstruCted Concrete
[] Manufactured [] Masonry
[] Treated Wood
[] Other
[] Plus Basement
The applicant agrees to comply with all
the permit creates no legal liability, express
APPLICANT'S SIGNATURE
Forced Air Furnace
[] Radiant Baseboard or Panel
[] Heat Pump
[] Boiler
[] Central Air Conditioning
Other
Sewer
[] Municipal
[] Septic
Permit No.
[] Seasonal
[] Permanent [] Municipal Utility
Other [] Private On-Site Well
Fuel
Space Htg
Water Htg
~g unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: [] Full sealing
of joints. [] Blower door test. [] Exterior
air infiltration barrier.
Envelope 22970 BTU/HR
Infiltration 16781 BTU/HR
$120,000.00
the conditions of this permit, understands that the issuance of
pality; and certifies that all the above information is aj~[cura~e.
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" SHEET
[]Town
[] Village [] City [] County [~ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 1 1/22/02
Other [] Erosion
Total $105.00 275838 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address 1255 PHEASANT CREEK DR
Name RUSCH HOMES
Address P.O. BOX 423
Subdivision 1st Add't Pheasant Creek
Building Permit Number 0099087
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 12/16/2002
OMRO WI 54963
Lot 50
1
Number of Structures
Fee Paid
Date
Date
o25'
,6
CITY OF OSHKOSH
STANDARD CONDITIONS OF APPROVAL
Project Address Permit#
Please read the following information and sign at'the bottom to acknowledge that you have read
and agree to comply.with these conditions.
All habitable rooms must be provided with 8% light and 3.5% ventilation. Bedrooms
located on the second floor or below ground level must be provided with egress windows
in addition to the light and ventilation requirements. Basement windows are also
required to have window well areas in accordance with ILHR 21.03.
Garage spaces shall be separated from the dwelling unit in accordance with ILHR 21.08.
The door and frame assembly between the dwelling unit and an attached garage shall be
labeled by an independent testing agency as having a minimum fire-resistive rating 0£20
minutes. All dryWall joints are required to be taped/sealed unless the joints are fitted so
that the gap is no more than a dimes thickness (1/20-inch) and backed by solid wood or
drywall with the joints staggered.
All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in the
return air spaces.
Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
detectors are required to be hardwired and interconnected.
o
Hydromassage tubs are required to have an access panel to motor. The access panel must
be accessible without removing the finish of the house.
o,
All overframing must.be designed by the truss mar~ufacturer, according to standards set
by the truss plate institute, or structural calculations must be provided prior to the rough
building inspection.
7. Truss plans-must be submitted and approved prior to framing the roof.
Truss plans including the tress layout~mUst be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all microlams with point loads on them.
Calculations must be provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10.
The property owner and applicant is responsible for compliance with ILHR 21.125
(Erosion Control). When installing access drives, a minimum of 2"-3" diameter stone is
requi~ed in addition to a minimum of 6" depth, 30'-50' length, and 14'-20' width. Erosion
control measures must be maintained until the lawn is established.
11.
All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the end of each workday.. Repair any
siltation or erosion damage to adjoining surfaces and drainageways resulting from land
development or disturbing activities.
12.
The building placard must be posted on site at all times. Once the rough framing is up
the placard must be posted on the patio door or on a kitchen window. If the placard is not
present at ~any inspection, stop work orders will be posted. Additional placards can be
obtained through our department if the cards are misplaced.
13.
All mechanicals must be roughed in prior to requesting the rough building inspection. If
on the inspection the mechanicals are not roughed in, the inspection will fail and a $100
re-inspection fee will be charged.
14.
Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
15.
When requesting final inspections please note that a minimum of 2 days notice is needed
from the time the inspection is ready. Furniture is only allowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final inspection no furniture or personal belongings are allowed in the
house. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electrical inspector needing to look at the power serving the appliances.
A 6' stepladder must be on site at the final inspection to provide access to the attic.
16.
The building placard must remain on the patio doo'r or on a kitchen window until
occupancy is approved, Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
given.
17. All site grading must be done in accor~th the approved drainage plan on file in the
public w~rks office, 3rd floor. .,. ///