HomeMy WebLinkAbout0099088-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
3135 HALLIE HOLLOW CT
110 - New Single Family
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES
Contractor RUSCH HOMES LLC
· Building O Sign O Canopy O Fence O Raze
No 0099088
Create Date 12/05/2002
Plan Dl-173-1202R
Zoning R-1 Class of Const:
Unfinished/Basement 1186 Sq. Ft. Rooms 8
Finished/Living 1844 Sq. Ft. Bedrooms 3
Garage 753 Sq. Ft. Baths 2
Foundation · Poured Concrete (~ Floating Slab (~ Pier
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain
Park Dedication Required # Dwelling Units
Height 24 Ft.
Stories 2
O Other
Height Permit Not Reqaired
# Structures 1
Size Irrg
[] Projection
Canopies 0
Signs 0
Use/Nature NSFPJ New single family 2 story, 3 car attached garage and 12' x 12' deck. Driveway is 20' at the front property line.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$125,000.00 Plan Approval $75.00 Permit Fee Paid
[] Permit Voided
$455.00 Park Dedication $100.00
Date 12/16/2002 Final/O.P. 00/00/0000
In the performance o hi~..~ I~'{~J~e t~ perform all work pursuant to rules governing the described construction.
Signature ~/~-~/~ Date
Agent/Owner
Address P O BOX423 emro WI 54963 - 0000 Telephone Number
685-0241
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name RUSCH HOMES Address 3135 HALLIE HOLLOW CT
Grade Stake Number 6860
Create Date 12/05/2002
Lot 217 Block Ward
Subdivision 4th Add'tWestleigh Farms Zone
Street Number Lot Dimensions L__L Sidewalk Existing
Building Grade Elevation Stakes Set At Site 12/06/2002 Set By D.W.G. BK - 579, P - 61
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
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0099088
Parce No.
[] Constr [] HVAC [] Elec
[] Plbg [] Erosion [] Other:
Owner's Name
RUSCH HOMES
Contractor: [~J Conl-~ Elec'~ HVAC ~ Plbg
RUSCH HOMES LLC
Contractor: I I Con ~J Elec L_J HVACL_J Plbg
CUMINGS ELECTRIC
Contractor: LJ Con ~ Elec~J HVAC [] PlbglLic/C~
CONDON TOTAL COMFORT 13202
Contractor:L_J Con [] ElecE~ HVACI~] Plbg ILic/C,
HANSON QUALITY PLUMBING I
~~~Lot Area A .
~~ Z ....~ ~q. ~,
Building Address
3135 HALLIE HOLLOW CT
District(s) Permit No.
Mailing Address
I P.O. BOX 423
Lic/Cert # Mailing Address
879882 P O BOX 423
Lic/Cert # Mailing Address
i170792 PO BOX 749 1414 COUNTY RD JJ
OMRO WI 54963- 0000
Omro WI 54963 - 0
Telephone No.
Telephone No.
685-0241
Telephone No.
231-5946
NEENAH WI 54957 - 749
rt # TMailing Address Telephone
No.
/11 BLACKBURN ST RIPON . WI54971 - 184 (920) 748;5050 i
rt # /Mailing Address Telephone No.
1550 N BLUEMOUND RD APPLETON WI 54914 -0 7~0-0205
1/4, 1/4,Section ,T ' N,R E(or)W
Subdivision Name I Lot No. I Block No.
4th Add't Westleigh Farms ~ 217
I
Front Rear Left Right
New [] Repair
[] Alteration [] Raze
[] Addition
[] I~1ove
[] Other: ,
Single Family Entrance Panel
Two Family Size: 200 am
Garage Service:
[] Other (print): [] Overhead
[] Underground'
[] Site Constructed Concrete
Unfinished [] Manufactured ~ Masonry Sewer
Basement 1186 Sq. ft. Treated Wood [] Municipal
Living Area 1844 Sq. ft. 1-StOry Other [] Septic
[] 2-Story Permit No.
Garage 753 Sq. ft. [] Other [] Seasonal . '
[] Permanent
[] Other
[] Plus Basement
Forced Air Fumace
[] Radiant Baseboard or Panel
[] Heat Pump
[] Boiler
Central Air Conditioning
Other
[] Municipal Utility
[] 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 37229 BTU/HR
Infiltration 18544 BTU/HR
$150,000.00
The applicant agrees 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 im~ t~J~artment or municipality; and certifies that all the above informatio, p is a.?,curate.
APPLICANT'S SIGNATURE ~?~..-/-/~'~ DATE SIGNED /~.,//~'//~) ~
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET@@BEAM AND HEADER CALCS ARE REQUIRED TO BE
SUBMITTED PRIOR TO THE ROUGH BUILDING INSPECTION.
[] Town
[] Village [] City [] County LJ State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 12/6/02
Other [] Erosion
Totat $105.00 275839 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
Name RUSCH HOMES
Address P.O. BOX 423
Subdivision 4th Add't Westleigh Farms
Building Permit Number 0099088
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
3135 HALLIE HOLLOW CT
Date 12/16/2002
I Number of Structures
$100.00 Fee Paid
Lot 217
Date
Date
OMRO WI 54963
O/HKO/H
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
PLAN REVIEW
Project Address:3135 HALLIE HOLLOW
Submitted By:RUSCH HOMES
Plan Number:D 1 - 173-1202R
Reviewed By: JZ
Phone: 920-236-5119
Date Reviewed: 12/11/2002
Phone Number: 920-685-0241
[--] Mailed
[-1 Faxed
[] Delivered Date:
Result of Plan Review:
[~ Conditionally Approved
[-1 Withheld Pending Approval of Additional Information
[--] Not-Approved, Plans Retumed for Revisions
Conditions Noted on Plan Review
1) Provide beam calcs and tress plans prior to requesting rough building inspection.
2) Smoke detectors shall be installed per COMM 21.09.
57.0'
3145
159.33'
I ·
55.0'
3135, ·
..l.~ $-Z. ) ,
1390
100.53'
99.65'
1365 Judy Lee Ct.
Scale: 1"= 40'
30 0 306090120150]80 Feet
OJ'HKOJ'H
City of Oshkosh
Community Development
N
DISCLAIMER
This map is neither a legally recorded map nor
a survey and it is not intended to be used as one.
This drawing is a compilation of records, data
and information located in various city, county
and state offices and other sources affecting
the area shown and it is to be used for reference
purposes only. The City of Oshkosh is not re-
sponsible for any inaccuracies herein contained.
If discrepencies are found, please contact the
City of Oshkosh.
December 2, 2002
By: JN
Source: City of Oshkosh GIS