HomeMy WebLinkAbout0120579-Building
G
OSHKOSH
'ON THE WATER
Job Address 1040 JOHN MOORE DR
CITY OF OSHKOSH No 120579
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 06/28/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 035-0606
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Size Irrg
Zoning
R-1
Class of Const: 8
Unfinished/Basement 590 Sq. Ft.
Rooms
7
Height
21 Ft.
D Projection I
Finished/Living
2030 Sq. Ft.
~ Sq.Ft.
Bedrooms
Canopies
Garage
Baths
4
3
Stories Quad-level
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
# Dwelling Units
# Structures
Park Dedication Required
Use/Nature NSFRI New single family quad level", 2 car attached garage, 14' x 14' patio.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $120,000.00 Plan Approval
Issued By: 3m w
$75.00 Permit Fee Paid
$469.00 Park Dedication
$200.00
Date 07/18/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1342951700
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 enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to see any neces provals before starting such activity.
Signature
Date 7/;8
I
Address
PO BOX 423
Agent/Owner
OMRO
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.
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OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
Lot 101
GRADE STAKE FORM
Address 1040 JOHN MOORE DR
Grade Stake Number 7375
Create Date 06/28/2006
Block
Subdivision 2ND ADD'T PHEASNANT CRK Zone
Lot Dimensions
Street Number
Ward
U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 06/29/2006 Set By D.W.G. BK - 607, P - 53
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have tQe grade ~J before excavation
has commenced. L (a
." Wis€.on,sin 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.
0120579
Parcel No.
Plbg LiclCert #
879882
Plbg LiclCert #
170792
Plbg Lic/Cert #
3202
LiclCert #
230863
o HVAC 0 Elec
Mailing Address
P.O. BOX 423
Mailing Address
POBOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
1226 CHELSEA CT
o Plbg
o Erosion
o Other:
o Constr
NEENAH
Telephone No.
WI 54963 - 0000
Telephone No.
WI 54963 - 0 685-0241
Telephone No.
WI 54957 _749 920-231-5946
Telephone No.
WI 54971 _ 184 920-748-5050
Telephone No.
WI 54952 - 0 920-749-9121
Owner's Name
RUSCH HOMES LLC
Contractor: ./ ConD ElecD HVAC
RUSCH HOMES LLC
Contractor: Con./ Elec
CUMINGS ELECTRIC INC
Contractor: Con Elec ./
CONDON TOTAL COMFORT
Contractor: U Con Elec HV AC./ Plbg
PLUMBING CONTRACTOR SPECIALISTS, LLC
Lot Area
OMRO
OMRO
RIPON
MENASHA
S . ft.
Subdivision Name
2ND ADD'T PHEASNANT CRK
Front
1/4,
1/4,Section
Lot No.
101
Left
,T N,R E(or)W
Block No.
o
o
o
o
590 Sq. ft.
2030 Sq. ft. 1-Story
672 0 2-Story
Sq. ft. 0 Other
Quad-level
o Plus Basement
The applicant agrees to comply with all applicable codes, stat
the permit creates no legal liability, express or' Ii e
Living Area
Garage
o Municipal Utility
o Private On-Site Well
s and ordinances and with the conditions of this permit, understands that the issuance of
p ment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE
DATE SIGNED
-'1
APPROVAL CON DITIONS 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
o Village 0 City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
./ Construction
o HVAC
o Electrical
o Plumbing
o Erosion
o
Name JOHN ZARATE
Date 6/28/2006
$105.00
352271
Cert. No. 70330
o
OSHKOSH
ON THE WATER
Job Address 1040 JOHN MOORE DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Name RUSCH HOMES LLC
Address
P.O. BOX 423
aMRa
Subdivision 2ND ADD'T PHEASNANT CRK
Lot 101
Building Permit Number 0120579
Number of Dwelling Units Number of Structures
Fee Required
~OO~
l::: '
Fee Paid
Owner's Signature
Inspector's Signature
WI
Date
Date
Date 07/18/2006
54963
7//8