HomeMy WebLinkAbout0122769-Building (VOID)
e
OSHKOSH
ON THE WATER
Job Address 2875 HOMESTEAD DR
CITY OF OSHKOSH
No 122769
BUILDING PERMIT - APPLICATION AND RECORD
VOl D
Owner RUSCH HOMES LLC
Create Date 01/23/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 003-0106
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Unfinished/Basement ~ Sq. Ft.
Rooms
7
Height
21 Ft.
o Projection I
Finished/Living
2030 Sq. Ft.
~ Sq.Ft.
Bedrooms
4
3
Stories Quad-level
Canopies
Signs
o
o
Garage
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedicati.on
Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single f~mily quad.level....1th-2 car aita::;!1ec.i garage and a 14' x 14' patio. The driveway will be 20' wide.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
$130,000.00 Plan Approval
$75.00 Permit Fee Paid
$523.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 12/01/2006
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1341950000
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 secure any necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address
POBOX 423
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.
~. e CITY OF OSHKOSH No 122769
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
'.
Job Address 2875 HOMESTEAD DR Owner RUSCH HOMES LLC Create Date 01/23/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 003-0106
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Unfinished/Basement ~ Sq. Ft.
Rooms
7
Height
21 Ft.
o Projection I
Finished/Living
2030 Sq. Ft.
~ Sq.Ft.
Bedrooms 4
Stories Quad-level
Canopies 0
Signs
o
Garage
Baths
3
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
Park Dedication Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family quad level with 2 car attached garage and a 14' x 14' patio. The driveway Will be 20' wide.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $130,000.00 Plan Approval
Issued By: ~~ J
$75.00 Permit Fee Paid
$523.00 Park Dedication
$200.00
Date 12/01/2006
FinaIlO.P. 00/00/0000
o Permit Voided I
Parcelld # 1341950000
Date ~
Address
PO BOX 423
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 (Le. 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.
'1
2891 \ ,OE 2863
<tv d 1
#)('/I>Q1f'd.L.
.fr,C"
,11
I.
,'&"1 .hS
,,~'U
~~,I.I IC;~
,5h b
0
.
", "I'd 0
(j)
~
~~o'(\\'o. ~~o~'o.
0' ~.~
~ o~~ "'o.'(ce 0\ ~ ~
"\ O~~?'().~(je
d)() \
60.00'
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.
Vacant Lot
Homestead Dr
Tax #13-4195-0000
City of Oshkosh Wisconsin
Community Development
Created by - dpb
30 Feet
137.00'
+
lll3f05
e
OSHKOSH
ON THE WATER
f
Name RUSCH HOMES LLC
Lot
Subdivision
Street Number 2875
GRADE STAKE FORM
Address 2875 HOMESTEAD DR
Grade Stake Number 7325
Create Date 01/23/2006
Ward
Block
Zone
lot Dimensions
U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 01/25/2006 Set By D.W.G. BK - 607, P - 26
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have
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.
0122769
Parcel No.
o Constr 0 HVAC 0 Elec 0 Plbg
Mailing Address
P.O. BOX 423
Plbg Lic/Cert # Mailing Address
879882 POBOX 423
Plbg Lic/Cert # Mailing Address
170792 PO BOX 749
Plbg Lic/Cert # Mailing Address
3202 PO BOX 184
Lic/Cert # Mailing Address
230863 1226 CHELSEA CT
S . ft. 1/4,
Subdivision Name
~ Erosion 0 Other:
Telephone No.
OMRO WI 54963 - 0000
Telephone No.
OMRO WI 54963 - 0 685-0241
Telephone No.
NEENAH WI 54957 - 749 920-231-5946
Telephone No.
RIPON WI 54971. _ 184 920-748-5050
Telephone No.
MENASHA WI 54952 - 0 920-749-9121
1/4,Section ,T N,R E(or)W
Lot No. Block No.
590 Sq. ft.
2030 Sq. ft. 1-Story
o 2-Story
672 Sq. ft. 0 Other 0 Seasonal
Quad-level ~ Permanent
o Plus Basement 0 Other 0 Private On-Site Well
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, expr~ s ~r\i~p~ied, on('j De artlTte t 9~^mu?ifip~lity; and Lertifies that all the aboveinformati n is accurate.
APPLICANT'S SIGNATURE . ,\V, rJ\ . r\lL ' DATE SIGNED [,:2. .
This permit is iS$ued 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
, .. ."~-.,-,,,," .,.,.\(,."
Concrete
o Masonry
o Treated Wood
Other
Nat. L.P. Oil Elec. Solid Sola
Ga
Space Htg ~ 0 0 0 0 0
WaterHtg ~ 0 0 0 .0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Living Area
Garage
o Village ~ City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
,/ Construction
o HVAC
o Electrical
o Plumbing
~ Erosion
o
Name JOHN ZARATE
Date 1/23/2006
Total
SBD-5823 (R. 07/92)
$105.00
326639
Cert. No. 70330
,e
OSHKOSH
ot-! THE WATER
.
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address 2875 HOMESTEAD DR
Name RUSCH HOMES LLC
Date 12/01/2006
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision Lot
Building Permit Number 0122769
Number of Dwelling Units Number of Structures
Fee Required
$200.00 Fee Paid
<)fi \ '\ Lf -i Wl~,\l( (:;\I\j( -
Date- ~
Date
Owner's Signature
Inspector's Signature