HomeMy WebLinkAbout0121399-Building
.
OSHKOSH
ON THE WATER
Job Address 3180 BAILEY CT
CITY OF OSHKOSH No 121399
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 08/24/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 41-0806
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Unfinished/Basement 1100 Sq. Ft.
Rooms
6
Height
16 Ft.
D Projection I
Canopies
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
3
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family 1 story, 2 car attached garage, 12' x 20' patio. The driveway shall not exceed 24' wide at the front property line.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
$85,000.00 Plan Approval
$75.00 Permit Fee Paid
$388.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 09/06/2006
Final/D.P. 00/00/0000
D Permit Voided I
Parcel Id # 1342950300
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 with' an asement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s appr I before starting such activity,
Signature
Date
Address POBOX 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
Job Address 3180 BAILEY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 09/06/2006
Name RUSCH HOMES LLC
Address
P,O. BOX 423
OMRO
WI
54963
Subdivision Lot 87
Building Permit Number 0121399
Number of Dwelling Units Number of Structures
$200'OO~
OL
Fee Paid
Fee Required
Owner's Signature
Date
Inspector's Signature
Date
G
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7391
Name RUSCH HOMES LLC
Address 3180 BAILEY CT
Create Date 08/24/2006
Lot 87
Block
Ward
Subdivision
Zone
U Sidewalk Existing
Street Number 3180 BAILEY CT
Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/25/2006 Set By
D.W.G, BK - 607, P - 71
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the~: es~b lis
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,
0121399
Parcel No.
Plbg Lic/Cert #
879882
Plbg Lic/Cert #
170792
Plbg Lic/Cert #
3202
LiclCert #
230863
D 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
D Plbg
~ Erosion D Other:
D Constr
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
S ,ft,
Subdivision Name
1/4,
1/4,Section ,T
Lot No.
87
Left
N,R E(or)W
Block No.
./ Single Family
D Two Family
D Garage
D Other (print):
Entrance Panel
Size: 200
Service:
D Overhead
~ Underground
Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Other
Nat. L.P, Oil
Ga
Space Htg ~ D D D D D
Water Htg ~ D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D Full sealing
of joints. 0 Blower door test. D Exterior
air infiltration barrier.
Living Area
Garage
1100
1100
528
./ Concrete
D Masonry
D Treated Wood
D Other
~ Plus Basement
The applicant agrees to comply with all applicable codes, statues d or nan
the permit creates no legal liability, express n artm t Q
D Seasonal
~ Permanent
D Other
Sewer
~ Municipal
D Septic
Permit No.
APPLICANT'S SIGNATURE
~ Municipal Utility
D Private On-Site Well
and with the conditions of this permit, understands that the issuance of
nicipality; and certifies that all the above information is accurate.
DATE SIGNED
APPROVAL CONDITIONS This permit is issued pursuant to the following con Itions. Failure to comply may result in suspension or
revocation of this permit or other penalty
SEE "STANDARD CONDITION OF APPROVAL" SHEET
D Village ~ City D County D 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
D HVAC
D Electrical
D Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 8/24/2006
$105,00
352277
Cert, No. 70330