HomeMy WebLinkAbout0121699-Building
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OSHKOSH
ON THE WATER
Job Address 3125 BAILEY CT
CITY OF OSHKOSH No 121699
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES Create Date 09/11/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 44-0906
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Unfinished/Basement ~ Sq. Ft.
Rooms
6
Height
20 Ft.
o Projection I
Finished/Living
~ Sq.Ft.
~ Sq. Ft.'
Bedrooms 3
Stories
Canopies
Signs
Garage
Baths
2
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' 1 story with 2 car attached garage and 14' x 14' concrete patio and 2' wide driveway.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $100,000.00 Plan Approval
Issued By: ()}ll ~-
$75.00 Permit Fee Paid
$433.00 Park Dedication
$200.00
Date 09/25/2006
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1342951200
In the performance of this work I agree to perform all work pursuant to rules goveming 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 an ne e a approvals before starting such activity.
Signature
Date
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 (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.
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7394
Name RUSCH HOMES
Address 3125 BAILEY CT
Create Date 09/11/2006
Lot 96
Block
Ward
Subdivision 2nd add't Pheasant Creek
Zone
U Sidewalk Existing
Street Number 3125 Bailey Ct
Lot Dimensions
Building Grade Elevation Stakes Set At Site 09/13/2006 Set By DW.G. BK - 612, P - 3
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade tablished before excavation
has commenced.
..'
OSHKOSH
ON THE WATER
Job Address 3125 BAILEY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 09/25/2006
Name RUSCH HOMES
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision 2nd add't Pheasant Creek
Lot 96
Building Permit Number 0121699
Number of Dwelling Units Number of Structures
Fee Required
$200.00 Fee Paid
~~
Owner's Signature
Date
Inspector's Signature
Date
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.
0121699
Parcel No.
Plbg Lic/Cert #
879882
Plbg Lic/Cert #
170792
Plbg Lic/Cert #
3202
Lic/Cert #
230863
o HVAC 0 Elec
Mailing Address
PD. BOX 423
Mailing Address
PO BOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
1226 CHELSEA CT
o Plbg
~ 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
Contractor: ./ ConO 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
1/4,
1/4,Section
Lot No.
96
Left
,T N,R E(or)W
Block No.
o 0
D 0
1300
Living Area
1300
512
o Seasonal
~ Permanent ~ Municipal Utility
~ 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, express . plied, on t eg rtment or municipality; and certifies that all the above information is accurate,
Garage
APPLICANT'S SIGNATURE
DATE SIGNED
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
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
Total
SBD-5823 (R. 07/92)
$30.00
Construction
o HVAC
o Electrical
o Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 9/11/2006
$105.00
352280
Cert. No. 70330