HomeMy WebLinkAbout0123481-Building
o CITY OF OSHKOSH No 123481
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1055 JOHN MOORE DR Owner RUSCH HOMES LLC Create Date 0210212007
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family _ Plan 005-0207
Type
. Building____~_Q_~ign
o Canopy
o Fence
o Raz~______
Zoning
R-1
Class of Const: 8
Size IRRG
Unfinished/Basement 758 Sq. Ft.
Rooms
7
Height
21 Ft.
. 0 Projection I
Finished/Living
2198 Sq. Ft.
_ 750 Sq. Ft.
Bedrooms 3
Stories Quad-level
Canopies
Garage
Baths
3
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Require~__.~
Flood Plain No
Height Permit Not Required
Park Dedication
Require~___
# Dwelling Units
# Structures
Use/Nature NSFRI New single family quad leavel* with 3 car attached garage and 10' x 15' deck and .driveway.. ';..
of Work
Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST
HV AC Contractor
CONDON TOTAL COMFORT
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $130,000.00 Plan Approval
Issued By: ~~~J..n_.'
$75.00 Permit Fee Paid
$523.00 Park Dedication
$200.00
Date 02/12/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld #
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
h~lder(S) and to sec~eces~ approvals before starting such activity.
SIgnature ~ I~ Date ~ /$/07
Agent/Owner
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 (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 7422
Name RUSCH HOMES LLC
Address 1055 JOHN MOORE DR
Create Date 02/0212007
lot 103
Block
Ward
Subdivision 2nd Add't Pheasant Creek
Zone
U Sidewalk Existing ~
Street Number
lot Dimensions
Building Grade Elevation Stakes Set At Site 0210612007 Set By D.W.G. BK - 613, P - 57
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to ha".ve lhe grade e~,',~ ed b beefore 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.
0123481
Parcel No.
PlbgLiclCert #
879882
Plbg LiclCert #
170792
Plbg Lic/Cert #
3202
LiclCert #
230863
o HVAC 0 Elec
Mailing Address
P.O. 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 0 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
1/4,
1/4,Section ,T
Lot No.
103
Left
E(or)W
o 0
o 0
Sq. ft.
Sq. ft. 1-Story
o 2-Story
Sq. ft. ~ Other 0 Seasonal
Quad-level ~ Permanent
~ Plus Basement 0 Other 0 Private On-Site Well 150000
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 implied, on e partment or municipality; and certifies that all the above information is accurate.
..;;. J, ? /07
.
Failure to comply may result in suspension or
Living Area
758
-----.-.-
2198
750
Garage
APPLICANT'S SIGNATURE
DATE; SIGNED
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions.
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
o Village ~ City 0 County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review
Inspection
Wis. Permit Seal
Other
$30.00
,/ Construction
o HVAC
o Electrical
o Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 21212007
Total
SBD-5823 (R. 07/92)
$105.00
352300
Cert. No. 70330
o
OSHKOSH
ON THE WATER
Job Address 1055 JOHN MOORE DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Name RUSCH HOMES LLC
Address
P.O. BOX 423
Subdivision 2nd Add't Pheasant Creek
Building Permit Number 0123481
OMRO
Lot 103
Date 0211212007
WI
54963
Fee Required
$200.00
Number of Dwelling Units Number of Structures
Owner's Signature
~f2t,
Inspector's Signature
Fee Paid
Date
.;1./1"5 J 67
Date