HomeMy WebLinkAbout0123480-Building
G
OSHKOSH
ON THE WATER
Job Address 3170.BAILEY CT
CITY OF OSHKOSH No 123480
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 02/01/2007
Contractor RUSCH HOMES LLC
Designer
Category
110 - New Single Family
Plan 004-0207
Type
. Building
___O_~~fJ~
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Unfinished/Basement ~Q Sq. Fl
Rooms
6
Height
26 Ft.
D Projection I
Finished/Living
~ Sq. Ft.
~~ Sq.Ft.
Bedrooms 3
Stories 2
Canopies
Signs
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' 2 story with 2 car attached garage and 14' x 14' patio.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation: $100,2Q2:20 Plan Approval
ISSUedBY:~W
$75.00 Permit Fee Paid
$433.00 Park Dedication
$200.00
Date 02/12/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1342950400
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 S~Y'"7rTry appro.vals before starting such activity. /
Signature -/--J::=-~ Date ~ /3/ b7
Agent/Owner
Address POBOX 423
OMRO
WI 54963. - OO~O 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
GRADE STAKE FORM
Grade Stake Number 7421
Name RUSCH HOMES LLC
Address 3170 BAILEY CT
Create Date 02101/2007
Lot 88
Block
Ward
Subdivision 2nd add't Pheasant creek
Zone
o Sidewalk Existing =:J
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 02106/2007 Set By D.W.G. BK - 613, P - 58
Department of Public Works
I, the:undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced. y ~'f21,..
Plbg LiclCert #
879882
Plbg LiclCert #
170792
Plbg LiclCert #
3202
LiclCert #
230863
D HVAC D 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
D Plbg
Application No.
0123480
Parcel No.
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
D Constr
~ Erosion
D Other:
MENASHA
Telephone No.
WI 54963 - 0000
Telephone No.
685-0241
Telephone No.
WI 54957 - 749 920-231-5946
Telephone No.
WI 54971 _ 184 920-748-5050
Telephone No.
920-749-9121
WI 54952 - 0
,T N,R
Block No.
E(or)W
OMRO
OMRO
WI 54963 - 0
NEENAH
RIPON
1/4,
1/4,Section
Lot No.
88
Left
D
D
Living Area
Garage
730
1530
468
Sq. ft.
Sq. ft. i-Story
~ 2-Story
Sq. ft. ~ Other
D Seasonal
~ Permanent
~ Plus Basem-;;;t.- D Other D 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 or ~ ~e Department or municipality; and certifies that all th.. e above information is accurate.
APPLlCANT'SSIGNATURE. ~ DATE;SIGNED aJt.$/P?
This permit is issued pursuant to the following conditions. Failure to comply mayresult in suspension or
APPROVAL CONDITIONS revocation of this permit or other penalty
See "Standard conditions 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 2/1/2007
$105.00
352299
Cert. No. 70330
G
OSHKOSH
ON THE WATER
Job Address 3170 BAILEY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 02/12/2007
Name RUSCH HOMES LLC
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision 2nd add't Pheasant creek
Lot 88
Building Permit Number 0123480
Number of Dwelling Units
1
$200.00
rz:f)4
Number of Structures
1
Fee Required
Fee Paid
Owner's Signature
Inspector's Signature
Date ~/r~/b 7
I
Date