HomeMy WebLinkAbout0121324-Building
o CITY OF OSHKOSH No 121324
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1010 JOHN MOORE DR Owner RUSCH HOMES LLC Create Date 06/28/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 034-0606
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const: 8
Size
Bedrooms
6
3
Height
16 Ft.
D Projection I
Unfinished/Basement ~ Sq. Ft.
Rooms
Finished/Living
~ Sq. Ft.
~ Sq.Ft.
Stories
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 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 14' x 14' patio.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuatio~ ;:jOO.OO Plan Approval
Issued By: 5 t'Yl-
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Date 08/30/2006
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 1342951400
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 autho . enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application w' in an a ment, the City strongly urges the permit applicant to contact the easement
holder(s) and to se~~s aR 0 s before starting such activity. ,1 ,...1.1
Signature ~?- j Date 'l1c..{OC
Agent/Owner
Address POBOX 423
OMRO
WI 54963 - 0000 Telephone Number 685-0241
To schedule inspections please c,all 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 7374
Name RUSCH HOMES LLC
Address 1010 JOHN MOORE DR
Create Date 06/28/2006
Lot 98
Block
Ward
Subdivision 2ND ADD'T PHEASANT CRK Zone
U Sidewalk Existing .~
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 06/29/2006 Set By DW.G. BK - 607, P - 53
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade es
has commenced.
o
OSHKOSH
ON THE WATER
Job Address 1010 JOHN MOORE DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 08/30/2006
Name RUSCH HOMES LLC
Address
P.O. BOX423
OMRO
WI
54963
Subdivision 2ND ADD'T PHEASANT CRK
Lot 98
Building Permit Number 0121324
Number of Dwelling Units Number of Structures
Fee Required
#~OO~
Fee Paid
Owner's Signature
Date
~/~o/I.i7
Inspector's Signature
Date
Wiscbn~in 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.
0121324
Parcel No.
D Constr
Plbg LiclCert #
879882
Plbg LiclCert #
170792
Plbg LiclCert #
3202
LiclCert #
230863
D HVAC DElee
Mailing Address
P.O. BOX423
Mailing Address
PO BOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
1226 CHELSEA CT
D Plbg
o Erosion D 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.
98
Left
S . ft. 1/4,
Subdivision Name
2ND ADD'T PHEASANT CRK
Front
1361
Sq. ft.
Sq. ft. 0 1-Story
D 2-Story
Sq. ft. D Other
./ Concrete
D Masonry
D Treated Wood
D Other
Living Area
1361
518
D Seasonal
o Permanent 0 Municipal Utility
o Plus Basement D Other D Private On-Site Well
The applicant agrees to comply with all applicable code ,s . tue and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express~d, 0 the D artment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE ~ DATE SIGNED cals(~ ! 6~
,
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to corn ply may result in suspension or
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Garage
D Village 0 City D County D State of:
City Of Oshkosh
Municipality Nurnber of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
./ Construction
D HVAC
D Electrical
D Plumbing
o Erosion
D
Narne JOHN ZARATE
Date 6/28/2006
Total
SBD-5823 (R. 07/92)
$105.00
352270
Cert. No. 70330