HomeMy WebLinkAbout0123893-Building
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OSHKOSH
ON THE WATER
Job Address 1030 JOHN MOORE DR
CITY OF OSHKOSH No 123893
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 03/15/2007
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 007-0307
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRR
Unfinished/Basement ~ Sq. Ft.
Rooms
3
Height
18 Ft.
D Projection I
Finished/Living
~ Sq. Ft.
~ Sq. Ft.
Bedrooms
3~
Stories
Canopies
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
UselNature NSFR/1 story home with a 2 car attached garage, 13'6"x20' concrete patio.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor PLASKI PLUMBING
Electric Contractor CUMINGS ELECTRIC INC
Issued By:
$9 ,000.00 Plan Approval
$75.00 Permit Fee Paid
$403.00 Park Dedication
$200.00
Date 03/22/2007
FinallO.P. 00100/0000
D 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
holder(s) and to secur ny necess ry pp vals before starting such activity.
Date
Signature
Address POBOX 423
AgenUOwner
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 1030 JOHN MOORE DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 03/22/2007
Name RUSCH HOMES LLC
Address
PO BOX 423
OMRO
WI
54963
Subdivision 2nd Add to Pheasant Creek Far
Lot 100
Building Permit Number 0123893
Number of Dwelling Units Number of Structures
Fee Required
$200.00
Fee Paid
Inspector's Signature
~
Date
Owner's Signature
Date
e
OSHKOSH
ON THE WATER
GRADE 51 AKE FORM
Grade Stake Number 7426
Name RUSCH HOMES LLC
Address 1030 JOHN MOORE OR
Create Date 03/15/2007
Lot 100
Block
Ward
Subdivision 2nd Add to Pheasant Creek Far Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 03/16/2007 Set By OW.G. BK - 613, P - 59
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade est . hed before excavation
has commenced. L _
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.
0123893
Parcel No.
o Constr
Plbg Lic/Cert #
879882
Plbg Lic/Cert #
170792
Plbg Lic/Cert #
3202
Plbg Lic/Cert #
o HVAC 0 Elec
Mailing Address
PO BOX 423
Mailing Address
POBOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
W8716 SPRING RD
D Plbg
o Erosion D Other:
Telephone No.
OMRO WI 54963 - 0000
OMRO
WI 54963 - 0
Telephone No.
685-0241
Telephone No.
920-231-5946
Telephone No.
920-748-5050
Telephone No.
920-779-0351
NEENAH
WI 54957 - 749
RIPON
WI 54971 _ 184
HORTONVILLE WI 54944 - 0
1/4,
1/4,Section ,T
Lot No.
100
Left
N,R E(or)W
Block No.
Living Area
Garage
1198
1198
528
Nat. L.P. Oil Elec. Solid Sola
Gas
Space Htg D 0 D D D D
Water Htg 0 0 D D 0 D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
o Plus Basement
The applicant agrees to comply with all applicable codes, sta
the permit creates no legal liability, express or i~ t
APPLICANT'S SIGNATURE tI~t
o Municipal Utility
o Private On-Site Well
s and ordinances and with the conditions of this permit, understands that the issuance of
rtment or municipality; and certifies that all the above information is accurate.
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
o Village 0 City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review -/ Construction
D HVAC Name Nicole Krahn
Inspection D Electrical
Wis. Permit Seal $30.00 D Plumbing Date 3/15/2007
Other o Erosion
Total $105.00 D 352302 Cert. No. 248101
SBD-5823 (R. 07/92)