HomeMy WebLinkAbout0121400-Building
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OSHKOSH
ON THE WATER
Job Address 1020 JOHN MOORE DR
CITY OF OSHKOSH No 121400
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 08/24/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 042-0806
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 16 Ft.
D Projection I
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
3
Stories
Canopies
Garage
Signs
Baths
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Required
Flood Plain
Height Permit Not Required
Park Dedication Required
# Dwelling Units
# Structures
Use/Nature NSFRI Single family 1 story with 2 car attached garage and a 14' x 13'.6" patio.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRICINC
$90,000.00 Plan Approval
$75.00 Permit Fee Paid
$403.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 09/06/2006
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 1342951500
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 applicatio "thin a easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s a rovals before starting such activity.
Signature
Date
Address POBOX 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 (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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- DEPARTMENT OF
- eJ'f' (j) COMMUNITY DEVELOPMENT
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JOHN MOORE DR
'0'
OSHKOSH
ON THE WATER
Job Address 1020 JOHN MOORE DR
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 09/06/2006
Name RUSCH HOMES LLC
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision Lot 99
Building Permit Number 0121400
Number of Dwelling Units Number of Structures
Fee Required
r~~
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
'e'
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7392
Name RUSCH HOMES LLC
Address 1020 JOHN MOORE DR
Create Date 08/24/2006
Lot 99
Block
Ward
Subdivision
Zone
U Sidewalk Existing
Street Number 1020 JOHN MOORE DR
Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/25/2006 Set By DW.G. BK - 607, P - 70
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade estab .
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.
0121400
Parcel No.
D Constr 0 HVAC D Elec D Plbg
Mailing Address
P.O. BOX 423
Plbg Lic/Cert # Mailing Address
879882 POBOX 423
Plbg LiclCert # Mailing Address
170792 PO BOX 749
Plbg LiclCert # Mailing Address
3202 PO BOX 184
LiclCert # Mailing Address
230863 1226 CHELSEA CT
S . ft. 1/4,
Subdivision Name
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.
99
Left
./ Single Family
D Two Family
D Garage
D Other (print):
Entrance Panel
Size: 200
Service:
D Overhead
o Underground
./ Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
D Central Air Conditioning
Other
o
D
D
o
Living Area
Garage
1198
1198
446
'.._,--j:""h":
. ./ .Concrete
D Masonry
Treated Wood
Other
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D 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, statues
the permit creates no legal liability, express . Ii
D Seasonal
o Permanent
D Other
o Municipal Utility
D Private On-Site Well
d 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.
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
D Village 0 City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
$30.00
./ Construction
D HVAC
D Electrical
D Plumbing
o Erosion
D
Name JOHN ZARATE
Date 8/25/2006
Total
SBD-5823 (R. 07/92)
$105.00
352278
Cert. No. 70330