HomeMy WebLinkAbout0125346-Building
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OSHKOSH
ON THE WATER
Job Address 3115 BAILEY CT
CITY OF OSHKOSH No 125346
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 06/13/2007
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 024-0607
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size Irrg
Height
18 Ft.
D Projection I
Unfinished/Basement ~ Sq. Ft.
Rooms
6
3
2
Stories
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family* 1 story, 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
$127,000.00 Plan Approval
$75.00 Permit Fee Paid
$514.00 Park Dedication
$200.00
Issued By:
Date 06/14/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcel Id # 1342951100
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 secure a:i n~essary approvals before starting such activity.
Signature rl:::..~ Date
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 (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 3115 BAILEY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 06/14/2007
Name RUSCH HOMES LLC
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision 2ND ADD'T PHEASANT CREEl<
Lot 95
Building Permit Number 0125346
Number of Dwelling Units
Number of Structures
1
Fee Required
$200.00
Fee Paid
Owner's Signature
~1.Ut
Date
Inspector's Signature
Date
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7444
Name RUSCH HOMES llC
Address 3115 BAilEY CT
Create Date 06/13/2007
Lot 95
Block
Ward
Subdivision 2ND ADD'T PHEASANT CREEl Zone
U Sidewalk Existing
Street Number 3115
Lot Dimensions
Building Grade Elevation Stakes Set At Site 06/13/2007 Set By
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. OZ."''t/~
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.
0125346
Parcel No.
Plbg LiclCert #
879882
Plbg LiclCert #
170792
Plbg LiclCert #
3202
LiclCert #
230863
D 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 o 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.
95
Left
o Constr
S . ft. 1/4,
Subdivision Name
2ND ADD'T PHEASANT CREEK
Front
./ Forced Air Furnace
o Radiant Baseboard or Panel
o Heat Pump
o Boiler
o Central Air Conditioning
Other
,.
Nat. L.P. Oil Elec. Solid
Ga
Space Htg ~ 0 0 0 0 0
Water Htg ~ 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Living Area
1562
1562
660
Sewer
~ Municipal
o Septic
Permit No.
o Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement 0 Other 0 Private On-Site Well 147000
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, on1i1e Oepartment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE 7C !~ . .. · 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
Garage
o Village ~ City D County 0 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
o HVAC
o Electrical
o Plumbing
~ Erosion
D
Name JOHN ZARATE
Date 6/13/2007
$105.00
352333
Cert. No. 70330