HomeMy WebLinkAbout0125924-Building
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OSHKOSH
ON THE WATER
Job Address 3190 BAILEY CT
CITY OF OSHKOSH No 125924
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 07/13/2007
Contractor RUSCH HOMES LLC
Designer
Category
110 - New Single Family Plan 030-0707
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRRG
Finished/Living
Bedrooms
6
3
Height
20 Ft.
o Projection I
Unfinished/Basement ~ Sq. Ft.
Rooms
Garage
~ Sq. Ft.
~ Sq.Ft.
Stories
Canopies
Baths
2
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 Not Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature
of Work
rSFRI N,w "0,1, fam;~ 1 ,Iooy 2 cae alta,h'" ,a-ca" '"' 14' x 14' patio,
.1
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $100,000.00 Plan Approval
Issued By: ~s..
',...-/
$75.00 Permit Fee Paid
$433.00 Park Dedication
$200.00
Date 07/23/2007
Final/O.P. 00/00/0000
o Permit Voided I
Parcelld # 1342950200
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 secur~c:~~ ~ovals before starting such activity.
SIgnature ~~ Date
AgenVOwner
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 (Le. 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
Name RUSCH HOMES llC
lot 86
Subdivision 2nd Add't Pheasant Creek
Street Number
GRADE STAKE FORM
Address 3190 BAilEY CT
Grade Stake Number 7448
Create Date 07/13/2007
Ward
Block
Zone
lot Dimensions
Building Grade Elevation Stakes Set At Site 07/13/2007 Set By D.W.G. BK - 612, P - 68
U]Idewalk Existing
I, the undersigned, owner or agent of the above described property agree to have the grade est
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
APPLlCA TION
Application No.
0125924
Parcel No.
D Constr
Plbg Lic/Cert #
879882
Plbg Lic/Cert #
170792
Plbg Lic/Cert #
3202
Lic/Cert #
230863
D HVAC DElee
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
L?J Erosion D Other:
Teiephone 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.
86
Left
Owner's Name
RUSCH HOMES LLC
Contractor: -/ ConD ElecD HVAC
RUSCH HOMES LLC
Contractor: Con -/ Elec
CUMINGS ELECTRIC INC
Contractor: Con Elec -/
CONDON TOTAL COMFORT
Contractor: U Con Elec HVAC -/ Plbg
PLUMBING CONTRACTOR SPECIALISTS, LLC
Lot Area
S . ft.
Subdivision Name
2nd Add't Pheasant Creek
Front
1/4,
Living Area
1300
_.~---"-
1300
---
528
D Masonry
Treated Wood
Other
Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
Boiler
Central Air Conditioning
Other
mBYi'l'i'!~'1~1
CA cQ"cJl1iLl'i ,c"IQU'I
Nat. L.P. Oil Elec. Solid
Gas
Space Htg L?J D D D D D
Water Htg L?J D D D D D
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.
Garage
D Seasonal
L?J Permanent
L?J Plu~Basem;~t-- D Other D Private On-Site Well
The applicant agrees to comply with all applicable codes, st nd ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or i lied e De ment 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 L?J 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
L?J Erosion
D
Name JOHN ZARATE
Date 7/16/2007
$105.00
352329
Cert. No. 70330
e
OSHKOSH
ON THE WATER
Job Address 3190 BAILEY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 07/23/2007
Name RUSCH HOMES LLC
Address
P.O. BOX 423
OMRO
WI
5496.3
Subdivision 2nd Add't Pheasant Creek
Lot 86
Building Permit Number 0125924
Number of Dwelling Units Number of Structures
Fee Required
$200.00
r~~
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date