HomeMy WebLinkAbout0127035-Building
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OSHKOSH
ON THE WATER
Job Address 10.50. JOHN MOORE DR
CITY OF OSHKOSH No 127035
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUS~H HgMES LLC Create Date 0.9/25/20.0.7
Contractor RUSCH HOMES LLC
Designer
Category
.1J~: New Sing~~f!lJlY_____._.~_____~_________ -----------------
Plan 041-090.7
Type
. Building
o Sign__~~~~~opy ____O...i.El.r1.c:~____.__ 0 Raze__
Class of Const: 8
i
__ .. _....____._....._.______.i
Zoning
R-1
Size IRR
Unfinished/Basement ~ Sq. Ft.
Rooms
Height
18 Ft.
D.':!~ectio.':l.J
Finished/Living
~ Sq.Ft.
___~Q Sq. Ft.
Bedrooms
3
3
2
Stories
Canopies
Garage
Baths
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit F3_equi!~<!.____ Occupancy Fee
$0..0.0 Flood Plain No
"^.. -...__.__._--~
Height Permit f',I_()!..!3el:1Llired
# Structures
Park Dedication
'3~q~ir~cl
# Dwelling Units
Use/Nature
of Work
[NSFR/ f'-storYhomeivvliha2car--attached gan:ige,14'x1-4>concretepatio.------ -------------------
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HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation ___ $110,-QOo..Oo. Plan Approval
Issued By: ~.
$75.00 Permit Fee Paid
~ $463.0.0. Park Dedication ___.__$200..0.0.
Date 10./0.2/20.0.7
Final/O.P. 0.0./0.0/00.00.
--------
D__~erm j!.Y.9Jd~
Parcelld # 134295180.0.
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~f#sHf approvals before starting such activity.
Signature {1!--'tIt/0 Date
AgenUOwner
Address
PO BOX 423
...._-----_._----_._,..~--~- .--.---.----------.--------- ..----. -~---_..._._- ._--~
OMRO
WI 54963 - 0.0.0.0
Telephone Number
685-0.241
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 1050 JOHN MOORE DR
-----
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 1 0/02/2007
------------
Name RUSCH HOMES LLC
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision 2ND AQ[)-'I~Ij!:ASAt-JT CI3~~~
Lot 102____________ ________ mm
Building Permit Number
Number of Dwelling Units
0127035
Number of Structures
Fee Required
______..E90. Q.Q
r&
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
G
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
Lot 102
Subdivision 2ND ADD'T PHEASANT CREEl
Street Number
Building Grade Elevation Stakes Set At Site
09/26/2007
GRADE STAKE FORM
Address 1050 JOHN MOORE DR
Block
Zone
Lot Dimensions
Set By DW.G. AT BOTH PL
Grade Stake Number 7461
Create Date 09/25/2007
Ward
~ Sidewalk E~~~ng I
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
APPLlCA TION
Application No.
0127035
Parcel No.
o Constr
Plbg Lic/Cert #
879882
Plbg Lic/Cert #
170792
Plbg Lic/Cert #
3202
Plbg Lic/Cert #
246943
o 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
4635 RED FOX RD
o Plbg
o Erosion 0 Other:
Telephone No.
aMRa WI 54963 - 0000
Telephone No.
aMRa 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.
OSHKOSH WI 54904 - 7784 920-410-5933
S.~ 1~
Subdivision Name
2ND ADD'T PHEASANT CREEK
Front
1/4,Seclion ,T
Lot No.
102
Left
N,R E(or)W
Block No.
Living Area
Garage
1562
--"--'-.------..--.
1562
---~-
720
o Municipal Utility
o Plus Basement 0 Private On-Site Well
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 im . d, o~ t a ment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE
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
DATE SIGNED
o Village 0 City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
-/ Construction
o HVAC
o Electrical
o Plumbing
o Erosion
o
Name Nicole Krahn
Date 9/26/2007
$105.00
352324
Cert. No. 248101