HomeMy WebLinkAbout0099879 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1245 PHEASANT CREEK DR Owner RUSCH HOMES
Designer Contractor RUSCH HOMES LLC
Category 110 - New Single Family
No 0099879
Create Date 02/04/2003
Plan E1-010-0203R
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning R-1 Class of Const: 8
Unfinished/Basement 478 Sq. Ft. Rooms 8 Height 21 Ft.
Finished/Living 1774 Sq. Ft. Bedrooms 4 Stories Quad-level
Garage 572 Sq. Ft. Baths 3
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit
Park Dedication Required # Dwelling Units 1 # Structures
Size Irrg
~J Projection
Canopies
Signs
Not Required
1
Use/Nature NSFR/ New single family home, with 2 car attached garage and 14' x 14' patio. Driveway shall not exceed 24' at the front property line.
of Work
HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $98,000.00 Plan Approval $75.00 Permit Fee Paid $374.00 Park Dedication $100.00
Issued By: Date 02/20/2003 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number 685-0241
OSHKOSH
ON THE WATER
Name RUSCHHOMES
GRADE STAKE FORM
Address 1245 PHEASANT CREEK DR
Lot 51 Block
Subdivision 1st Add't Pheasant Creek Farm Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 02/06/2003 Set By
Grade Stake Number 6895
Create Date 02/04/2003
Ward
D.W.G. BK-586, P-70
Sidewalk Existing
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.
OSHKOSH
ON THE WATER
,Job Address 1245 PHEASANT CREEK DR
Name RUSCH HOMES
Address PO BOX 423
Subdivision 1st Add't Pheasant Creek Farm
Building Permit Number 0099879
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 02/20/2003
OMRO WI 54963
Lot 51
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0099879
P.e. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
RUSCH HOMES PO BOX 423 eMRe WI 54963 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
RUSCH HOMES LLC 879882 P e BOX 423 emro WI 54963 - 0 685-0241
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC 170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
CeNDeN TOTAL COMFORT 3202 11 BLACKBURN ST RIPEN W 54971 - 184 (920) 748-5050
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205
I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W
Building Address Subdivision Name Lot No. Block No.
1245 PHEASANT CREEK DR 1st Add't Pheasant Creek Farm 51
Zoning District(s) lZoning Permit No. Front Rear Left Right
J __Setbacks ft ......... _f_t_: ft ft
, .,.,~= ~=u~E, --~ ~r~-,, ~ ..............................
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
] 8~l~,lS~ ~Y~E ~ f~OND~ION [] Other = more installed electric space heating equip.
[] Site Constructed · Concrete - Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 478 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1774 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 24090 BTU/HR
Garage 572 Sq. ft. [] Other [] Seasonal Infiltration 13782 BTU/HR
Quad-level [] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $118,000.00
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, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~ll~BIB~lOl~,i City Of Oshkosh 7 0 - 2 6 6
~IS UN!EORIVl ~ERMI~ ~ERIVlI~ iSSUED B~
~SS=E= SE~ Ne
~ Construction
Plan Review $75.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00
Plumbing
Date
2/4/O3
Other [] Erosion
Total $105.00 · 288711 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1245 PHEASANT CREEK DR
110 - New Single Family
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Create Date
Owner RUSCH HOMES
Contractor RUSCH HOMES LLC
No 0099879
02/04/2003
Plan E1-010-0203R
· Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R-1 Class of Const: 8 Size Irrg
Unfinished/Basement 478 Sq. Ft. Rooms 8 Height 21 Ft. [] Projection
Finished/Living 1774 Sq. Ft. Bedrooms 4 Stories Quad-leve Canopies
Garage 572 Sq. Ft. Baths 3 Signs
Foundation · Poured Concrete 0 Floating Slab (~ Pier (~) Other
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature NSFPJ New single family home, with 2 car attached garage and 14' x 14' patio. Driveway shall not exceed 24' at the front property line.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~/~
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$98,000.00 Plan Approval $75.00 Permit FeePaid $374.00 Park Dedication $100.00
Date 02/20/2003 FinallO.P. 00/00/0000
[] Permit Voided
In the perf,orn~ance of this,,~ja~k
Signature ~~/
Address P O BOX 423
I ~'~perform all work pursuant to rules governing the described construction. Date
Agent/Owner
Omro WI 54963 - 0000 Telephone Number 685-0241
OSHKOSH
ON THE WATER
Name RUSCH HOMES
GRADE STAKE FORM
Address 1245 PHEASANT CREEK DR
Lot 51 Block
Subdivision 1st Add't Pheasant Creek Farm Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 02/0612003 Set By
D.W.G. BK-586, P-70
Grade Stake Number 6895
Create Date 02/04/2003
Ward
L_J Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade esta~li§hed before excavation
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.
0099879
Parce No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Dwner's Name
RUSCH HOMES
Contractor: b_~ Con[-~ EIoc[] HVAC ~ Plbg
RUSCH HOMES LLC
Contractor: ~_~ Con ~ Elec]__J HVAC~_J PIbg
CUMINGS ELECTRIC
Contractor: L_] Con ~ Elecb~ HVAC [] Plbg
CONDON TOTAL COMFORT
Contractor: [_.J Con [] Elec[~ HVAC[~ Plbg
HANSON QUALITY PLUMBING
Lot Area
Building Address
1245 PHEASANT CREEK DR
Zoning District(s) Zoning Permit No.
Mailing Address
PO BOX 423
OMRO WI 54963- 0000
Lic/Cert # Mailing Address Telephone No.
879882 P O BOX 423 Omro WI 54963 - 0 685-0241
Lic/Cert # Mailing Address Telephone No.
170792 PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Lic/Cert # Mailing Address Telephone No.
3202 11 BLACKBURN ST RIPON WI 54971 - 184 (920) 748-5050
Lic/Cert# Mailing Address Telephone No.
550 N BLUEMOUND RD APPLETON WI 54914 -0 730-0205
Sq. ft.I 1/4, 1/4,Section ,T N,R E(or)W
I Subdivision Name Lot No. Block No.
1st Add't Pheasant Creek Farm 51
Front Rear Left Right
Telephone No.
New [] Repair Single Family Entrance Panel Forced Air Furnace Fuel
[] Alteration [] Raze Two Family Size: [] Radiant Baseboard or Panel
Garage Service: [] Heat Pump Space Htg
[] Addition [] Move [] Other (print): [] Overhead [] Boiler Water Htg
[] Other: [] Underground [] Central Air Conditioning Dwelling unit will have 3 kilowatt or
[] Site Constructed Concrete Other more installed electric space heating equip.l
Unfinished [] Manufactured Masonry Infiltration control option is: [] Full sealing
Treated Wood Sewer of joints. [] Blower door test. [] Exterior
Basement 478 Sq, ft. [] Municipal air infiltration barrier.
Other
Living Area 1774 Sq. ft. [] Septic
Permit No.
Garage 572 Sq. ft.
1-Story
[] 2-Story
[] Other [] Seasonal
Quad-level [] Permanent
[] Plus Basement [] Other
[] Municipal Utility
[] Private On-Site Well
Envelope 24090 BTU/HR
Infiltration 13782 BTU/HR
$118,000.00
The applicant agrees to comply with all applicable codes, sta~es and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express orc~n ~e2~artment or municipality; and certifies that all the above information i~ accurate.
APP'ICA.T'S S .A URE D^*E S, ,ED
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
[] Town [] Village [] City [] County [~ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 2/4/03
Other [] Erosion
Total $105.00 288711 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name RUSCH HOMES
Address PO BOX 423
Subdivision 1st Add't Pheasant Creek Farm
Building Permit Number
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
1245 PHEASANT CREEK DR
0099879
1
$100.00
Date 02/20/2003
OMRO WI 54963
Lot 51
Number of Structures
Fee Paid
Date
Date
ON THE W^TER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
PLAN REVIEW
Project Address: 1245 PHEASANT CREEK DR
Submitted By:RUSCH HOMES
Plan Number:E 1-010-01[03R
Reviewed By: JZ
Phone: 920-236-5119
Date Reviewed: 2/04/2003
Phone Number: 685-0241
E~] Mailed
F-] Faxed
15~ Delivered Date:
Result of Plan Review:
[5(] Conditionally Approved
F-] Withheld Pending Approval of Additional Information
E~] Not-Approved, Plans Returned for Revisions
Conditions Noted on Plan Review
1) All required smoke detectors shall be indicated on the floor plan for any future plans.
2) Fire seperation between the garage and living space shall be indicated on the floor plan for '
any future plans.
3) The proposed patio shall be installed prior to occupancy or a code compliant exit installed for
the rear patio doors.
4) Beam calcs and truss plans shall be onsite or dropped off at the Inspection Department office
before the framing inspection.
/\
Project Address
Please read the following i:
and agree to comply With these conditions.
1.
' bottom to acknowledge that you'have read
rooms must be prOVided with 8% light ~ati°r
located on the second flOor or below ground level'must be provided with egress windows
in addition to the light and ventilation reqUirements. Basement windows are also
'~e~r~:ii to: ~V~' ~fnd°~ vceii a~as ih aefi6~dah~e~ Wi~'iL~ 2'I.03¢
2. ' Garage spaces shall be separated from the dwelling in LHR 21.08~
The door and frame assembly between the dwelling Unit and an attached'garage shall be
that the g~s no more than a dimes thickness (1/20-inch) and backe~l bY solid wood or
drY~all with the joints staggered.
All penetrations' the This
includes holes in the top and bottom plates, gaps around heating ducts, and hOles in the
....... ii' Th6 §Moke
5. Hydromassage tubs are req an access panel to motor. The access panel must
be accessible without removing the finish of the house.
6. All overframing must be designed by the truss manufacturer, according to standards set
by the truss plate institute, or structural calculations must 13e PrOVided prior t° the rough
building inspection.
7. Truss plans must be submitted and approved prior to framing the roof.
8. Truss t 'the truss layout must be Provided on site at the rough building
inspection. In addition to the tress plans, micr01am Calctilati6h's mu~t be pr03ided bn Site
at the rough building inspection for all miCrolams ~h point loads on them.
9~
provided for all cantileVered'floors with point loads. FloOr trusses
and TJI,s must be designed ~f0?'the~'dhntilevered areas. '
10.
11.
12.
13.
14.
15.
16.
The property owner and applicant is responsible for compliance with ILHR 21.125
(Erosion Control). When installing access drives, a minimum of 2"-3" diameter stoneis
required in addition to a'minimum of 6" depth, 30'-50' length, and 14'-20' width. Erosion
control measures must be maintained until the lawn is established.
All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the end of each workday. Repair any
siltation or erosion damage to adjoining surfaces and drainageways resulting from land
development or disturbing activities.
The building placard must be posted on site at all times. Once the rough framing is up
the placard must be posted on the patio door or on a kitchen window. If the placard is not
present at any inspection, stop work orders will be posted. Additional placards can be
obtained through our departmentifthe cards are misplaced.
All mechanicals mUst be roughed'in prior to requesting the r0ugh building inspection. If
onthe inspecti°n the mechanicals are not roughed in, the inspection will fail and a $100
re-inspection fee will be charged.
Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
When requesting final inspections please note that a minimum of 2 days notice is needed
from the time the inspection is ready. Furniture is only allowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final inspection no furniture or persOnal belongings are allowed in the
house. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electrical inspector needing to look at the power serving the appliances.
A 6' stepladder must be on site at the final inspection to provide access to the attic.
The building placard must remain on the patio door or on a kitchen window until
occupancy is approved. Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
given.
17. All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor.