HomeMy WebLinkAbout0100091 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1275 PHEASANT CREEK DR Owner RUSCH HOMES
Designer Contractor RUSCH CONSTRUCTION LLC
Category 110 - New Single Family
No 0100091
Create Date 03/03/2003
Plan E1-015-0303R
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning R-1 Class of Const: 8
Unfinished/Basement 730 Sq. Ft. Rooms 4 Height 18 Ft.
Finished/Living 1879 Sq. Ft. Bedrooms 4 Stories 2
Garage 487 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 IRR
~J Projection I
Canopies 0
Signs 0
Not Required
1
Use/Nature NSFR/2 story home with a 2 car attached garage, 14'xl 4' rear concrete patio.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$120,000.00 Plan Approval $75.00 Permit Fee Paid
$440.00 Park Dedication $100.00
Date 03/08/2003 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
Oshkosh
Address 3807 A STATE HWY 21 WI 54904 - 9323 Telephone Number 231-8203
OSHKOSH
ON THE WATER
Name RUSCHHOMES
GRADE STAKE FORM
Address 1275 PHEASANT CREEK DR
Lot 48 Block
Subdivision 1st Add to Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 03/05/2003 Set By
Grade Stake Number 6901
Create Date 03/03/2003
Ward
D.W.G. BK-586, P-65
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 1275 PHEASANT CREEK DR
Name RUSCH HOMES
Address PO BOX 423
Subdivision 1st Add to Pheasant Creek
Building Permit Number 0100091
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 03/06/2003
OMRO WI 54963
Lot 48
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 o1ooo91
P.O. 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 OMRO WI 54963 - 0000 237-1300
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
RUSCH CONSTRUCTION LLC 4781 3807 A STATE HWY 21 Oshkosh WI 54904 - 9323 231-8203
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.
CONDON TOTAL COMFORT 3202 11 BLACKBURN ST RIPON 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.
1275 PHEASANT CREEK DR 1st Add to Pheasant Creek 48
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~Ol'dD~lOl'd [] 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 730 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1879 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 28610 BTU/HR
Garage 467 Sq. ft. [] Other [] Seasonal Infiltration 15967 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $170,000.00
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
[] 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 Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00
Plumbing
Date
3/3/O3
Other [] Erosion
Total $105.00 · 288718 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1275 PHEASANT CREEK DR
110 - New Single Family
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES
Contractor RUSCH CONSTRUCTION LLC
Building O Sign O Canopy O Fence O Raze
Create Date
No 0100091
03/03/2003
Plan E1-015-0303R
Zoning R-1 Class of Const: 8
Unfinished/Basement 730 Sq, Ft. Rooms 4
Finished/Living 1879 Sq. Ft. Bedrooms 4
Garage 467 Sq. Ft. Baths 3
Foundation tl~ Poured Concrete (~ Floating Slab (~) Pier
(~ Concrete Block (~ Post (~) Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units I
Height 18 Ft.
Stories 2
(~) Other
Size IRR
[] Projection
Canopies
Signs
Height Permit Not Required
# Structures 1
Use/Nature qSFPJ 2 story home with a 2 car attached garage, 14'x14' rear concrete patio.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: ~
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
$12~,.0 00,0.'~j Plan Approval
$75.00
Plumbing Contractor HANSON QUALITY PLUMBING
Permit Fee Paid
$440.00 Park Dedication $100.00
Date 03/06/2003 Final/O.P. 00/00/0000
[] Permit Voided
In the performance of this work t agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Oshkosh WI 54904 - 9323 Telephone Number
Address 3807 A STATE HWY 21 23'1-8203
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name RUSCH HOMES Address
Lot 48 Block
Subdivision 1st Add to Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 03/05/2003 Set By
1275 PHEASANT CREEK DR
D.W.G. BK-586, P-65
Grade Stake Number 6901
Create Date 03/03/2003
Ward
b~b~idewalk Existing J
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade establi~i~d before excavation
has commenced. ~ ~
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT o1ooo91
P.O. Box 2509
Madison, WI 53701-2509 APPLICATION Parce~ No.
Wisconsin Statues 101.63, 101.73
~ ~iii ~ ' ~ HVAC [] Elec [] Plbg [] Erosion [] Other:
[] Constr
Owner's Name Mailing Address Telephone No.
RUSCH HOMES PO BOX 423 eMRO WI 54963- 0000 237-1300
Contractor: L~ Con[] Elco[] HVAC L~ Plbg bic/Cert# Mailing Address ~Tetephone No.
RUSCH CONSTRUCTION LLC 4781 3807 A STATE HWY 21 Oshkosh WI ~904 - 9323 ~231-8203
Contractor: ~ Con ~ Elec ~ HVAC~ Plbg Lic/CeA ¢ Mailing Address Telephone No.
CUMINGS ELECTRIC 170792 PO BOX 749 1414 COUNTY RD JJ NEENAH Wt 54957 - 749 231-5946
Contractor: ~ Con ~ Elec~ HVAC ~ Plbg Lic/CeA~ Mailing Address Telephone No.
CONDON TOTAL COMFORT 3202 11 B~CKBURN ST RIPEN WI 54971 - 184 (920) 748-5050
Contractor:~ Con ~ Elec~ HVAC~ Plbg Lic/Ce~¢ Mailing Address Telephone No.
HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54914 -0 730-0205
Area Sq. ~ 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
1275 PHEASANT CREEK DR 1st Add to Pheasant Creek 48
Zoning District(s) ~Zoning Permit No. Front ]Rear Left Right
Setbacks ~ ft
~ New ~ Repair ~ Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat L.P. Oil Elec. Solid Sola
~ Alteration ~ Raze ~ Two Family ~Size: 200amF ~ Radiant Baseboard or Panel Ga~ ,
~ Addition ~ Move Garage Se~ice:~ ~ Heat Pump Space Htg ~
Other(print):
~ Overhead ,~ Boiler WaterHtg ~
Underground ~ Central Air Conditioning * ~ Dwelling unit will have 3 kilowatt or
~ Other: ~ ~ ~ Other ~ more installed electric space heating equip.
~ Site Constructed ~ Concrete
Unfinished ~ Manufactured ~ Masonw Infiltration Control option is: ~ Full sealing
Sewer :of joints. ~ Blower door test. ~ Exterior
Basement 730 sq. ~. ~}~ ~ ~ Treated Wood ~ Municipal air infiltration barrier.
Living Area 1879 Sq. ~. ~ 1-Stow ~ Other
~:,, ........... -~ ~ Septic
~ 2-Stow Permit No. Envelope 28610 BTU/HR
Garage 467 Sq. ~. ~ Other ~ Seasonal Infiltration 15967 BTU/HR
~ Permanent ~ Municipal Utili~
~ Plus Basement ~ Other ~ Private On-Site Well $170,000.00
The applicant agrees to ~mpty with all applicable codes~tues and ordinances and with the conditions of this permit, understands that the issuan~ of
· e permit creates no legal liability, express or i~n th~ ~pa~ment or municipality; and certifies that all the above informationJs accurate.
APPROVAL CONDITIONS Th~s permit is issued pursuant to the following Cond t cna. Failure to comply may result in suspension or
revocation of this permit or other penalty
see standard conditions of approval
~;i::;~'*~® ~ Town ~ V,Ilage ~ City ~ County ~ State of'
~! i~ ~ ;~'.:' [ ~,-~..¢;,~¢~¢~City Of Oshkosh ' ¢~ Municipality~ Number7 of Dwellingo _ Lo~tion:2 6
~ Construction
Plan Review $75.00
HVAC Name Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00 ~ Plumbing Date 3/3/03
Other ;~ Erosion
Total $105.00 ~ 288718 Cart. No. 248101
(R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name RUSCH HOMES
Address PO BOX 423
Subdivision 1st Add to Pheasant Creek
Building Permit Number
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
1275 PHEASANT CREEK DR
0100091
1
Date 03/06/2003
Lot 48
Number of Structures
Fee Paid
Date
Date
OMRO WI 54963
P~TIO
CITY OF OSHKOSH
STANDARD CONDITIONS OF APPROVAL
Project Address ~a~ ~]~~ ~~ Permit # / ~ 7/
Please read the following information and sign at the bottom to acknowledge that you have read
and agree to comply with these conditions.
All habitable rooms must be provided with 8% light and 3.5% ventilation. Bedrooms
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
required to have window well areas in accordance with ILHR 21.03.
Garage spaces shall be separated from the dwelling unit in accordance with ILHR 21.08.
The door and frame assembly between the dwelling unit and an attached garage shall be
labeled by an independent testing agency as having a minimum fire-resistive rating of 20
minutes. All drywall joints are required to be taped/sealed unless the joints are fitted so
that the gap is no more than a dimes thickness (1/20-inch) and backed by solid wood or
drywall with the joints staggered.
All penetrations in exterior walls must be sealed prior to the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts, and holes in the
return air spaces.
Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
detectors are required to be hardwired and interconnected.
Hydromassage tubs are required to have an access panel to motor. The access panel must
be accessible without removing the finish Of the house.
All overframing must be designed by the truss manufacturer, according to standards set
by the truss plate institute, or structural calculations must be Provided prior to the rough
building inspection.
7. Truss plans must be submitted and approved prior to framing the roof.
o
Truss plans including the truss layout must be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all microlams with point loads on them.
Calculations must be provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10.
The property owner and applicant is responsible for compliance with ILHR 21.125-
(Erosion Control). -when ihs~liing access dri;c~s, ~ minimum of 2"-3" diameter stone is
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.
11.
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.
12.
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 'anyinspection, 'stop work orders will be posted. Additional placards can be
obtained through our department if the cards are misplaced.
13.
All mechanicals must be roughed in prior to requesting the rough building inspection. If
on the inspection the mechanicals are not roughed in, the inspection will fail and a $100
re-inspection feewill be charged.
14.
Attached is a copy of the final inspection checklist. At the final iii~pecti0n all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
15.
When requesting final inspections please note that a minimUm 0f 2 day~~n0iic'e' is 'need'ed
from the time the inspection is ready. FUrniture is only allowed to be placed in the center
of the garage floor and a minimumof 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.
16.
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 notibe~ being
given.
17. All sire grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor. ~ ..