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HomeMy WebLinkAbout0096193 B(~ CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1220 PHEASANT CREEK DR Owner RUSCH HOMES Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Type O Building O Sign (~) Canopy (~ Fence (~ Raze No 0096193 Create Date 06/17/2002 Plan D1~081-0602R Zoning R-1 Class of Const: 8 Unfinished/Basement 504 Sq. Ft. Rooms 7 Finished/Living 1824 Sq. Ft. Bedrooms 4 Garage 528 Sq. Ft. Baths 3 Foundation I~1 Poured Concrete (~ Floating Slab (~) Pier ~ Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units 1 Height 21 Ft. Stories Quad-level Other Size IRR [] Projection Canopies Signs Height Permit Not Required # Structures . 1 Use/Nature NSFR/New quad-level home with a 2 car attached garage, 18' wide concrete driveway, NO PATIO OR DECK of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ CONDON TOTAL COMFORT CUMINGS ELECTRIC Plumbing Contractor HANSON QUALITY PLUMBING $111,900.00 Plan Approval $75.00 Permit Fee Paid $416.00 Park Dedication $100.00 Date 07/29/2002 Final/O.P. 00/00/0000 [] Permit Voided In the performancek._ -'--.--- .off, this work I.,'//~e't45 perform all work pursuant to rules governing the described construction. Signature / ~ /~/~¢ Date Agent/Owner Address P O BOX423 emro WI 54963 - 0000 Telephone Number 685-0241OR mobile: OSHKOSH ON THE WATER Name RUSCH HOMES GRADE STAKE FORM Address 1220 PHEASANT CREEK DR Lot 39 Block Subdivision 1st add to Pheasant Creek Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 07/25/2002 Set By Grade Stake Number 6783 Create Date 07/22/2002 Ward L._[ Sidewalk Existing J KN 581/28 Department of PubliC Works I, the undersigned, owner or agent of the above described property agree to have the_grade est~j:)efore 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 [] Constr Owner's Name RUSCH HOMES Contractor: ~ Con]--] Elec'~ HVAC ~_] Plbg RUSCH HOMES LLC Contractor: U Con ~.J Elecu HVAC~_J Plbg CUMINGS ELECTRIC Contractor: L_~ con [_J ElecL~j HVAC [] Plbg 3ONDON TOTAL COMFORT Contractor: L_J Con [] Elec[~ HVAC [] Plbg HANSON QUALITY PLUMBING Lot Area 'Sq. WISCONSIN, UNIFORM Application NO. BUILDING PERMIT 0096193 APPLICATION Parce No. [] HVAC [] Elec [] Plbg [] Erosion [] Other: Lic/Cert # 879882 Lic/Cert # 170792 Lic/Cert # 3202 Lic/Cert # Mailing Address PO BOX 423 OMRO WI 54963- 042; Mailing Address P O BOX 423 Omro WI 54963- 0 Mailing Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 -749 Mailing Address 11 BLACKBURN ST RIPON WI54971 -184 Mailing Address 550 N BLUEMOUND RD APPLETON WI 54914 -0 Telephone No. 685-0241 Telephone No. 685-0241ORm( Telephone No. 231-5946 Telephone No. (920)748-5050 Telephone No. 730-0205 1/4, 1/4, Section ,T N, R E (o r)W Building Address 1220 PHEASANT CREEK DR District(s) Zoning Permit No. ISubdivision Name 1st add to Pheasant Creek ILot No. 39 Block No. Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace []~ Alteration [] Raze Two Family ISize: [] Radiant Baseboard or Panel Fuel Garage IService: [] Heat Pump Space Htg Addition [] Move [] Other (print): J[] Overhead [] Other: ir~ Underground [] Boiler Water Htg Central Air Conditioning ~g unit will have 3 kilowatt or [] Site Constructed Concrete Other more installed electric space heating equip, Unfinished [] Manufactured Masonry Infiltration control option is: [] Full sealing Treated Wood Sewer of joints. [] Blower door test. [] Exterior Basement 504 Sq. ft. [] Municipal air infiltration barder. Living Area 1824 Sq. ff. 1-Story Other [] Septic · [] 2-Story Permit No. Envelope 24395 BTU/HR Garage 528 Sq. ft. [] Other [] Seasonal Infiltration 13513 BTU/HR Quad-level [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $159,900.00 The applicant agrees to comply with all applicable code.,sds~llpes and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express er~!3gJ[P.,~ ~).n th~J~epartment or municipality; and certifies that all the above information i.~accurate. 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 LJ State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name NICOLE KRAHN Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 6/17/02 Other [] Erosion Total $105.00 [] 275752 Cert. No. 248101 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address PARKLAND DEDICATION FEE COLLECTION RECORD 1220 PHEASANT CREEK DR RUSCH HOMES · Date 07/29/2002 Name Address PO BOX 423 OMRO WI 54963 Subdivision 1st add to Pheasant Creek Lot 39 Building Permit Number 0096193 Number of Dwelling Units Number of Structures Fee Required Owner's Signature Inspector's Signature Fee Paid Date Date ·" Lot 39 ~'-- 1st Addition to .'~ Quail Run Farm ~ EPLOTCRN ..~ ' 00' 50 Si ~z C) O~HK~H ~ ~, City of Oshkosh Gommuni~ ~ovelopment ~ Scale: ~"= 20' ~¢ ~ N 19 2 . OT3RN 00' Thi~ m~p i~ neither a leggy recorded m~p nor  ~ m~y ~d it i~ n~ ~tended to ~ u~d as one. ~ ~i~ dra~ng i~ a ~ompil~fion of ~d information lo~ted and ~ate offi~ ~d other ~ur~s affecting  the ~ea shown and it is to ~ u~d for reference purpos~ only. The ~ sponsible for any ~accuracies here~ contalned~ ~ ~ If ~repen~ are found, pl~e contact ~ · ~ ' ' July 24, 2002 ' ~ By: JN (~ C~ Source: CiW of Oshkosh GIS