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