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HomeMy WebLinkAbout0097104 BOSHKOSH ON THE WATER Job Address Designer Category Type 1230 PHEASANT CREEK DR 110 - New Single Family CiTY OF' OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD Create. Date Owner RUSCH HOMES Contractor RUSCH HOMES LLC · Building 0 Sign 0 Canopy O Fence 0 Raze No 0097104 09/03/2002 Plan Dl-126-0802R Zoning R-1 Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication Class of Const: 8 480 Sq. Ft. Rooms 8 1728 Sq. Ft. Bedrooms 4 576 Sq. Ft. Baths 3 · Poured Concrete (~ Floating Slab (~ Pier (~ Concrete Block (~ Post (~ Treated Wood Required Flood Plain No Required # Dwelling Units 1 Height 16 Ft. Stories Quad-level 0 Other Height Permit Not Required # Structures I Size Irrg [] Projection Canopies Signs Use/Nature of Work ~ISFR/ New single family 2 car attached garage. 14' x 14' Patio. Driveway is 20' wide. HVAC Contractor Electric Contractor Fees: Valua.~n Issued By: ,~-~,. CONDON TOTAL COMFORT CUMINGS ELECTRIC Plumbing Contractor HANSON QUALITY PLUMBING $100,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided $380.00 Park Dedication $100.00 Date 09/06/2002 Final/O.P. 00/00/0000 In the performance of this woj_rk I ~r~ t,e perform ail work pursuant to rules governing the described construction. Signature ~'~-'~/~ Date Agent/Owner Address P O BOX423 Omro WI 54963 - 0000 Telephone Number 685-0241OR mobile 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 IApplication No. BUILDING PERMIT '~ APPLICATION IParcel N°' [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: 3wner's Name RUSCH HOMES Contractor: L~J Con[] Elec[] HVAC LJ Plbg RUSCH HOMES LLC Contractor: L.J Con L~J Elecl___J HVACLJ PIbg CUMINGS ELECTRIC Contractor: L_J con U ElecL~J HVAC [] Plbg 3ONDON TOTAL COMFORT Contractor: L_J Con [] ElecE~ HVAC~ Plbg HANSON QUALITY PLUMBING Lot Area Building Address 1230 PHEASANT CREEK DR Lic/Cert # 879882 Lic/Cert # 170792 Lic/Cert # 3202 Lic/Cert # Mailing Address P.O. BOX 423 OMRO WI 54963 - 0000 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 WI 54971 Mailing Address 550 N BLUEMOUND RD APPLETON WI 54914 Sq. ft. Telephone No. Telephone No. 685-0241OR m( Telephone No. 231-5946 Telephone No. - 184 (920) 748-5050 Telephone No. - 0 73O-O205 1/4, 1/4, Section ,T N, R E (or)W Subdivision Name I Lot No. Block No. 1st add't Pheasant Creek 1 40 District(s) Zoning Permit No. Front Rear Left Right 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 unit will have 3 kilowatt or [] Site Constructed Concrete Other more installed electric space heating equip. Infiltration control option is: [] Full sealing Unfinished [] Manufactured Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 480 Sq. ft. Treated Wood [] Municipal air infiltration barder. Living Area 1728 Sq. ft. 1-Story Other [] Septic [] 2-Story Permit No. Envelope 24395 BTU/HR Garage 576 Sq. ft. [] Other [] Seasonal Infiltration 13513 BTU/HR Quad-level [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $120,000.00 The applicant agrees to comply with all applicable codes,,.~'{Jues and ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express o~d, o~' t~epartment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE ~ ~'-~,,,t~ 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 LJ State of: Municipality Number of Dwelling Location: CityOf Oshkosh 7 0 - 2 6 6 Plan Review $75.00 Construction HVAC Name JOHN ZARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 9/3/02 Other [] Erosion Total $105.00 --1 275806 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address 1230 PHEASANT CREEK DR Name RUSCH HOMES Address P.O. BOX 423 Subdivision 1st add't Pheasant Creek Building Permit Number 0097104 Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD Date 09/06/2002 OMRO WI 54963 Lot 40 1 Number of Structures $100.0_,¢,..-~, ~ Fee Paid 7/...._~ Date Date 12.0'