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'