HomeMy WebLinkAbout0097105 BOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CI-TY OF-OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Contractor RUSCH HOMES LLC
1250 PHEASANT CREEK DR
110 - New Single Family
Create Date
Building (~) Sign O Canopy O Fence O Raze
No 0097105
09/03/2002
Plan Dl-128-0802R
Zoning Class of Const: 8
Unfinished/Basement 1176 Sq. Ft. Rooms 5 Height
Finished/Living 1176 Sq. Ft. Bedrooms 3 Stories 1
Garage 528 Sq. Ft. Baths 2
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~) Other
(~ Concrete Block C) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units 1
16 Ft.
Size Irrg
[] Projection
Canopies
Signs
Height Permit Not Required
# Structures I
Use/Nature New single family 1 story, 2 car garage and 14' x 14' patio. 20' wide driveway.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: q~
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$80,000.00 Plan Approval $75.00 Permit Fee Paid
[] Permit Voided
$320.00 Park Dedication $100.00
Date 09/06/2002 Final/O.P. 00/00/0000
In the performance o~/~gr~e~o perform all work pursuant to rules governing the described construction.
Signature
AgentJOwner
Date
Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number 685-0241OR mobile
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name RUSCH HOMES Address
Lot 42 Block
Subdivision 1ST Add't. Pheasant Creek Zone
Street Number Lot Dimensions
1250 PHEASANT CREEK DR
Grade Stake Number 6812
Create Date 09/03/2002
Ward
L.J Sidewalk Existing J
Building Grade Elevation Stakes Set At Site 09/04/2002 Set By D.W.G. BK - 573, P - 63
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade esta~ before excavation
has commenced.
· V
Wisconsin Department of Industry,
Labor ~nd Human Relations
Safety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr
Lot Area
WISCONSIN UNIFORM Application NO.
BUILDING PERMIT 0097105
APPLICATION Parce No.
[] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address
P.O. BOX 423 OMRO WI 54963- 0000
Mailing Address
P O BOX 423
Telephone No.
Omm WI 54963- 0
Mailing Address Telephone No.
PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Mailing Address Telephone No.
11 BLACKBURN ST RIPON Wi 54971 - 184 (920) 748-5050
Mailing Address Telephone No.
BLUEMOUND RD APPLETON WI 54914 -0 730-0205
1/4, 1/4,Section ,T N,R E(or)W
Block No.
Telephone No.
685-0241ORm~
[L~J New [] Repair I[~ ' g ' Entrance Panel
I Two Family Size: 200am
[] Alteration [] Raze Garage Service:
[] Addition [] MoVe Other (pdnt): [] Overhead
[] Other: [] Underground
Subdivision Name Lot No.
1ST Add't. Pheasant Creek 42
Front IRear ILeft
Setbacks
Right
[L~J Forced Air Furnace
_. I Nat. I L.F OillE [SolidlSola
[] Radiant Baseboard or Panel ~-uel I Gas[ I, ec.
[] HeatPump Space Htg[ []/ ['-- [] E~I[] I[]
Boiler Water Htg I [] [] I [] I []
EE~?~l Central Air Conditioning Dwelling 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 1176 Sq. ft. [] Municipal air infiltration barrier.
Living Area 1176 Sq. ft. 1-Story Other [] Septic
r[~r-~[_~ 2-story Permit No. Envelope 22451 BTU/HR
Garage 528 Sq. ff. Other [] Seasonal Infiltration 14394 BTU/HR
[] Permanent [] Municipal Utility
Plus Basement [] Other [] Private On-Site Well
$100,000.00
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 i~on/tl'~D~i~partment 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" SHEET
[] Town [] Village [] City [] County L_[ state of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATI=
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 9/3/02
Other [] Erosion
Total $105.00 [] 275807 Cert. No. 70330
SBD-5823(R. 07/92)
OSHKOSH
ON THE WATER
Jeb Address 1250 PHEASANT CREEK DR
Name RUSCH HOMES
Address P.O. BOX 423
Subdivision 1ST Add't. Pheasant Creek
Building Permit Number 0097105
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 42
Number of Structures
Fee Paid
Date
Date
Pa~ zS'
PATIO
15~
12.0'