HomeMy WebLinkAbout0100570 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1225 PHEASANT CREEK DR Owner RUSCH HOMES LLC
Designer Contractor RUSCH HOMES LLC
Category 110 - New Single Family
No 0100570
Create Date 03/20/2003
Plan E1-032-0303R
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning R-1 Class of Const: 8
Unfinished/Basement 727 Sq. Ft. Rooms 3 Height 23 Ft.
Finished/Living 1516 Sq. Ft. Bedrooms 3 Stories 2
Garage 480 Sq. Ft. Baths 3
Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit
Park Dedication Required # Dwelling Units 1 # Structures
Size Irrg
~J Projection
Canopies
Signs
Not Required
1
Use/Nature NSFR/ 2 story with a 2 car attached garage and 14' x 14' concrete patio. Driveway shall not exceed 24' wide at the front property line.
of Work
HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $90,000.00 Plan Approval $150.00 Permit Fee Paid $350.00 Park Dedication $100.00
Issued By: Date 04/02/2003 Final/O.P. 00/00/0000
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number 685-0241
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 1225 PHEASANT CREEK DR
Lot 53 Block
Subdivision 1st Add't Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 03/21/2003 Set By
Grade Stake Number 6920
Create Date 03/20/2003
Ward
D.W.G. BK-586, P-57
Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced.
OSHKOSH
ON THE WATER
.lob Address 1225 PHEASANT CREEK DR
Name RUSCH HOMES LLC
Address P.O. BOX 423
Subdivision 1st Add't Pheasant Creek
Building Permit Number 0100570
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 04/02~2003
OMRO WI 54963
Lot 53
Number of Structures
Fee Paid
Owner's Signature
Inspector's Signature
Date
Date
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT o1oo57o
P.e. Box 2509 APPLICATION Parcel No.
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name Mailing Address Telephone No.
RUSCH HOMES LLC P.O. BOX 423 eMRe WI 54963 - 0000
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
RUSCH HOMES LLC 879882 P e BOX 423 emro WI 54963 - 0 685-0241
Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No.
CUMINGS ELECTRIC 170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No.
CeNDeN TOTAL COMFORT 3202 11 BLACKBURN ST RIPEN W 54971 - 184 (920) 748-5050
Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No.
HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205
I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W
Building Address Subdivision Name Lot No. Block No.
1225 PHEASANT CREEK DR 1st Add't Pheasant Creek 53
Zoning District(s) lZoning Permit No. Front Rear Left Right
J __Setbacks ft ......... _f_t_: ft ft
, ..............................
L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola
[] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas ,
[] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] []
[] Move [] Other (print): [] Overhead
[] Boiler Water Htg [] [] [] [] [] []
[] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or
] 8~l~,lS~ ~Y~E ~ f~OND~ION [] Other = more installed electric space heating equip.
[] Site Constructed · Concrete - Infiltration control option is: [] Full sealing
Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior
Basement 727 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1516 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 24287 BTU/HR
Garage 480 Sq. ft. [] Other [] Seasonal Infiltration 14107 BTU/HR
Quad-level [] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $130,000.00
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 implied, on the Department 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 ~J State of: Municipality Number of Dwelling Location:
~ll~BIB~lOl~,i City Of Oshkosh 7 0 - 2 6 6
~IS UN!EORIVl ~ERMI~ ~ERIVlI~ iSSUED B~
~SS=E= SE~ Ne
~ Construction
Plan Review $150.00 _
HVAC Name JOHN ZARATE
Inspection
Electrical
Wis. Permit Seal $30.00
Plumbing
Date
3/2O/O3
Other [] Erosion
Total $180.00 · 292128 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
1225 PHEASANT CREEK DR
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date
Contractor RUSCH HOMES LLC
C) Canopy O Fence C) Raze
110 - New Single Family
· Building O Sign
No 0100570
03/20/2003
Plan E1-032-0303R
Zoning R-1 Class of Const: 8
Unfinished/Basement 727 Sq. Ft. Rooms 3
Finished/Living 1516 Sq. Ft. Bedrooms 3
Garage 460 Sq. Ft. Baths 3
Foundation · Poured Concrete (~ Floating Slab (~ Pier
O Concrete Block O Post O Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units 1
Height
Stories 2
23 Ft.
O Other
Height Permit Not Required
# Structures I
Size Irrg
[] ProjectionI
Canopies 0
Signs 0
Use/Nature NSFR/ 2 story with a 2 car attached garage and 14' x 14' concrete patio. Driveway shall not exceed 24' wide at the front property line.
of Work
HVAC Contractor
Electric Contractor
Fees: Valua~.i t~
Issued By: -~_4, ~.
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$90,000.00 Plan Approval $150.00 Permit Fee Paid
[] Permit Voided
$350.00 Park Dedication $100.00
Date 04/02/2003 Final/O.P. 00/00/0000
In the performance Cf this work I agree to perform all work pursuant to rules governing the described construction.
Signature ........ ' Date
I "~-' ' ~ AgenFOwner
Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number
685-0241
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 1225 PHEASANT CREEK DR
Lot 53 Block
Subdivision lstAdd't Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 03/21/2003 Set By
Grade Stake Number 6920
Create Date 03/20/2003
Ward
D.W.G. BK- 586, P- 57
[] Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to~l~ve th~ grade established before excavatio~n
has commenced. ~/~ ~/~~ ~, ~ ~,~_~/~ ~_~
Wiscor~sin 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 Application NO.
BUILDING PERMIT I®
APPLICATION IParcel No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address Telephone No.
P.O. BOX 423 OMRO WI 54963 - 0000
Mailing Address Telephone No.
P O BOX 423 Omro WI 54963 - 0 685-0241
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
Owner's Name
RUSCH HOMES LLC
Contractor: I~1 Con]~ Elec]~]
RUSCH HOMES LLC
Contractor:
CUMINGS ELECTRIC
Contractor:
CONDON TOTAL COMFORT
Contractor: L_J Con
HANSON QUALITY PLUMBING
Lot Area
Building Address
1225 PHEASANT CREEK DR
Zoning District(s) Permit No.
Mailing Address
.550 N BLUEMOUND RD
APPLETON WI 54914 -0
1/4, 1/4,Section ,T N,R E(or)W
Telephone No.
730-0205
Subdivision Name Lot No.
1st Add't Pheasant Creek 53
IBlock No.
Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace
[] Alteration [] Raze Two Family Size: 200 am [] Radiant Baseboard or Panel Fuel
Garage Service: -- [] Heat Pump Space Htg
[] Addition [] Move [] Other (print): [] Overhead
[] Other: [] 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
Sewer of joints. [] Blower door test. [] Exterior
Basement 727 Sq. ft. Treated Wood [] Municipal air infiltration harder.
Living Area 1516 Sq. ft. l-Story Other [] Septic
[] 2-Story Permit No. Envelope 24287 BTU/HR
Garage 480 Sq. ft. [] Other [] Seasonal Infiltration 14107 BTU/HR
Quad-level [] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-SiteWell $130,000.00
The applicant agrees to comply with ail app~cable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, exJ)r~ss~J3r implied, on th~ Department or mu~ticipalitv~ and~¢ertifies that all the above information is accurate.
is permit is iss~ued 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 [_~ State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $150.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 3/20/03
Other [] Erosion
Total $180.00 292128 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address
Subdivision
PARKLAND DEDICATION FEE COLLECTION RECORD
1225 PHEASANT CREEK DR
RUSCH HOMES LLC
P.O. BOX 423
1st Add't Pheasant Creek
Date 04/02/2003
OMRO WI 54963
Lot 53
Building Permit Number 0100570
Number of Dwelling Units 1
Fee Required $100.00
Owner's Signature ~~ ~ ~._~ ~j~/~/'~ ~.~ ~'C~/~_
SignaturjG'~'e !~ I ' v ~ . ~
Inspector's
Number of Structures
Fee Paid
Date
Date
7-5'
Z~
I?--O '
Address I ~Z. ~' ~°--'~.~aak."L.. Cce~.~c ' Permit #
Please read the following information and sign at the bottom to acknowledge that you have read
and agree to comply with these conditions.
1. All habitable rooms must be provided with 8% light and 3.5% ventilation. Bedrooms
located on the second floor or below ground level must be provided with egress windows
in addition to the light and ventilation requirements. Basement windows are also
to have window well areas in accordance with ILHR 21.03.
2. Garage spaces shall be separated from the dwelling unit in accordance with ILHR 21.08.
The door and frame assembly between the dwelling unit and an attached garage shall be
labeled by an independent testing agency as having a minimum fire-resistive rating of 20
minutes. All drywall joints are required to be taped/sealed unless the joints are fitted so
that the g~3 is no more than a dimes thickness (1/20-inch) .and backed by solid wood or
o
All penetrations in exterior walls must be sealed prior to the insulation inspection. This
inClUdes hOles in the top and bOttom plates, gaps around heating ducts, and holes in the
laces.
Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
and interconnected.
Hydromassage tubs are required to have an access panel to motor. The access panel must
be accessible without removing the finish of the house.
All overframing must be designed by the truss manufacturer, according to standards set
bYthe truSs plate institute, or ations must be provided prior to the rough
Truss plans must be submitted and approved prior to framing the roof.
Truss plans including the truss layout must be provided on site at the rough building
inspection. In addition to the truss plans, microlam calculations must be provided on site
at the rough building inspection for all point loads on them.
CalculatiOnS must b~ provided for all cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10.
11.
The property owner and applicant is responsible for compliance with ILHR 21.125
(Erosion Control). When installing access drives, a minimum of 2"-3" diameter stone is
required in addition to a minimum of 6" depth, 30'-50' length, and 14'-20' width. Erosion
control measures must be maintained until the lawn is established.
All storm sewer inlets must be protected with approved erosion control devices. Tracking
(i.e. sediment) must be removed from the street at the end of each workday. Repair any
siltation Or erosion damage to adjoining sUrfaces and drainageWays resulting from land
development or disturbing activities.
12.
The building placard must be posted on site at all times. Once the rough framing is up
the placard must be posted on the patio door or on a kitchen window. If the placard is not
present at any inspection, stop work orders will be posted. Additional placards can be
obtained through oUr department if the cards are misplaced.
13. All mechanicals must be roughed in prior to requesting the rough building inspection. If
onthe inspection the mechanicals are not roughed in, the inspection will fail and a $100
re-inspection fee will be charged.
14.
15.
Attached is a copy of the final inspection checklist. At the final inspection all items on
this list must be completed to avoid the $100 re-inspection fee per inspection.
When requestiiig 'final irisPecti~ns Please note that a minimum of 2 days notice is needed
from the time the inspection is ready. Furniture is only allowed to be placed in the center
of the garage floor and a minimum of a 3' pathway must be provided around the walls of
the garage. At the final inspection no furniture or personal belongings are allowed in the
hOuse. Appliances such as the stove, refrigerator, washer, and dryer are not to be set in
place due to the electrical inspector needing to look at the power serving the appliances.
A 6" stepladder must be on site at the final inspection to provide access to the attic.
16.
The building placard musi remain on' the 'pati0'floor or on a kitchen wind°W until
occupancy is approved. Occupancy is not allowed prior to the placard having all of the
final inspection approved stickers on the backside. If occupancy occurs prior to the
inspections being approved daily citations will be issued with no further notice being
given.
17. All site grading must be done in accordance with the approved drainage plan on file in the
public works office, 3rd floor.