HomeMy WebLinkAbout0100673 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1235 PHEASANT CREEK DR Owner RUSCH HOMES LLC
Designer Contractor RUSCH HOMES LLC
Category 110 - New Single Family
No 0100673
Create Date 04/07/2003
Plan E1-047-0403R
Type IO Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning R-1 Class of Const: 8
Unfinished/Basement 1176 Sq. Ft. Rooms 8 Height 18 Ft.
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 (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit
Park Dedication Required # Dwelling Units 1 # Structures
Size IRR
~J Projection I
Canopies 0
Signs 0
Not Required
1
Use/Nature NSFR/1 story home with a 2 car attached garage, 14'xl 4' rear patio.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
$75,000.00 Plan Approval $75.00
Plumbing Contractor HANSON QUALITY PLUMBING
Permit Fee Paid
$305.00 Park Dedication $100.00
Date 04/08/2003 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
Omro
Address P O BOX 423 WI 54963 - 0000 Telephone Number 685-0241
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 1235 PHEASANT CREEK DR
Lot 52 Block
Subdivision 1st Add to Pheasant Creek Dr Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 04/07/2003 Set By
Grade Stake Number 6934
Create Date 04/07/2003
Ward
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 1235 PHEASANT CREEK DR
Name RUSCH HOMES LLC
Address P O BOX 423
Subdivision 1st Add to Pheasant Creek Dr
Building Permit Number 0100673
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 04/08/2003
OMRO WI 54963
Lot 52
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 0100673
P.O. 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 OMRO WI 54963 - 0000 237-1300
Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No.
RUSCH HOMES LLC 879882 P O BOX 423 Omro 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.
CONDON TOTAL COMFORT 3202 11 BLACKBURN ST RIPON 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.
1235 PHEASANT CREEK DR 1st Add to Pheasant Creek Dr 52
Zoning District(s) lZoning Permit No. Front Rear Left Right
J __Setbacks ft ......... _f_t_: ft ft
, .,.,~= ~=u~E, --~ ~r~-,, ~ ..............................
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 1176 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1176 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 22451 BTU/HR
Garage 528 Sq. ft. [] Other [] Seasonal Infiltration 14394 BTU/HR
[] 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
[] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location:
~II~BIB~ION City Of Oshkosh 7 0 - 2 6 6
~IS UN!EORIVl ~ERMI~ ~ERIVlI~ iSSUED B~
~SS=E= SE~ Ne
~ Construction
Plan Review $75.00 _
HVAC Name Nicole Krahn
Inspection
Electrical
Wis. Permit Seal $30.00
Plumbing
Date
4/7/O3
Other [] Erosion
Total $105.00 · 292189 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
1235 PHEASANT CREEK DR Owner RUSCH HOMES LLC
Contractor RUSCH HOMES LLC
110 - New Single Family
Building (~ Sign O Canopy O Fence O Raze
No 0100673
Create Date 04/07/2003
Plan E1-047-0403R
Zoning R-1
Unfinished/Basement
Finished/Living
Garage
Foundation
Occupancy Permit
Park Dedication
Use/Nature
of Work
Class of Const: 8
1176 Sq. Ft. Rooms 8
1176 Sq. Ft. Bedrooms 3
528 Sq. Ft. Baths 2
Poured Concrete (~ Floating Slab (~ Pier
Concrete Block (~ Post O Treated Wood
Required Flood Plain No
Required # Dwelling Units I
NSFR/1 story home with a 2 car attached garage, 14'x14' rear patio.
Height 18 Ft.
Stories 1
Other
Height Permit Not Required
# Structures 1
Size IRR
~ P [°_j_ec~ti2_n
Canopies
Signs
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
Plumbing Contractor HANSON QUALITY PLUMBING
$75,000.00 Plan Approval $75.00 Permit Fee Paid
[] Permit Voided j
$305.00 Park Dedication $100.00
Date 04/08/2003 Final/O,P. 00/00/0000
In the performance o~gryt~ perform all work pursuant to rules
governin9
the
described
construction.
Signature ~/ ~ J~'~"~/ Date
Agent/Owner
Address P O BOX423 Omro WI 54963 - 0000 Telephone Number
685-0241
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
Lot 52
Subdivision 1st Add to Pheasant Creek Dr
Street Number
Building Grade Elevation Stakes Set At Site 04/07/2003
GRADE STAKE FORM
Address 1235 PHEASANT CREEK DR
Block
Zone
Lot Dimensions
Set By
Grade Stake Number 6934
Create Date 04/07/2003
Ward
bE Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have t~~/l~ed before 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
Owner's Name
RUSCH HOMES LLC
Contractor: L~J conEyS] Elec~
RUSCH HOMES LLC
Contractor:
CUMINGS ELECTRIC
[] Constr
Contractor: Ed Con LJ ElecL~J HVAC []
CONDON TOTAL COMFORT
Contractor: b~ Con
HANSON QUALITY PLUMBING
.: '~ :~i ,.' , -~ Lot
Area
Building Address
1235 PHEASANT CREEK DR
Zoning District(s)
Zoning Permit No.
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
[] Plbg [] Erosion [] Other:
[] HVAC [] Elec
Mailing Address Telephone No.
PO BOX423 OMRO WI 54963- 0000 237-1300
Lic/Cert # Mailing Address Telephone No.
P O BOX 423 Omro WI 54963 - 0 685-0241
Mailing Address Telephone No.
PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946
Mailing Address Telephone No.
11 BLACKBURN ST RIPON WI54971 - 184 (920) 748-5050
Mailing Address Telephone No.
N BLUEMOUND RD APPLETON WI 54914 -0 730-0205
1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block No.
1st Add to Pheasant Creek Dr 52
Front Rear Left Right
New [] Repair Single Family Entrance Panel
[] Alteration [] Raze Two Family Size: 200am
[] Addition Garage Service:
[] Move [] Other (print): [] Overhead
[] Other: [~ Underground
[] Site Constructed Concrete
Unfinished Manufactured Masonry
Sewer
Basement 1176 Sq. ft. Treated Wood [] Municipal
Living Area 1176 Sq. ft. 1-Story Other [] Septic
[] 2-Story Permit No.
Garage 528 Sq. ft. [] Other [] Seasonal
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well
Forced Air Furnace
~ Radiant Baseboard or Panel
[] Heat Pump
[] Boiler
~r~ Central Air Conditioning
Other
Fuel
Space Htg
Water Htg
g unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: [] Full sealing
of joints. [] Blower door test. [] Exterior
air infiltration barrier.
Envelope 22451 BTU/HR
Infiltration 14394 BTU/HR
$130,O00.00
The applicant agrees to comply with all applicable codesc,s'r"a~es and ordinances and with the conditions of th s permit, understands that the issuance of
the permit creates no legal liability, express o ..~¢i~---d';~2r~ thCD~partment or munidpality; and certifies that all the above information i~ac~;urate.
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
see standard conditions of approval
[] Town [] Village [] City [] County b_J State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name Nicole Krahn
Inspection Electrical
Wis. Permit Seal $30.00 ~ Plumbing Date 4/7/03
Other ~ Erosion
Total $105.00 ~ 292189 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,lob Address 1235 PHEASANT CREEK DR
Name RUSCH HOMES LLC
Address P O BOX 423
Subdivision 1st Add to Pheasant Creek Dr
Building Permit Number 0100673
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 04~08/2003
OMRO WI 54963
Lot 52
1 Number of Structures
Date
CITY OF OSHKOSH
Project Address
Permit#
Please read the following information and sign at the bottom to acknoWle'dgeih/it"~6U~ha/;~'"i3~ad
and agreet° c6mplY with these 'conditions.
1. .ght and 3.5' B~ooms
located on the second floor or below ground level must be provided with egress windows
in addition to the light and ~;emilation Jbequirernehts.~ ~ B~sement'~nd0ws a~'also
required"t°have ~nd0w Well areas iri'a~cordance with ILHR 21.03'.'
2. ' Garage spa~e~ shall b'e'~Par~ · i.j~. '_ .~..~'~ ;'.
~t in accordance with ILHR 2'1.08.
ThC: 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 j°ints are required to be taped/sealed unless the joints are fitted so
.that the gap ~s no more than adimes'~hickness (i?20-inch) 'and backed'by sOiid wo°d or
drywall with'the joints staggered.
3. All penetrations in'exteri0r Walls must be ~, the insulation inspection. This
includes holes in the top and bottom plates, gaps around heating ducts; and holes in the
~ 'return air spaces.
4. Smoke detectors are required on every floor and within 6' of all bedrooms. The smoke
detectors are required to be hard, red ~d i'ht~re6nnecte~t~
5. Hydromassage tubs are required t° 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
bY the tress plate institute, Or ~Structural calculations 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 microlams with Point loads on them.
CalculatiOns mUSt be provided for all Cantilevered floors with point loads. Floor trusses
and TJI's must be designed for the cantilevered areas.
10.
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 tmfit~he }awn,j's.established: '
11.
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 p°sied 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
on the inspection the mechanicals are not roughed in, the inspection will fail and a $100
re-inspection fee will be charged.
14.
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.
15.
When requesting final inspections'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 ora 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 must remain on the patio door or on a kitchen window 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.