HomeMy WebLinkAbout0146676-Building CITY OF OSHKOSH No 146676
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3332 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 06/29/2011
Designer Contractor RUSCH HOMES LLC
Inspector Nicole Krahn
Category 110 - New Single Family Plan UDC - 3316 -0611
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning R -1 Class of Const: 8 Size IRR
Unfinished /Basement 1562 Sq. Ft. Rooms 3 Height 18 Ft. ❑ Projection
Finished /Living 1562 Sq. Ft. Bedrooms 3 Stories 1 Canopies
Garage 504 Sq. Ft. Baths 2 Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use /Nature NSFR/ 1 story home with a 3 car attached garage and driveway. This permit does not include a patio or deck.
of Work
HVAC Contractor GRANT SCHULTZ HEATING & COOLING Plumbing Contractor SBS PLUMBING LLC
Electric Contractor HULLAR ELECTRIC LLC
Fees: Valuation $120,000.00 Plan Approval $75.00 Permit Fee Paid $523.00 Park Dedication $200.00
Issued By: Date 07/05/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 1336230000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessa rov Is before starting such activity.
I have read and underst f r e i ed information.
Signature I Date
Agent/Owner
Address P 0 BOX 423 OMRO WI 54963 - 0423 Telephone Number 685 -0241
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 0146676
P.O. Box 2509 APPLICATION Parcel No.
Madison, WI 53701 -2509
Wisconsin Statues 101.63, 101.73
PERMIT`REQUE ❑ Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion E Other:
Owner's Name Mailing Address Telephone No.
RUSCH HOMES LLC PO BOX 423 OMRO WI 54963 - 0423 379 -7500
Contractor: IX1 ConJ EIecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No.
RUSCH HOMES LLC 879882 P 0 BOX 423 OMRO WI 54963 - 423 685 -0241
Dwelling Contr. Qualifier Lic/Cert # The Dwelling Contr. Qualifier shall be an owner, CEO, COB or employee of
Timothy T. Rusch 879883 Dwelling Contr.
Contractor: ❑ Con ® Elec ❑ HVAC Plbg LicCert # Mailing Address Telephone No.
HULLAR ELECTRIC LLC 850812 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 (920) 233 -3667
Contractor: U Con U Elec[X] HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
GRANT SCHULTZ HEATING & COOLING 891206 55 CRIMSON LN OSHKOSH WI 54902 _ 7298 (920) 216 -1616
Contractor: U Con ❑ Elec ❑ HVAC ►,4 Plbg Lic/Cert # Mailing Address Telephone No.
SBS PLUMBING LLC 665479MP 4635 RED FOX RD OSHKOSH WI 54904 - 7784 920 - 410 -5933
P d-, A Lot Area Sq. ft. 1/4, 1 /4,Section ,T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
3332 MOCKINGBIRD WAY Casey's Meadow 23
Zoning District(s) Zoning Permit No. Front Rear Left Right
- . - 1 1 i i
t; PROJECT „:4 , , 3. ? R 6. ELECTRICAL. 4,9.. • b 1 - ! %4.4 - 12. ENERGY SOURCE := Z �"�" �i��♦
►�4 New ❑ Repair ►,4 Single Family Entrance Panel /,4 Forced Air Furnace Nat. L.P. Oil Elec. Solid Sola
❑ Alteration Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Fuel Ga *
❑ Raze 8 g e
❑ Addition Garage Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑ ❑
❑ Move ❑ Other (print): ❑ Overhead Boiler Water Htg ® ❑ ❑ ❑ ❑ ❑
® Underground
❑ Other: ® Central Air Conditioning * U Dwelling unit will have 3 kilowatt or
4
' CONST. TYPE ". 7.; FOUNDATION ,, El Other more installed electric space heating equip.
�2 -AREA INVOLVE f ►,4 Site Constructed ►,4 Concrete Q. PLUMBING r xj Infiltration control option is: ❑Full sealing
❑ Mason
Manufactured ry
Unfinished ❑ Sewer of joints. ❑ Blower door test. ❑ Exterior
ft. ❑ Treated Wood
Basement 1562 Sq. .:STORIES: to ® Municipal air infiltration barrier.
Living Area 1562 Sq. ft. ®1 -Story ❑ Other ❑ Septic _ HEAT LOSS Calculated i►� _ ♦
❑ 2-Story '
-Story "' Permit No. Envelope24658 BTU /HR
Garage 504 Sq. ft. ❑ Other ❑ Seasonal ∎ ATER1 ,ta Infiltration 19119 BTU /HR
® Permanent al Utility x'14. EST. BUILDING �♦�♦� ♦�
❑ Other ® Munici p Y .m►♦�„Z: : <"
® Plus Basement ❑ Private On -Site Well 120000
I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability,
express or implied, on the state or municipality; and certify that all the above information is accurate. If one acre or more soil will be disturbeb, I understand that this
project is subject to ch.NR 151 regarding additional erosion control and stormwater management. I expressly grant the building inspector, or the inspector's authorized agent,
permission to enter the premises for which this permit is sought at all reaso - - hours and for any proper purpose to inspect the work which is being done.
❑ 1 vouch that I am or will be an owner- occupan .f this dwelling or i , h I am applying for an erosion control or construction permit without a Dwelling
Contractor Certification and have read the cautiona - r ept reg. din,, i/ tractor responsibility on the Building Permit Application.
APPLICANT'S SIGNATURE I - DATE SIGNED
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
♦ fi 0 Town ❑Village ®City ❑ State o
C ount y 0
SUING Municipality Number of Dwelling Location:
JU RISDICTION City Of Oshkosh 7 0 - 2 6 6
�� . �� .L_ .mss
Plan Review $75.00 ►,4 Construction
Inspection ❑ HVAC Name Nicole Krahn
❑ Electrical
Wis. Permit Seal $35.00 ❑ Plumbing Date 6/29/2011
Other ® Erosion
Total $110.00 ❑ 381739 Cert. No. 248101
SBD -5823 (R. 07/92)