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HomeMy WebLinkAbout0100987 B e OSHKOSH ON THE WATER Job Address 1285 PHEASANT CREEK DR CITY OF OSHKOSH No 0100987 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES Create Date 04/22/2003 Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan E 1-056-0403R Type 18 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: 8 Size IRR Unfinished/Basement 1384 Sq.Ft. ~ Sq. Ft. Rooms 3 Height 18 Ft. Bedrooms 3 Stories 1 Baths 2 U Projection 1 Finished/Living Canopies 0 Garage ~ Sq. Ft. Signs 0 Foundation 8 Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units # Structures NSFR/ 1 story home with a 3 car attached garage, 14'x14' rear patio. Use/Nature of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC Fees: Valuation $100,000.00 Plan Approval $75.00 Permit Fee Paid $380.00 Park Dedication $100.00 Issued By: Date 04/25/2003 Final/O.P. DO/DO/DODO U Permit Voided 1 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Address POBOX 423 Agent/Owner Omro WI 54963 - 0000 Telephone Number 685-0241 e OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 6943 Name RUSCH HOMES Address 1285 PHEASANT CREEK DR Create Date 04/22/2003 Lot 46 Block Ward Subdivision 1 st Add to Pheasant Creek Zone Street Number Lot Dimensions I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 04/23/2003 Set By DW.G. BK - 588, P - 8 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. e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 1285 PHEASANT CREEK DR Date 04/25/2003 Name RUSCH HOMES Address POBOX 423 OMRO WI 54901 Subdivision 1 st Add to Pheasant Creek Lot 46 Building Permit Number 0100987 Number of Dwelling Units Number of Structures Fee Required $100.00 Fee Paid Owner's Signature Date Inspector's Signature Date Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0100987 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other: Owner's Name Mailing Address Telephone No. RUSCH HOMES POBOX 423 OMRO WI 54901 - 0000 237-1300 Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES LLC 879882 POBOX 423 Omro WI 54963 - 0 685-0241 Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC 170792 PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946 Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No. CONDON TOTAL COMFORT 3202 11 BLACKBURN ST RIPON W 54971 -184 (920) 748-5050 Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI54914 -0 730-0205 PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1285 PHEASANT CREEK DR 1 st Add to Pheasant Creek 46 Zoning District(s) I Zoning Permit No. Front I Rear Left Right Setbacks ft. ft. ft. ft. 1. PROJECT 3. OCCUPANCY 6. ELECTRICAL 9. HVAC EQUIPMENT 12. ENERGY SOURCE ~ New D Repair 0 Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola D Alteration D Two Family D Radiant Baseboard or Panel Gas * D Raze Size: 200 amp D Addition D Garage Service: D Heat Pump Space Htg D D D D D D D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D D Other: 0 Underground 0 Central Air Conditioning * U Dwelling unit will have 3 kilowatt or 4. CONST. TYPE 7. FOUNDATION - 0 Other = . more installed electric space heating equip. 2. AREA INVOLVED 0 Site Constructed U Concrete 10. PLUMBING Infiltration control option is: D Full sealing Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior Basement 1384 Sq.ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier. Living Area 1384 Sq.ft. 0 1-Story D Other D Septic 13. HEAT LOSS (Calculated} 8, USE D 2-Story Permit No. Envelope 23756 BTU/HR Garage 792 Sq. ft. D Other D Seasonal 11. WATER Infiltration 16940 BTU/HR 0 Permanent 0 Municipal Utility 14, EST. BUILDING COST D Plus Basement D Other D Private On-Site Well $15,000.00 The applicant aç¡rees 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 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 ------~~~~~~~~~~!~~-~--- D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 a - 2 6 6 FEES: PERMIT(S) WIS, UNIFORM PERMIT PERMIT ISSUED BY: ISSUED SEAL NO. Plan Review $75.00 EI Co"",",,;O" HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 D Plumbing Date 4/22/03 Other 0 Erosion Total $105.00 D 292195 Cert. No. 248101 SBD-5823 (R. 07/92) . OSHKOSH ON THE WATER Job Address 1285 PHEASANT CREEK DR CITY OF OSHKOSH No 0100987 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES Create Date 04/22/2003 Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan E1-056-0403R Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: 8 Size IRR Unfinished/Basement ~ Sq.Ft. 1384 Sq. Ft. Rooms 3 Height 18 Ft. 0 Projection 1 - Finished/Living Bedrooms 3 Stories 1 Canopies 0 - - Garage 792 Sq.Ft. Baths 2 Signs 0 - Foundation . Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units # Structures Use/Nature of Work INSFR/1 story home with a 3 car attached garage, 14'x14' rear patio. I I I HVAC Contractor CONDON TOTAL COMFORT CUMINGS ELECTRIC Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor $100,000.00 Plan Approval $75.00 Permit Fee Paid $380.00 Park Dedication Fees: Valuation $100.00 Issued By: Date 04/25/2003 FinaIlO.P. 00/00/0000 0 Permit Voided I Signature k pursuant to rules governing the described construction. ] I I t7 c J IÌ r) , ~~ Address POBOX 423 ~ 54963 - 0000 Telephone Number 685-0241 Wisèonsin Departrnent 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 BUILDING PERMIT APPLICATION Application No. 0100987 Parcel No. ~ Constr Plbg Lic/Cert # 879882 Plbg Lic/Cert # 170792 Plbg Lic/Cert # 3202 Plbg LiclCert # 0 HVAC 0 Elec Mailing Address POBOX 423 Mailing Address POBOX 423 Mailing Address PO BOX 749 1414 COUNTY RD JJ Mailing Address 11 BLACKBURN ST Mailing Address 550 N BLUEMOUND RD 1/4, 0 Plbg ~ Erosion 0 Other: Omro Telephone No. WI 54901 - 0000 237-1300 Telephone No. 685-0241 Telephone No. WI 54957 - 749 231-5946 Telephone No. WI 54971 - 184 (920) 748-5050 Telephone No. 730-0205 WI 54963 - 0 Owner's Name RUSCH HOMES Contractor: ConD ElecD HVAC RUSCH HOMES LLC Contractor: Con CUMINGS ELECTRIC Contractor: Con Elec CONDON TOTAL COMFORT Contractor: U Con Elec HANSON QUALITY PLUMBING OMRO NEENAH RIPON APPLETON WI 54914 -0 1/4,Section Lot No. 46 Left ,T N,R E(o~VV Block No. 0 0 0 0 Living Area Garage APPLICANT'S SIGNATURE 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 0 Village ~ City D County City Of Oshkosh State of: Municipality Number of Dwelling Location: 7 a 2 6 Plan Review Inspection Wis. Permit Seal Other $30.00 Construction HVAC Electrical D Plumbing ~ Erosion 0 Name Nicole Krahn Date 4/22/03 Total SBD-5823 (R. 07/92) $105.00 292195 Cert. No. 248101 e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address Name 1285 PHEASANT CREEK DR RUSCH HOMES Date 04/25/2003 Address POBOX 423 OMRO WI 54901 Subdivision 1st Add to Pheasant Creek Lot 46 Building Permit Number Number of Dwelling Units 0100987 Number of Structures ::U~::~Æ ~~ ~tL Doto Inspector's Signature , ,\. Date ~ 8 <> l:)- t- () ...9 Q p: 120.00' ~ () T ð tn .. 0 ~ . ~ f'... , - . <t) T i ì î ¡ ¡ ! \ 1 ~ t:'" cO 1:2 ~r- r<t: - Q.. 0 - - dI c- C"(:, - T ~ '" 3): 0;>, , 0 ~ f' en ,-;;'7 toJ Ñ ":r ('I l~ ~.. ~ . ~ ] (:t. ~ N ...... )- ~ 1 oo~ ~~ '{ 4 ~ (k 'ò'? f>(J . -9 - . 0- ~ r- 11>1!1>1!!""'-""'.."""""".-"'- City of Oshkosh Community Development 1285 Pheasant Creek Dr.! 3110 Rebecca Run Lot 46 1 st Addition to Pheasant Creek Farm -tl13'-f z50~300 Scale: 1" = 20' 4 0 4 8 12 16 20 Feet ~--~ N A DISCLAIMER This map is neither a legally recorded map nor a survey aud It is uot intended to be used as one. This drawing is a compilation of records, data and Information located In varions city, county and state offices aud uther sources affectiug the area shown aud it is to be used for reference purposes only. The City of Osbkosh is not r<>- sponsible for any inaccuracies berein contained. If discrepencles are found, please contact the City of Oshkosh. April 16, 2003 By:JN Source: City of Oshkosh GIS Building Permit Work Card Job Address 1285 PHEASANT CREEK DR Pennit Number 0100987 Create Date 4122103 Owner RUSCH HOMES Contractor RUSCH HOMES LLC Category 110-NewSingleFam!ly Type. Building Zoning R-1 0 Sign 0 Canopy 0 Fence 0 Raze Class of Const: 8 Size IRR I Plan E1-056-0403R Value $100,000.00 Garage ~ Sq. Ft. n Projection I Unfinished/Basement ~ ~~. Finished/Living ~ Sq. Ft. Rooms 3 Bedrooms ~ Baths 2 Stories 1 Foundation. Poured Concrete 0 Concrete Block Height ~ Ft. 0 Floating Slab 0 Post Canopies 0 Signs --2. 0 Pier 0 Treated Wood 0 Other Occupany Permit Required Flood Plain No Height Pennit Not Required Park Dedication Required # Dwelling Units .1-- # Structures Use/Nature NSFR/1 story home with a 3 car attached garage, 14')(14' rear patio. of Work HVAC Contr CONDON TOTAL COMFORT Electric Contr CUMINGS ELECTRIC Plumbing Contr HANSON QUALITY PLUMBING Inspections: Date ~-'------ Type Foundation Backfill Inspector Nicole Krahn approved r'"= "~ NOTE: No placard on site. DatelTimerequested: ~ 11:13AM Access: Notice Type: Phone Number: Ready DatelTime: 5/6/03 11:13AM Requested By: RUSCHHOMESLLC-Tim 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid - - - - - - - -- - - - - - - - - - - - - --- -- - - - - - -- - - - - - - - -- - -- - - - - - - - - - - - --- -- - - - - - ---- - - - - - - - - - - - - --- - - - - - --- Date ~-'------ ['"= "~ DatelTime requested: 6/19/03 Access: Type RoU9h In Inspector Nicole Krahn approved 11:05AM Notice Type: Phone Number: Ready DatelTime: 6/19/03 11:05AM Requested By: RUSCH HOMES LLC - TIm 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid - - - - - - - ---- - - - - - - - - -- ----- - - - - --- - - - - - - - -- - -- - - - - - - - - - - - ----- - - - - - - - --- -- - - - - - - - --- - -- --- - --- Page 1012 Building Permit Work Card Job Address 1285 PHEASANT CREEK DR Permit Number 0100987 Create Date 4/22/03 Owner RUSCH HOMES Contractor RUSCH HOMES LLC Category 110-NewSingleFamily Type. Building Zoning R-1 0 Sign 0 Canopy 0 Fence 0 Raze Class of Const: 8 Size IRR I Plan E1-056-0403R Value $100,000.00 Unfinished/Basement 1384 Sq. Finished/Living 1384 Sq. Ft. -Ft. Rooms ----1 Bedrooms ----1 Baths ~ Garage ~ Sq. Ft. n Projection I Stories 1 Height ~ Ft. 0 Floating Slab 0 Post Canopies ~ Signs 0 Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Other Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units ~ # Structures Use/Nature NSFR/ 1 story home with a 3 car attached garage, 14'x14' rear patio. ofWork HVAC Contr CONDON TOTAL COMFORT ElectricContr CUMINGS ELECTRIC Plumbing Contr HANSON QUALITY PLUMBING Inspections: Date ~-'---- rm"~ Date/Time requested: 6123/03 Access: Type Insulation Inspector Nicole Krahn no time 09:22AM Notice Type: Phone Number: 379-7500 Ready DatefTime: 6/23/03 09:22 AM Requested By: RUSCH HOMES LLC - Tim 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - ---- --- - - - - - - - - - - - - --- - - - - - - - - - - - - - - - --- ---- ---- - - - - - -- --- - --- Date 8/13/03 10:45 AM Type Final Inspector Nicole Krahn approved REQUEST LINE. Ready late morning on 8/12. Final HVAC passed. Date/Time requested: Access: IHe'd like to be present. Ready DatefTime: 8/12/03 11 :00 AM Requested By: RUSCH HOMES LLC - Tim 8/11/03 08:52AM Notice Type: FC Phone Number: 379-7500. 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - - - - - - - ---- -- - - - - ---- - - - - - - - - - - - - - - - ----- - - - ------ - - - - - - - - - - - - - - - - - - - -- - - -- - - - - - -- ---- - -- - -- Page20f2