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
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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
- - - - - - - - ---- -- - - - - ---- - - - - - - - - - - - - - - - ----- - - - ------ - - - - - - - - - - - - - - - - - - - -- - - -- - - - - - -- ---- - -- - --
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