HomeMy WebLinkAbout0101650 B(~ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1290 PHEASANT CREEK DR Owner RUSCH HOMES
Designer Contractor RUSCH HOMES LLC
Category 110 - New Single Family
No 0101650
Create Date 05/19/2003
Plan E1-062-0503R
Type 10 Building ~ Sign ~ Canopy ~ Fence ~ Raze
Zoning r-1 Class of Const: 8
Unfinished/Basement 832 Sq. Ft. Rooms 3 Height 23 Ft.
Finished/Living 1664 Sq. Ft. Bedrooms 3 Stories 2
Garage 816 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 IRR
~J Projection I
Canopies 0
Signs 0
Not Required
1
Use/Nature NSFR/2 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
$90,000.00 Plan Approval $75.00
Plumbing Contractor HANSON QUALITY PLUMBING
Permit Fee Paid
$350.00 Park Dedication $100.00
Date 05/20/2003 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 RUSCHHOMES
GRADE STAKE FORM
Address 1290 PHEASANT CREEK DR
Lot 46 Block
Subdivision 1st Add to Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 05/19/2003 Set By
Grade Stake Number 6953
Create Date 05/19/2003
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
,Job Address 1290 PHEASANT CREEK DR
Name RUSCH HOMES
Address P O BOX 423
Subdivision 1st Add to Pheasant Creek
Building Permit Number 0101650
Number of Dwelling Units 1
Fee Required $100.00
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 05/20/2003
OMRO WI 54963
Lot 46
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 o1o165o
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 P O BOX 423 OMRO WI 54963 - 0423 685-0241
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.
1290 PHEASANT CREEK DR 1st Add to Pheasant Creek 46
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 832 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier.
Living Area 1664 Sq. ft. [] 1-Story · Other [] Septic
[] 2-Story Permit No. Envelope 27521 BTU/HR
Garage 816 Sq. ft. [] Other [] Seasonal Infiltration 19119 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $150,000.00
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 5/19/03
Other [] Erosion
Total $105.00 · 292198 Cert. No. 248101
SBD-5823 (R. 07/92)
.,l~/ CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 1290 PHEASANT CREEK DR Owner RUSCH HOMES
Designer Contractor RUSCH HOMES LLC
Category 110 - New Single Family
Type O Building O Sign O Canopy ~) Fence (~) Raze
No 0101650
Create Date 05/19/2003
Plan E1-062-0503R
Zoning r-1 Class of Const: 8
Unfinished/Basement 832 Sq. Ft. Rooms 3
Finished/Living 1664 Sq. Ft. Bedrooms 3
Garage 816 Sq. Ft. Baths 3
Foundation O Poured Concrete (~) Floating Slab (~ Pier
(~) Concrete Block (~) Post (~) Treated Wood
Occupancy Permit Required Flood Plain No
Park Dedication Required # Dwelling Units I
Height 23 Ft.
Stories 2
Other
Height Permit Not Required
# Structures 1
Size IRR
[] ProjectionI
Canopies 0
Signs 0
Use/Nature NSFR/2 story home with a 2 car attached garage, 14'x14' rear patio.
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By: /
CONDON TOTAL COMFORT
CUMINGS ELECTRIC
~..~90,000.p0~J~ n Approval
Plumbing Contractor HANSON QUALITY PLUMBING
$75.00 Permit Fee Paid
[] Permit Voided
$350.00 Park Dedication $100.00
Date 05/20/2003 Final/O.P. 00/00/0000
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 BOX423 Omro WI 54963 - 0000 Telephone Number
685-0241
OSHKOSH
ON THE WATER
Name RUSCH HOMES
GRADE STAKE FORM
Address 1290-PHEASANT CREEK DR
Lot 46 Block
Subdivision 1st Add to Pheasant Creek Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 05/19/2003 Set By
Grade Stake Number 6953
Create Date 05/19/2003
Ward
Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade est~'~ b~fore excavation
has commenced.
Wisconsio Department of Industry,
Labor and Human Relations
~afety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
50
No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Telephone No.
OMRO WI 54963- 0423 685-0241
RUSCH HOMES
Contractor: L~J Con~ Elec]~] HVAC bJ Plbg
RUSCH HOMES LLC
Contractor: bd Con [~j Elec L_j HVACLJ Plbg
CUMINGS ELECTRIC
Contractor: ~ Con ~j ElecL~j HVAC [] Rib...
CONDON TOTAL COMFORT
Contractor: b~ Con ~ Elec~] HVAC[] Plbg
HANSON QUALITY PLUMBING
Mailing Address
P O BOX 423
Lic/Cert# Mailing Address
879882 P O BOX 423
Lic/Cert # I Mailing Address
170792 ].PO BOX 749 1414 COUNTY RD JJ
Lic/Cert # lMailing Address
3202 ~11 BLACKBURN ST
Lic/Cert # /Mailing Address
1550 N BLUEMOUND RD
Omro WI 54963- 0
NEENAH WI 54957 - 749
RIPON W154971 - 184
Telephone No.
685-0241
Telephone No.
231-5946
Telephone No.
(920)748-5050
APPLETON WI 54914 -0
Sq. ft. 114, 1/4,Section ,T N,R E(or)W
Telephone No.
730-0205
Building Address
1290 PHEASANT CREEK DR
Zoning District(s)
Subdivision Name Lot No.
1st Add to Pheasant Creek 46
IBlock No.
Permit No. Front Rear Left Right
Unfinished
Basement 832
Living Area 1664
Garage 816
[] Site Constructed
Manufactured
Sq. ft.
Sq. ft. 1-Story
[] 2-Story
Sq. ft. [] Other
I[Plus Basement
The applicant agrees to comply with all applicable codes
the permit creates no legal liability, express
APPLICANT'S SIGNATURE
Concrete
Masonry
~TreatedWood
Other
[] Seasonal
[] Permanent
[] Other
Sewer
[] Municipal
[] Septic
Permit No.
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 27521 BTU/HR
Infiltration 19119 BTU/HR
[] Municipal Utility
[] Private On-Site We~ $150,000.00
ordinances and with the conditi~)ns/ of this permit, understands that the issuance of
or municipality; and certifies that all the above information is accurate.
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 b_J State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name Nicole Krahn
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 5/19/03
Other [] Erosion
Total $105.00 [] 292198 Cert. No. 248101
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
.lob Address 1290 PHEASANT CREEK DR
Name RUSCH HOMES
Address P O BOX 423
Subdivision 1st Add to Pheasant Creek
Building Permit Number 0101650
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 05/20/2003
OMRO WI 54963
Lot 46
1 Number of Structures 1
$100.00...----~ Fee Paid
Date
OSHKOSH
City of Oshkosh
Community Development
1290 Pheasant Creek Dr./
lot 4~
Pheasant Creek Farm
Scale: 1"= 20'
4 0 4 13 ~2 ~13 20 Feat
~ ,
N
DISGLAIMER
aT~lulS~,en ;Pa in~l: :ilts' ~e re tal In:ge nltdlYe j te~°b' ed;ds e~a~p
This drawing Is a compilation of records, data
and Information located in various eiB,,
and state offices and other sources affeeling
the area shown and it is to be used for reference
purposes only. The CiB, of Oshkosh is not
If discrepeneies are found, please contact the
CiB, of O~hkosh.
April 16, 2003
By: JN
Source: City of Oshkosh GIS
CITY OF OSHKOSH
Proj
~~~lh~rmit #
to acknowledge that you hax/e read
2. Garage spaces shall" be
The dOOr and frame assembly between the dwelling unit and an attached garage shall be
labeled bY an independent'testing agency as haVing a minirmmi fire_~e~is~ive,i~ating 6f 20
minutes. All dryWall joint~ are reqhiredto be taped/~ealed ~e~s'fl/e'joihts ~e fired ~o
that the gap is no more than a dimes thickness (1/20-inch) 'and'baCked bv ~olid wood or
drywall with the joints staggered. '
3. All PenetratiOns in exterl°r This
o
e rooms must >oms
located on the second flOor o} below ground level must be provided with egress windows
in addition to the light and ventilation requirements. Basement windows are also
required t° have Window well areaS in aCc°rdance With IL~ 21.03.
return air spaces.
S~
detectors are rec
includes holes in the top and bottom plates, gaps around heating ductS; and holes in the
6' of all bedrooms. The~i
are required t0 have an access panel tO'i~6~oi~. The~a%~essphnel mu~t '
be accessible without removing the finish of the house.
6~
o
All overframing must be designed by the trUss manUfacturer, according to standard~ set
by the truss plate institute, or structural calculations must be provided prior to the rough
building inspectionl
Truss plans must be submitted and approved prior to framing the roof.
8. Truss g 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 0n'them.
lculations mUst be 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 1~4'-20' width. Erosion
control measures must be mm~t~aiii~ihl
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 arid ~ainageways resulting from land
development or disturbing activities.
12.
13.
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.
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 isnOt all6~ved p~i0r~0"the Pia~a~'d'h~i~ifig ~/ii'bf~e
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'~00~.