HomeMy WebLinkAbout0103380-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
Zoning
Unfinished/Basement
Finished/Living
Garage
Foundation
1235 FAIRFAXST
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date
Contractor RUSCH HOMES LLC
No 103380
08/05/2003
110 - New Single Family_ Plan E1-101-0703R
· Building (~ Sign (~) Canopy (~ Fence (~) Raze
Class of Const: 8 Size Irrg
1176 Sq. Ft. Rooms 6 Height 17 Ft. [] Projection
1176 Sq. Ft. Bedrooms 3 Stories I Canopies
528 Sq. Ft. Baths 2 Signs
· Poured Concrete (~ Floating Slab C) Pier O Other
(~ Concrete Block (~ Post (~ Treated Wood
Occupancy Permit Required Flood Plain No Height Permit Not Required
Park Dedication Required # Dwelling Units 1 # Structures 1
Use/Nature
of Work
NSFR/ New 1 storywith 2 car attached garage and 14' x 14' concrete patio. The driveway shall not exceed 24' wide at the front property
line.
HVAC Contractor CONDON TOTAL COMFORT
Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $80,000.00 Plan Approval
Issued By: ~'~
$75.00 Permit Fee Paid
[] Permit Voided
$320.00 Park Dedication $100.00
Date 08/07/2003 Final/O.P. 00/00/0000
In the performance of this wodC-eqree to perform all work pursuant to rules governing the described construction.
Signature ~ /.~/,~,..~ ~ Date/(
Agent/Owner
Address P O BOX 423 Omre Wi 54963 - 0000 Telephone Number 685-0241
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (La. 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.
While the City of Oshkosh has no authority to enfome 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 necessary approvals before starting such activity.
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 1235 FAIRFAX ST
Lot 37 Block
Subdivision 1st add't Pheasant Creek Zone
Street Number Lot Dimensions
Grade Stake Number 7002
Create Date 08/05/2003
I ,.,I Sidewalk Existing
Ward
Building Grade Elevation Stakes Set At Site 08/05/2003 Set By D.W.G, BK - 590, P - 48
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the gr.~tablished 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
WISCONSIN UNIFORM Application NO.
BUILDING PERMIT 0103380
APPLICATION Parcel No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address Telephone No.
PO BOX423 Oshkosh WI 54963 - 0000
Lic/Cert # Mailing Address Telephone No.
879882 P O BOX 423 Omro WI 54963 - 0 685-0241
Owner's Name
RUSCH HOMES LLC
Contractor:~] Con[] Elec[] HVAC ~j Plbg
RUSCH HOMES LLC
Contractor: ~J Con L~J Elec ~j HVAC~J PIbg
CUMINGS ELECTRIC
Contractor: L~ con ~J ElecL~j HVAC [] PIb.(
;ONDON TOTAL COMFORT
Contractor:~ Con ~J Elec~_~ HVACL~ Plbg
HANSON QUALITY PLUMBING
Lic/Cert #
170792
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
Telephone No.
231-5946
WI 54957 - 749
Lic/Cert # Mailing Address Telephone No.
3202 11 BLACKBURN ST RIPON Wi 54971 - 184 (920) 748-5050
Lic/Cert # Mailing Address Telephone No.
550 N BLUEMOUND RD APPLETON WI 54914 -0 730-0205
Scl. ft 1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block No.
1st add't Pheasant Creek 37
Zoning Permit No. Front Rear Left Right
Building Address
1235 FAIRFAX ST
Zoning District(s)
New [] Repair Single Family
[] Alteration [] Raze Two Family
Garage
[] Addition [] Move [] Other (print):
[] Other:
Unfinished
Basement 1176 Sq, ft.
Living Area 1176 Sq. ft. l-Story
Garage 528 Sq, ft. [] 2-Story
[] Other
Site Constructed
Manufactured
Entrance Panel Forced Air Furnace
Fuel
[] Radiant Baseboard or Panel
[] Heat Pump Space Htg
Overhead
Boiler Water Htg
Underground Central Air Conditioning unit will have 3 kilowatt or
more installed electric s
Concrete
infiltration control option is: [] Full sealing
Masonry Sewer of joints. [] Blower door test. [] Exterior
Treated Wood [] Municipal ~ air infiltration barder.
Other [] Septic
Permit No. Envelope 22451 BTU/HR
[] Seasonal infiltration 14394 BTU/HR
Permanent [] Municipal Utility
[] Plus Basement Other [] Private On-Site Well $100,000.00
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 i I.r~.ieJ;l,_~n~h~ D.~partment or municipality; and certifies that all the above information is accurate.
APP.C^NT'S SI .ATU.E D*TE S.C.ED
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" SHEET
[] Town [] Village [] City [] County ~j State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZAP, ATE
Inspection Electrical
Wis. Permit Seal $30.00 Plumbing Date 8/5/2003
Other [] Erosion
Total $105.00 292163 Cert. No. 70330
SSD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address 1235 FAIRFAX ST
Name RUSCH HOMES LLC
Address PO BOX 423
Subdivision 1st add't Pheasant Creek
Building Permit Number 0103380
Number of Dwelling Units
Fee Required $100.00
Owner's Signature ~L.
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
Oshkosh
Lot 37
Date 08/07/2003
WI 54963
Number of Structures
Fee Paid
Date
Date