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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