HomeMy WebLinkAbout0103385-BuildingOSHKOSH
ON THE WATER
Job Address 1260 FAIRFAX ST
110 - New Single Family
Designer
Category
Type · Building
Zoning R-1
Unfinished/Basement
Finished/Living
Garage
Foundation
Sign
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Contractor RUSCH HOMES LLC
590 Sq. Ft.
2030 Sq. Ft.
672 Sq. Ft.
· Poured Concrete (~) Floating Slab
(~ Concrete Block (~) Post
Occupancy Permit Required
Park Dedication Required
(~ Canopy
Class of Const:
Rooms 8
Bedrooms 4
Baths 3
(~ Pier
(~ Treated Wood
Flood Plain No
# Dwelling Units
Fence (~ Raze
Height 22 Ft.
Stories Quad-level
Other
Height Permit Not Required
# Structures I
No 103385
Create Date 08/06/2003
Plan E1-103-0803R
Size Irrg
[] Projection J
Canopies 0
Signs 0
Use/Nature
of Work
NSFPJ New quad level with 2 car attached garage and a 14' x 14' patio. The driveway shall not exceed 24' wide at the front property line.!
HVAC Contractor CONDON TOTAL COMFORT
Electric Contractor CUMiNGS ELECTRIC
Fees: Valuation $125,000.00 Plan Approval
Issued By: ~
$75.00 Permit Fee Paid
[] Permit Voided
Plumbing Contractor HANSON QUALITY PLUMBING
$4-55.00 Park Dedication $100.00
Date 08/07/2003 Final/O.P. 00/00/0000
In the performance of this ~ork~e/to perform all work pursuant to rules governing the described construction.
Signature ~ '~1~ Date
AgentJOwner
Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number 685-0241
To schedule inspections please call the Inspection Request line at 236-5'128 noting the Address, Permit Number, Type of
Inspection (i.e. 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 staking such activity.
OSHKOSH
ON THE WATER
Name RUSCH HOMES LLC
GRADE STAKE FORM
Address 1260 FAIRFAX ST
Grade Stake Number 7008
Create Date 08/06/2003
Lot 27 Block Ward
Subdivision Pheasant Creek 1st add't Zone
Street Number Lot Dimensions L_J Sidewalk Existing
Building Grade Elevation Stakes Set At Site 08/06/2003 Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade es,.~::~ish, ed 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
BUILDING PERMIT
APPLICATION
cz~c n No.
No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Owner's Name
RUSCH HOMES LLC
Contractor: [] Con~] EIoc'[~
RUSCH HOMES LLC
Contractor:
CUMINGS ELECTRIC
Contractor:
Contractor:~ Con
HANSON QUALITY PLUMBING
Building Address
1260 FAIRFAX ST
Lot Area
District(s) Zoning Permit No.
Mailing Address
PO BOX423 eMRO WI 54963 - 0000
Lic/Cert # Mailing Address
1879882 P O BOX 423 Omre WI 54963 - 0
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
Telephone No.
Telephone No.
685-0241
Telephone No.
231-5946
WI 54957 - 749
Mailing Address Telephone No.
11 BLACKBURN ST RIPEN WI 54971 - 184 (920) 748-5050
Mailing Address Telephone No.
BLUEMOUND RD APPLETON WI 54914 -0 730-0205
1/4, 1/4,Section ,T N,R E(or)W
Subdivision Name Lot No. Block NO.
Pheasant Creek 1st add't 27
Front Rear Left Right
Forced Air Furnace
[] Radiant
[] Heat Pump
Boiler
Central Air Conditioning
Other
New [] Repair Single Family Entrance Panel
[] Alteration [] Raze Two Family Size:
Garage Service:
[] Addition [] Move Other (print): ~ Overhead
[] Other: ~ Underground Dwelling unit will have 3 kilowatt or
more installed electric space heating equip
[] Site Constructed Concrete Infiltration control option is: [] Full sealing
[] Manufactured Masonry Sewer of joints. [] Blower door test. [] Extedor
Treated Wood
Basement 590 Sq. ft. [] Municipal air infiltration barrier.
.iving Area 2030 Sq. ft. 1-Story Other [] Septic
[] 2-Story Permit No, Envelope 25877 BTU/HR
Garage 672 Sq. ff. [] Other "~ Seasonal Infiltration 16034 BTU/HR
Quad-level Permanent
Other
[] Plus Basement
[] Municipal Utility
[] Private On-Site Well
$145,000.00
The applicant agrees to comply with all applicable codes~tues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or implied, ~)n tb/~Department or municipality; and certifies that all the above information is accurete.
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" SHEET
[] Town [] Village [] City [] County LJ State of: Municipality Number of Dwelling Location:
CityOf Oshkosh 7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 Plumbing Date 8/6/2003
Other Erosion
Total $105.00 292165 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
,Job Address 1260 FAIRFAX ST
Name RUSCH HOMES LLC
Address PO BOX 423
Subdivision Pheasant Creek 1st add't
PARKLAND DEDICATION FEE COLLECTION RECORD
Building Permit Number 0103385
Number of Dwelling Units 1
Fee Required $100.00
OMRO
Lot 27
Date 08/07/2003
WI 54963
Number of Structures
Fee Paid
Owner's Signature Date
Inspector's Signature Date