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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