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HomeMy WebLinkAbout0103384-BuildingOSHKOSH ON THE WATER Job Address Designer Category Type Zoning CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD 1280 FAIRFAX ST 110 - New Single Family · Building (~ Sign Owner RUSCH HOMES Contractor RUSCH HOMES LLC (~) Canopy (~ Fence Class of Const: 8 No 103384 Create Date 08/06/2003 Plan E1-106-0803R (~Raze Size IRR Unfinished/Basement 730 Sq. Ft. Rooms Finished/Living 1879 Sq. Ft. Bedrooms Garage 467 Sq. Ft. Baths 3 Foundation · Poured Concrete (~ Floating Slab (~) Pier (~ Concrete Block (~) Post (~) Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required Ct Dwelling Units 3 Height 4 Stories 2 (~)Other 1 20 Ft. [] Pr~ection j Canopies 0 Signs 0 Height Permit Not Required Ct Structures I Use/Nature of Work NSFR/2 stow home with a 2 car attached garage, 14'x14' patio. HVAC Contractor CONDON TOTAL COMFORT Electric Contractor CUMINGS ELECTRIC Fees: Valuation $130,000.00 Plan Approval Issued By: ~ $75.00 Permit Fee Paid [] Permit Voided Plumbing Contractor HANSON QUALITY PLUMBING $470.00 Park Dedication $100.00 Date 08/07/2003 Final/O.P. 00/00/0000 In the performance of this work I ag/~to perform ail work pursuant to rules governing the described constrdction. Signature ~'~/~ Date AgentJOwner Address P O BOX423 Omro 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 (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 ho[der(s} and to secure any necessary approvals before starting such activity. OSHKOSH ON THE WATER Name RUSCHHOMES Lot 29 Subdivision 1st Add to Pheasant Creek Street Number GRADE STAKE FORM Address 1280 FAIRFAX ST Grade Stake Number 7007 Create Date 08/06/2003 Block Ward Zone Lot Dimensions ~_~ Sidewalk Existing Building Grade Elevation Stakes Set At Site 08/06/2003 SetBy D.W.G. BK-590, P - 50 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade~st~lished 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 Owner's Name RUSCH HOMES Contractor: [] Con[] Elec[] RUSCH HOMES LLC Contractor: CUMINGS ELECTRIC Contractor: CONDON TOTAL COMFORT Contractor:~ Con HANSON QUALITY PLUMBING WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0103384 Parce No. [] Constr [] HVAC [] Elec [] PIbg [] Erosion [] Other: Mailing Address P O BOX 423 Lic/Cer[ Cf Mailing Address i879882 P O BOX 423 OMRO WI 54963 - 0000 Omro WI 54963 - 0 Mailing Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 -749 Mailing Address 11 BLACKBURN ST RIPON WI 54971 - 184 Mailing Address ND RD APPLETON WI 54914 -0 Telephone No. 685-0241 Telephone No. 685-0241 Telephone No. 231-5946 Telephone No. (920) 748-5050 Telephone No. 730-0205 LotArea 1/4, 1/4,Section ,T N,R E(or)W Address Subdivision Name Lot No. Block No. 1280 FAIRFAX ST 1st Add to Pheasant Creek 29 Zoning District(s) Permit No. Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace [] Alteration [] Raze Two Family Size: Radiant Baseboard or Pane Garage Service: Heat Pump [] Addition [] Move Other (print): Overhead Boiler [] Other: Underground Central Air Conditioning Dwelling unit will have 3 kilowatt or Other more installed electdc space heating equip Site Constructed Concrete Infiltration control option is: [] Full sealing Jnfinished Manufactured Masonq~ Treated Wood Sewer of joints. [] Blower door test. [] Exterior Basement ..... 73~0_ Sq. ff. Municipal air infiltration barrier. Other Living Area 1879 Sq. ft. 1-Stow Septic [] 2-Staw Permit No. Envelope 28610 BTU/HR Garage 467 Sq. ff. [] Other [] Seasonal Infiltration 15967 BTU/HR Permanent [] Municipal Utility [] Plus Basement Other [] Private On-Site Well $185,000.00 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 implieCf'~/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 LJ State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Sea[ $30.00 Plumbing Date 8/6/2003 Other Erosion Total $105.00 292219 Cerh No. 248101 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address 1280 FAIRFAX ST Name RUSCH HOMES Address P O BOX 423 Subdivision 1st Add to Pheasant Creek Building Permit Number 0103384 Number of Dwelling Units 1 Fee Required $100.00 PARKLAND DEDICATION FEE COLLECTION RECORD OMRO Lot 29 Date 08/07/2003 WI 54963 Number of Structures Fee Paid Owneds Signature Date Inspector's Signature Date