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