HomeMy WebLinkAbout0103382-BuildingOSHKOSH
ON THE WATER
Job Address 1295 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
1562 Sq. Ft.
1562 Sq. Ft.
718 Sq. Ft.
· Poured Concrete (~) Floating Slab
(~ Concrete Block (~) Post
Occupancy Permit Required
Park Dedication Required
(~ Canopy ~) Fence
Class of Const: 8
Rooms 7 Height
Bedrooms 3 Stories 1
Baths 2
(~ Pier (~) Other
(~) Treated Wood
Flood Plain No
# Dwelling Units
No 103382
Create Date 08/06/2003
Plan EI~I05-0803R
(~) Raze I
23 Ft.
Size Irrg
[] Projection
Canopies 0
Signs 0
Height Permit Not Required
# Structures 1
Use/Nature
of Work
NSFR/New I story with 3 car attached garage and 14' x 14' patio. Driveway shall not excaed 24' at the front property line.
HVAC Contractor CONDON TOTAL COMFORT
Electric Contractor CUMINGS ELECTRIC
Fees: Valuation $110,000.00 Plan Approval
Issued By:
$75.00 Permit Fee Paid
[] Permit Voided j
Plumbing Contractor HANSON QUALITY PLUMBING
$410.00 Park Dedication $100.00
Date 08/07/2003 FinallO.P. 00/00/0000
In the performance of this work I ~ to,perform all work pursuant to rules governing the described construction.
~' Agent/Owner
Address P O BOX423 Omro WI 54963 - 0000 Telephone Number 685-0241
To schedule inspections please call the Inspection Request line at 236-5f 28 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 enforce 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
GRADE STAKE FORM
Name RUSCH HOMES LLC Address
Lot 3'1 Block
Subdivision Pheasant Creek 1st add't Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 08/06/2003 Set By
1295 FAIRFAX ST
D.W.G. SK-590, P-49
Grade Stake Number 7005
Create Date 08/06/2003
Sidewalk Existing
Ward
Department of Public Works
I, the undersigned, owner or agent of the above described proporty a~roo to h~ tho ~shod boforo oxcavat,on
has commencod.
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
RUSCH HOMES LLC
Contractor: [] Con]~ Elec'~
RUSCH HOMES LLC
Contractor:
CUMINGS ELECTRIC
CONDON TOTAL COMFORT
Contractor: [] Con
HANSON QUALITY PLUMBING
Building Address
1295 FAIRFAX ST
WISCONSIN UNIFORM JApplication No.
BUILDING PERMIT [0103382
APPLICATION Parcel No.
[] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other:
Mailing Address
OMRO
Mailing Address
P O BOX 423 Omro
Telephone NO.
W] 54963 - 0000
Telephone No.
WI 54963- 0 685-0241
Telephone No.
WI 54957 - 749 231-5946
Mailing Address Telephone No.
11 BLACKBURN ST RIPON W154971 -184 (920) 748-5050
Mailing Address Telephone No.
OUND 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 31
Mailing Address
PO BOX 749 1414 COUNTY RD JJ NEENAH
Zoning District(s)
Zoning Permit No.
Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace
[] Alteration [] Raze Two Family Size: []
Garage [] Heat Pump
[] Addition [] Move Other (print): ~ Overhead Boiler
[] Other: ~ Underground Central Air Conditioning
Other
[] Site Constructed Concrete
Unfinished [] Manufactured Masonry
Sewer
Basement 1562 Sq. ft. Treated Wood Municipal
Living Area 1562 Sq. ft. 1-Story Other Septic
[] 2-Story Permit No.
Garage 718 Sq. ft. [] Other
Space
Water Htg
unit will have 3 kilowatt or
more installed electric space heating equip
Infiltration control option is: [] Full sealing
of joints. [] Blower door test. [] Exterior
air infiltration barrier. ::
Envelope
[] Seasonal
Infiltration
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Pdvate On-Site Well $130,000.00
The applicant agrees to comply with all applicable codes,,,stECL~S and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or ,la~l;.~_ ~. the/~eptrtment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE ~" Ut...~ ~' ~ DATE SIGNED
27521 BTU/HR
19119 BTU/HR
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
[] Village [] City [] County ~ 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 292164 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address 1295 FAIRFAX ST
Name RUSCH HOMES LLC
Address PO BQX 423
Subdivision Pheasant Creek 1st add't
PARKLAND DEDICATION FEE COLLECTION RECORD
Building Permit Number 0103382
Number of Dwelling Units
Fee Required $100.00
Owner's Signature
Inspector's Signature
OMRO
Lot 31
Date 08/07/2003
WI 54963
Number of Structures
Fee Paid
Date
Date