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Home My WebLink About0107681-BuildingNo107681 CITY OF OSHKOSH OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD ON THE WATER RUSCH HOMES LLC Job Address1280 JUDY LEE DROwnerCreate Date04/19/2004 DesignerContractorRUSCH HOMES LLC Category110 - New Single FamilyPlanF1-036-0404R TypeBuildingSignCanopyFenceRaze R-1 ZoningClass of Const:8SizeIRR Sq. Ft.Projection Unfinished/Basement1562Rooms3Height17Ft. Finished/Living 1562Sq. Ft.Bedrooms3Stories1Canopies0 Garage718Sq. Ft.Baths2Signs0 Poured ConcreteFloating SlabPierOther Foundation Concrete BlockPostTreated Wood Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required Park DedicationRequired# Dwelling Units1# Structures1 NSFR/ 1 story home with a 3 car attached garage, 14'x14' patio. Use/Nature of Work HVAC ContractorCONDON TOTAL COMFORTPlumbing ContractorHANSON QUALITY PLUMBING Electric ContractorCUMINGS ELECTRIC INC Fees: Valuation$90,000.00Plan Approval$75.00Permit Fee Paid$379.00Park Dedication$200.00 04/26/200400/00/0000 Issued By:DateFinal/O.P. Permit Voided Parcel Id # In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 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. SignatureDate Agent/Owner P O BOX 423OmroWI549630000685-0241 Address-Telephone Number 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. GRADE STAKE FORM OSHKOSH Grade Stake Number7146 ON THE WATER NameRUSCH HOMES LLCAddress1280 JUDY LEE DRCreate Date04/19/2004 Block Lot67Ward Subdivision1st Add to Pheasant CreekZone Sidewalk Existing Street NumberLot Dimensions Building Grade Elevation Stakes Set At Site04/19/2004Set By D.W.G. BK - 596, P - 10 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 0107681 Safety and Buildings Division P.O. Box 2509 Parcel No. APPLICATION Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 PERMIT REQUESTED üü ConstrHVAC ElecPlbgOther: üü Erosion Owner's NameMailing AddressTelephone No. RUSCH HOMES LLCP O BOX 423OMROWI54963-0000685-0241 Contractor: üü ConElecHVACPlbg Mailing AddressTelephone No. Lic/Cert # RUSCH HOMES LLCP O BOX 423WI0 000000 Omro54963-685-0241 Contractor:Mailing AddressTelephone No. Con üü ElecHVACPlbg Lic/Cert # CUMINGS ELECTRIC INCWI749 170792 PO BOX 749NEENAH54957-920-722-1240 Contractor:Mailing AddressTelephone No. ConElec üü HVAC Plbg Lic/Cert # 3202 RIPONWI54971920-748-5050 CONDON TOTAL COMFORTPO BOX 184-184 Contractor:Mailing AddressTelephone No. Con ElecHVAC üü Plbg Lic/Cert # HANSON QUALITY PLUMBINGAPPLETON54914-0 550 N BLUEMOUND RDWI730-0205 Lot Area PROJECT LOCATION 1/4,1/4,Section,TN,RE(or)W Sq. ft. Building AddressSubdivision NameLot No.Block No. 1280 JUDY LEE DR67 1st Add to Pheasant Creek Zoning District(s)Zoning Permit No.FrontRearLeftRight Setbacksft.ft.ft.ft. 1. PROJECT3. OCCUPANCY6. ELECTRICAL9. HVAC EQUIPMENT12. ENERGY SOURCE üü New üü Forced Air Furnace Nat.L.P.OilElec.SolidSolar üü Single Family Entrance Panel Repair Fuel Gas * Two FamilyRadiant Baseboard or Panel amp Alteration 200 Size: Raze Garage Space Htg Service: Heat Pump Addition Move Other (print):Overhead üü Water Htg Boiler üü Underground Other:Central Air Conditioning *Dwelling unit will have 3 kilowatt or 4. CONST. TYPE7. FOUNDATION Other more installed electric space heating equip. Concrete 2. AREA INVOLVED üü Site Constructed 10. PLUMBING Infiltration control option is:Full sealing Masonry Manufactured Unfinished Sewer of joints.Blower door test.Exterior Treated Wood Basement1562Sq. ft. air infiltration barrier. üü Municipal 5. STORIES Other 13. HEAT LOSS (Calculated) üü 1-Story Septic Living Area1562Sq. ft. 8. USE 27521 EnvelopeBTU/HR Permit No. 2-Story 718 GarageSq. ft. Seasonal 19119 InfiltrationBTU/HR Other 11. WATER üü Permanent 14. EST. BUILDING COST üü Municipal Utility Other $160,000.00 Plus BasementPrivate On-Site Well 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 implied, on 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 State of: TownVillage üü CityCounty Municipality Number of Dwelling Location: ISSUING 7 0 - 2 6 6 City Of Oshkosh JURISDICTION PERMIT(S)WIS. UNIFORM PERMIT FEES:PERMIT ISSUED BY: ISSUEDSEAL NO. üü Construction Plan Review$75.00 Nicole Krahn Name HVAC Inspection Electrical Wis. Permit Seal$30.00 4/19/04 Plumbing Date üü Erosion Other 248101 Cert. No. 306888 $105.00 Total SBD-5823 (R. 07/92) PARKLAND DEDICATION FEE COLLECTION RECORD OSHKOSH ON THE WATER Job Address 1280 JUDY LEE DRDate04/26/2004 NameRUSCH HOMES LLC AddressP O BOX 423OMROWI54963 Subdivision1st Add to Pheasant CreekLot67 Building Permit Number0107681 Number of Dwelling Units1Number of Structures1 Fee Required$200.00Fee Paid Owner's SignatureDate Inspector's SignatureDate m 00 m n C7 c z /,~V rr / ,ITz-~ ~ b~ 6 .74' ~~~`' ° ' °~ ,sz ~~ d ~~ 9NI ~~ d~.1 o£ ,6~ ~.~ .L/ .h ~pJ,,~,u ,L .6 N 1 ' Zb !, ~ .o~ C'O ~ o o ~~ .~~ ~•1 .6 ~ • ~r ~ 911! .~ ,~~ ~~ x ~~ .~~ 74.40' 114.14' O v, ~$gmo,a~z `G ~ ~~,wo~~~.ay~ ~ N 0 ~ ~ N m ~ ~ ~ ~ y. y fD 'v^ 3 N 0 ~~ p, m ~1 m p N /y-~/ ~ O o~~a~^o$.~ ~ r c m ,~ ~ to Fn~~°Q~~~~m D N m ~ ~ ~ z (D x ~-Om'Ommm~~-~ ~ N ~ ~ ?~~~COCOOO rn N O ~ ~~~~~w ~~ ~ O No O ~ ~~7~,~p~~~ rr N rJ m, o 'm ~ g>_ > W ~> >ao mho n ~ ~ <o ~~ 60.00' W ~ O O (D ~ ~ ~ r N ~ T N ~r O N r~-r ~ ~ .--r (D Q ~ Q ~ ,..h O