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Home My WebLink About0103223-BuildingOSHKOSH ON THE WATER Job Address 1204 FAIRFAX ST Designer Category Type Zoning 110 - New Single Family · Building R~I Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES Create Date Contractor RUSCH HOMES LLC O Sign O Canopy O Fence (~ Raze Use/Nature of Work 833 Sq. Ft. 1857~ Sq. Ft. 716 Sq. Ft. Baths 3 · Poured Concrete O Floating Slab (~ Pier (~) Concrete Block (~) Post (~ Treated Wood Required Flood Plain No Required # Dwelling Units No '103223 07/28/2003 Plan E1-098-0703R Class of Const: 8 Size IRR Rooms 5 Height 24 Ft. [] Projection Bedrooms 4 Stories 2 Canopies Signs Other Height Permit Not Required I # Structures 1 4SFPJ 2 story home with a 3 car attached garage, 14'xl 4' rear patio, and concrete driveway (the ddveway will be a max. of 24' at the ¢line. HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ CONDON TOTAL COMFORT CUMINGS ELECTRIC $115,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit VoidedJ Plumbing Contractor HANSON QUALITY PLUMBING $425.00 Park Dedication $100.00 Date 07/31/2003 Final/O.P. 00/00/0000 the pedor~ance,~o~la2~r.~to peEormallwork pursuanttoru]es governing the described constmction. Signature~J. ~/~'"" Vf~'~/u' Date ~- AgenFOwner Address P OBOX423 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. OSHKOSH ON THE WATER Name RUSCH HOMES Lot 19 Subdivision 1st Add to Pheasant Creek Street Number Building Grade Elevation Stakes Set At Site GRADE STAKE FORM Address Block Zone Lot Dimensions 07/28/2003 Set By 1204 FAIRFAX ST D.W.G. BK-590, P-40 Grade Stake Number 6994 Create Date 07/28/2003 [, I Sidewalk Existing Ward I, the undersigned, owner or agent of the above described property agree to has commenced. Department of Public Works /~xe the grade est/~i~hed before excavation 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 Contractor:~ Con[~ :{USCH HOMES LLC · COMFORT Contractor:[] Con 'tANSON QUALITY PLUMBING Building Address 1204 FAIRFAX ST WISCONSIN UNIFORM Application No. BUILDING PERMIT 0103223 APPLICATION Parcel No. [] Constr [] HVAC [] Elec [] PIbg [] Erosion [] Other: Mailing Address Telephone No. P O BOX423 OMRO WI 54963 - 0000 685-0241 LicFCert # Mailing Address Telephone No. P O BOX 423 Omro WI 54963 - 0 685-0241 Lic/Cert # Mailing Address 170792 BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 -749 Lic/Cert # Mailing Address 3202 11 BLACKBURN ST RIPON WI 54971 - 184 Mailing Address Telephone No. 231-5946 Telephone No. (920) 748-5050 APPLETON WI 54914 -0 1/4, 1/4,Section ,T N,R Lot No. Block No. 19 Telephone No. 730-0205 E(or)W Subdivision Name 1st Add to Pheasant Creek Zoning District(s) Zoning Permit No. Front Rear Left Right New [] Repair Single Family [] Alteration [] Raze Two Family Garage [] Addition [] Move [] Other (pdnt): [] Other: Unfinished Basement 833 Sq. ft. Living Area 1857 Sq. ft. 1-Story [] 2-Story Garage 716 Sq. ft. [] Other Site Constructed Manufactured [] Plus Basement The applicant agrees to comply with all applicable code.~ the permit creates no legal liability, express, APPLICANT'S SIGNATURE Entrance Panel Size: 200 am Service: [] Overhead Underground Concrete Masonry Treated Wood Other Forced Air Furnace ~ Radiant Baseboard or Panel [] Heat Pump Boiler Central Air Conditioning Dwelling unit will have 3 kilowatt or more installed electric space heating equip Infiltration control option is: [] Full sealing of joints. [] Blower door test. [] Extedor air infiltration barrier. Sewer [] Municipal [] Septic Seasonal Permit No. Envelope 28037 BTU/HR Infiltration 16585 BTU/HR Permanent [] Municipal Utility Other [] Private On-Site Well $185,000.00 the conditions of this permit, understands that the issuance of ~unicipality; and certifies that all the above information is accurate. DATE SIGNED APPROVAL CONDITIONS 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 [] Village [] City [] State of: Municipality Number of Dwelling Locafion: City Of Oshkosh 7 0 2 6 6 Plan Review $75.00 Construction Inspection HVAC Electrical Wis. Permit Seal $30.00 Plurobing Other [] Erosion Total $105.00 292212 Name Nicole Krahn Date 7/28/03 Cert. No. 248101 OSHKOSH ON THE WATER Job Address 1204 FAIRFAX ST Name RUSCH HOMES Address P O BOX 423 Subdivision 1st Add to Pheasant Creek Building Permit Number 0103223 Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD OMRO Lot 19 Date 07/31/2003 WI 54963 Number of Structures Fee Paid Date Date ~ t~P OSHI(OSH. Ci~' of Oshkosh Community Development 1204 Pairfax St. &l' Lot 19 ! . 1st Addition to iJ- Pheasant Creek Farm · ~ DISCLAIMER ~ July 17, 2003 By: JN Source: City of Oshkosh GIS