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Home My WebLink About0103226-BuildingOSHKOSH ON THE WATER Job Address Designer Category Type Zoning R-1 Unfinished/Basement Finished/Living Garage Foundation 1270 FAIRFAXST CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Create Date Contractor RUSCH HOMES LLC 110 - New Single Family · Building O Sign 1372 Sq. Ft. 1372 Sq. Ft. 575 Sq. Ft. · Poured Concrete (~ Floating Slab (~ Concrete Block (~) Post Occupancy Permit Required Park Dedication Required No 103226 07/3012003 Plan E1-099-0703R Canopy (~ Fence (~ Raze I Other Class of Const: 8 Rooms 6 Bedrooms 3 Baths 2 (~ Pier O Treated Wood Flood Plain No # Dwelling Units 1 Height Stories I 17 Ft. Size )RRG [] Projection I Canopies Signs Height Permit Not Required # Structures 1 0 0 Use/Nature NSFPJ Single story with 2 car attached garage and 14' x 14' concrete patio. Driveway shall not exceed 24' wide at the front property line. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ry~ CONDON TOTAL COMFORT CUMINGS ELECTRIC $95,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided J Plumbing Contractor HANSON QUALITY PLUMBING $365.00 Park Dedication $100.00 Date 07/31/2003 Final/O.P. 00/00/0000 In the performance of this w~rk ~ag~ee to perform all work pumuant to rules governing the described construction. Signature k/ ~"~ ~j~ Date ~ '~ Agent/Owner Address P O BOX423 emro 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 LLC GRADE STAKE FORM Address 1270 FAIRFAX ST Lot 28 Block Subdivision lstAdd't Pheasant Creek Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 07/30/2003 Set By Grade Stake Number 7000 Create Date 07/30/2003 b_J Sidewalk Existing j Ward Department of Public Works I, the undersigned, owner or agent of the above described property agree to have_the grade~ii~ed 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 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0103226 Parce NO. Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address PO BOX423 OMRO WI 54963 - 0000 Mailing Address P O BOX 423 Omro WI 54963 - 0 Mailing Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Mailing Address BLACKBURN ST RIPON WI 54971 - 184 Mailing Address 3wner's Name RUSCH HOMES LLC Contractor: [] Con[~ Elec[] HOMES LLC Contractor: CUM~NGS ELECTRIC Contractor: Contractor:~ Con' HANSON QUALITY PLUMBING _ct Area RD APPLETON 1/4, 1/4,Section WI 54914 ,T Building Address Subdivision Name Lot No. 1270 FAIRFAX ST I st Add't Pheasant Creek 28 Telephone No. Telephone No. 665-0241 Telephone No. 231-5946 Telephone No. (920) 748-5050 Telephone No. - 0 ~'30-0205 N,R E(or)W Block No. District(s) Zoning Permit No. Front Rear Left Right New [] Repair Forced Air Furnace [] Alteration [] Raze [] Radiant Baseboard [] Addition [] Heat Pump Move Boiler [] Other: Central Air Conditioning Other Single Family =ntrance Panel Two Family Size: Garage Other (print): ~ Overhead ~ Underground Dwelling unit will have 3 kilowatt or more installed electric space heating equip Site Constructed Concrete Infiltration control option is: [] Full sealing Unfinished, Manufactured Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 1372 S,q. ~ Treated Wood [] Municipal air infiltration barrier. Living Area 1372 Sq. ff. 1-Story Other [] Septic [] 2-Story Permit No. Envelope 22970 BTU/HR Garage 575 Sq. ff. [] Other ~ Seasonal Infiltration 16781 BTU/HR Permanent Other [] Plus Basement [] Municipal Utility [] Private On-Site Well $115,000.00 The applicent agrees to comply with all applicable code_...~tues and ordinances and with the conditions of this permit, understands that the issuance of the permit craat,,es no legal liability, express or im_pJJe~-, on Ce/~epartment or municipality; and certifies that ali the above information is accurate. APPLICANT S SIGNATURE 7/~/~-,( DATE SIGNED APPROVAL CON DITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penafiy SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] Town [] Village [] City [] County LJ State of: Municipality Number of Dwelling Location: CityOf Oshkosh 7 0 ~ 2 6 6 Plan Review $75.00 Inspection Wis. Permit Seal $30.00 Other Total $105.00 SBD-5823 (R. 07/92) Construction HVAC Name JOHN ZARATE Electrical Plumbing Date 7/30/03 [] Erosion 292162 Cen. No, 70330 OSHKOSH ON THE WATER Job Address 1270 FAIRFAX ST Name RUSCH HOMES LLC Address PO BOX 423 Subdivision lstAdd't Pheasant Creek Building Permit Number Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD OMRO 0103226 Lot 28 Number of Structures Fee Paid Date 07/31/2003 WI 54963 Date Date OSHKOSH City of Oshkosh Community Development 1270 Fairfax St. Lot 28 1st Addition to Pheasant Creek Farm Scale: 1"= 20' 5 0 5 10 15 20 F~t DISC~IMER July 17, 2003