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Home My WebLink About0110963-Building e OSHKOSH ON THE WATER Job Address 1140JUDYLEEDR CITY OF OSHKOSH No 110963 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Create Date 10/01/2004 Designer Ross Design Services Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan F1-101-0904R Type 18 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: VB Size 45' x 57' Unfinished/Basement 1562 Sq.Ft. ~ Sq. Ft. Rooms 3 Height 20 Ft. Bedrooms 3 Stories 1 Baths 2 U Projection 1 Finished/Living Canopies 0 Garage ~ Sq. Ft. Signs 0 Foundation 8 Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units # Structures NSFR/ New single family w/ attached garage, driveway, and 14' x 14' patio as per plan. Use/Nature of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC INC Fees: Valuation $115,000.00 Plan Approval $75.00 Permit Fee Paid $454.00 Park Dedication $200.00 Issued By: Date 10/07/2004 Final/O.P. 00/00/0000 U Permit Voided 1 Parcelld # 134250440 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. Signature Date Address POBOX 423 Agent/Owner 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. e OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 7212 Name RUSCH HOMES LLC Address 1140 JUDY LEE DR Create Date 10/01/2004 Lot 58 Block Ward Subdivision 1st add Pheasant Creek Zone Street Number Lot Dimensions 90' x 120' I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 10/04/2004 Set By D.W.G. BK-600, P-72 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have has commenced. Wisconsin Department of industry, Labor and Human Relations Safety and Buiidings Division P.O. Box 2509 Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. 0110963 Parcel No. ~ Constr 0 HVAC 0 Elec Mailing Address 0 Plbg ~ Erosion 0 Other: Telephone No. OMRO WI 54963 - 0000 Telephone No. Omro WI 54963 - 0 685-0241 Telephone No. NEENAH WI 54957 - 749 920-722-1240 Telephone No. RIPON WI 54971 -184 920-748-5050 Telephone No. APPLETON WI 54914 -0 730-0205 Plbg Lie/Cert# 879882 Plbg Lie/Cert# 170792 Plbg Lie/Cert# 3202 Lie/Cert # Mailing Address POBOX 423 Mailing Address PO BOX 749 Mailing Address PO BOX 184 Mailing Address 550 N BLUEMOUND RD S.~ 1~ Subdivision Name 1st add Pheasant Creek Front 1/4,Section Lot No. 58 Rear Left ,T E(or)W Lot Area .; New 0 Alteration 0 Addition Fuel Building Address 1140 JUDY LEE DR Zoning District(s) 0 Repair 0 Raze 0 Move .; Forced Air Furnace 0 Radiant Baseboard or Panel 0 Heat Pump 0 Boiler Central Air Conditioning Other Nat. L.P. Ga SpaceHtg~ ODD 0 0 Water Htg ~ 0 0 0 0 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: ~ Full sealing of joints. 0 Blower door test. 0 Exterior air infiltration barrier. 0 Other: Unfinished Basement Living Area 1562 Garage 0 27521 BTU/HR 19119 BTU/HR $175,000.00 APPLICANT'S SIGNATURE /- APPROVAL CONDITIONS This per It 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 Inspection Wis. Permit Seal Other $30.00 .; Construction HVAC Electrical D Plumbing 0 Erosion 0 Date 10/1/04 Total SBD-5823 (R. 07/92) $105.00 326554 Cert. No. 70266 e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 1140 JUDY LEE DR Date 10/07/2004 N~me Address RUSCH HOMES LLC OMRO ~ 54963 Subdivision 1st add Pheasant Creek Lot 58 Building Permit Number 0110963 Number of Dwelling Units Number of Structures Fee Required $200.00 Fee Paid Owne~sSignature ~ ({ ~ (j Yr{f1 f&-n¡¡(f Inspecto~s Signature Date /fJ/7!OL! Date \ 95.34' '\ '\ 20 ~ 20 .73' ~ 0:. CQ Lot 58 - 1st Add'n to Pheasant Creek Farm 1140 Judy Lee Dr.! 1120 Heidi Haven Dr. .+. s ~ OJHKOfH 02.55 10 20 25 15 Feot 1 inch equals 20 feet DISCLAIMER This map is "iiher a legallY recorded map nor a survey and i is nol intendad 10 be used as one. This d",wing is a compilalion of records, data and information locoled in vario", city, ,0unly and slate offiœsand oihersourœs affecting Iha area shown and il is10 ba used forrereren" purposes only. The Ciy of Oshkosh. nol responsible for eny inaoou""ies herein <:onlained. iI disorepanoies are found, please oonlact ihe Ciiy of Oshkosh. Source: City of Oshkosh G.I.S. Monday, December 01, 2003