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Home My WebLink About0111286 B e OSHKOSH ON THE WATER Job Address 1090 PHEASANT CREEK DR CITY OF OSHKOSH No 111286 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Create Date 1 0/20/2004 Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan f1-1 07-1 004R Type 18 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: 8 Size IRR Unfinished/Basement 1654 Sq.Ft. 2267 Sq.Ft. Rooms 3 Height 24 Ft. Bedrooms 3 Stories 2 Baths 3 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/2 story home w/ 3 car attached garage, concrete driveway, 14'x14' rear concrete patio. Use/Nature of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC INC Fees: Valuation $150,000.00 Plan Approval $75.00 Permit Fee Paid $559.00 Park Dedication $200.00 Issued By: Date 1 0/26/2004 Final/O.P. 00/00/0000 U Permit Voided 1 Parcelld # 1342500200 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 7223 Name RUSCH HOMES LLC Address 1090 PHEASANT CREEK DR Create Date 10/20/2004 Lot 16 Block Ward Subdivision 1 st Add to Pheasant Creek Zone Street Number Lot Dimensions I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 10/21/2004 Set By DW.G. BK - 601, P - 31 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 Safety and Buildings Division BUILDING PERMIT 0111286 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 PERMIT REQUESTED 0 Constr D HVAC D Elec D Plbg 0 Erosion D Other: Owner's Name Mailing Address Telephone No. RUSCH HOMES LLC PO BOX 423 OMRO WI 54963 - 0000 Contractor: ~ ConU ElecU HVAC U Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES LLC 879882 POBOX 423 Omro WI 54963 - 0 685-0241 Contractor: U Con ~ Elec U HVACU Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC INC 170792 PO BOX 749 NEENAH WI 54957 - 749 920-722-1240 Contractor: U Con U Elec ~ HVAC D Plbg Lic/Cert # Mailing Address Telephone No. CONDON TOTAL COMFORT 3202 PO BOX 184 RIPON W 54971 -184 920-748-5050 Contractor: U Con D Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI54914 -0 730-0205 PROJECT LOCATION Lot Area Sa. ft. 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1090 PHEASANT CREEK DR 1 st Add to Pheasant Creek 16 Zoning District(s) I Zoning Permit No. Front I Rear Left Right ~ ft. ft. ft. ft. 1. PROJECT 3. OCCUPANCY 9. HVAC EQUIPMENT 12. ENERGY SOURCE ~ New D Repair 0 Single Family Entrance Panel ~ Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola D Alteration D Two Family D Radiant Baseboard or Panel Gas * D Raze Size: 200 amp D Addition D Garage Service: D Heat Pump Space Htg D D D D D D D Move D Other (print): D Overhead D Boiler Water Htg 0 D D D D D D Other: 0 Underground D Central Air Conditioning * U Dwelling unit will have 3 kilowatt or 4. CONST. TYPE 7. FOUNDATION - 0 Other - more installed electric space heating equip. 2. AREA INVOLVED 0 Site Constructed U Concrete 10. PLUMBING Infiltration control option is: D Full sealing Unfinished D Manufactured D Masonry Sewer of joints. D Blower door test. D Exterior Basement 1654 Sq.ft. 5. STORIES D Treated Wood 0 Municipal air infiltration barrier. Living Area 2267 Sq. ft. D 1-Story D Other D Septic 13. HEAT LOSS (Calculated) 8. USE 0 2-Story Permit No. Envelope 40580 BTU/HR Garage 796 Sq. ft. D Other D Seasonal 11. WATER Infiltration 23997 BTU/HR 0 Permanent 0 Municipal Utility 14. EST. BUILDING COST D Plus Basement D Other D Private On-Site Well $225,000.00 The applicant aç¡rees 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 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 ~~S~~ND~CTION D Town D Village 0 City D County U State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 a - 2 6 6 FEES: PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY: ISSUED SEAL NO. Plan Review $75.00 EI Co"",",,;O" HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 D Plumbing Date 1 0/20/04 Other 0 Erosion Total $105.00 D 326563 Cert. No. 248101 SBD-5823 (R. 07/92) e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 1090 PHEASANT CREEK DR Date 1 0/26/2004 Name RUSCH HOMES LLC Address PO BOX 423 OMRO WI 54963 Subdivision 1 st Add to Pheasant Creek Lot 16 Building Permit Number 0111286 Number of Dwelling Units Number of Structures Fee Required $200.00 Fee Paid Owner's Signature Date Inspector's Signature Date /-;- f~ --~-" ~~= "... ~ % ". ~ -.::- ()) G"", . ~ ~ (J\ ,-.. \ ,--- "... ~ 120.00' -c .,:: rP. ..J cO ..c l;', ~I~i: . :2:j ~ 6.1:"- --'0 N -'; ~ ~ 120.28' ;;, ~~ 0 to (J\ ~ ~ .J0- e ~ ."" to (Vacant Lot) 1090 Pheasant Creek D REC E lYE D OCT 21 ?DO4 N DEP.8fb1EÞlT OF )MMU~VELOPMENT City of Oshkosh Wisconsin Connnunity Development DISCLAIMER I I Thi, mop" noithor 0 'ogolly ",o,dod mop no< I 0 'nmy ond It" nnt intondod to ho n"'" ono. ~ Thi, d,"wing i, 0 oompnotinn nf ",n,d" dnto "...1 ond info'motion lo,""d in "dnn' ,lty, ,onnty ~ ond ,toto nm.., ond othor ,ou"" o"eoting tho "" ,hown ond It i, to ho u'" fo< "f",u.. pn'po"" ouly. Tho City of O,hko,h i, not co. I ,pon'ih" fn' ouy in."u,""" h",in "nloin,d. . rr d"",pon"o","onnd, pl"",ont,,"h, City ofO,hko,h. 20 Foe' 10/21/04 Created by dpb