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Home My WebLink About0111061-Building '~e OSHKOSH ON THE WATER Job Address 1255 JUDY LEE DR CITY OF OSHKOSH No 111061 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES Create Date 10/01/2004 J Ross Contractor RUSCH HOMES LLC Designer Category 110 - New Single Family Plan F1-103-0904R Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: VB Size 52' x 54' Unfinished/Basement ~Sq.Ft. ~Sq.Ft. Rooms Height 18 Ft. 0 Projection: Canopies 0 Finished/Living Bedrooms 3 Stories 1 Garage ~ Sq. Ft. Baths Signs 0 Foundation . Poured Concrete 0 Floating Slab 0 Concrete Biock 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures Use/Nature NSFR/ New singie famiiy with attached garage, driveway, and 14' x 14' patio as per plans. ofWork HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC INC Fees: Valuation $100,000.00 Plan Approval $75.00 Permit Fee Paid $409.00 Park Dedication $200.00 Issued By: í\.~Jl- Date 10/13/2004 Final/D.P. 00/00/0000 0 Penmit Voided I Parcelld # 1342505800 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 ~;~:e::~r:nÿ;eïm{Z(w:r (m~1 bt~~if such activity. Date ~ 10 1/3 / D if AgenUOwner / " Address POBOX 423 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 GRADE STAKE FORM Grade Stake Number 7214 Name RUSCH HOMES Address 1255 JUDY LEE DR Create Date 10/01/2004 Lot 72 Block Ward Subdivision 1st add pheasant creek farms Zone Street Number Lot Dimensions irrg I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 10/04/2004 Set By D.W.G. BK-600, P-75 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade estabiished befQre excavation has commenced. ~J r rA WoìJ1[m1!' t 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. 0111061 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 LiclCert# 879882 Plbg LiclCert# 170792 Plbg LiclCert# 3202 LiclCert # Mailing Address PO BOX 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 farms Front 1/4,Section Lot No. 72 Left ,T N,R E(or)W Block No. Lot Area Building Address 1255 JUDY LEE DR Zoning District(s) Right Unfinished Basement Livin9 Area 1384 Garage 539 Nat. L.P. Oil Elec. Solid Sola Ga Space Htg ~ 0 0 0 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: 0 Full sealing of joints. 0 Blower door test. 0 Exterior air infiltration barrier. Fuel 0 Other: '0 24408 BTU/HR 16512 BTUIHR APPLICANT'S SIGNATURE APPROVAL CONDITIONS his 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 Inspection Wis. Permit Seal Other $30.00 Construction HVAC Electrical D Piumbing 0 Erosion 0 Date 10/8/04 Total SBD-5823 (R. 07/92) $105.00 326555 Cert. No. 70266 'e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Name 1255 JUDY LEE DR RUSCH HOMES Date 10/13/2004 Job Address Address OMRO WI 54963 Subdivision 1 st add pheasant creek farms Lot 72 Building Permit Number 0111061 Number of Dwelling Units Number of Structures Fee Required $200.00 dm~(;n ~ WO{)h((tmc.[ ~JZ~ v Fee Paid Inspector's Signature Date !O;!3j;i Dæe 0 ~ Owner's Signature I I::> -e:- D'?f'J~pJ,~ ep..~I3'\~ T- ('I') LC) T- T- ¥1 Vi V ~ ~ ~ ~ ;/1 r , bcC?> .bc~ 3 "{?l:> 00 '" <>- ""' 44.96' T 0 ;L¡;:' zéE --" ~ .:".. <P T 117.26' N '" ~ 0 tv'> (J'- 17 00 '" '" ~ a$> ~~>; t;: r-- ~ oJ ~ ðO LO~¡f. 1- ~ 1[\ N ~ 0 0 LC) (,0 ~ õ?: r- Lot 72 - 1st Add'n to Pheasant Creek Farm 1255 Judy Lee Dr.! 3135 Bennett Ct. w+. s ~ OJJ-1~QfH 02.55 10 15 20 25 Feot 1 inch equals 20 feet DISCLAIMER This map Is nelthe, a legal~ rerorded map no, a survey and It Is not Intended to be u..d as one. Thlsdrawlng Is arompll"'on of reemds, data and Inlormatlon located In "rlous city, county and state offices and other sources affecting the area shown and It 1$ to be used lor relerence purpases only. The City 01 Oshkosh. not responsible for any Inaccuracies herein contained. If discrepancies arelound, plee.. rontact the City olOshkash. Source: City of Oshkosh G.I.S. Monday, December 01, 2003