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Home My WebLink About0115850-Building -I e OSHKOSH ON THE WATER Job Address 1140 HEIDI HAVEN DR CITY OF OSHKOSH No 115850 BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES Create Date 08117/2005 Designer Ross Deisgn Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan G1-46-0805 Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R-1 Class of Const: VB Size 46' x 54' Finished/Living ~Sq.Ft. 2030 Sq. Ft. Rooms Height 22 Ft. 0 Projection I Unfinished/Basement Bedrooms 4 Stories Quad-level Canopies 0 Garage ~Sq.Ft. Baths Signs Foundation . 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 Required Park Dedication Required # Dwelling Units 1 # Structures Use/Nature NSFRI New siõgle family with attached garage. driveway, and 14' x 14' patio as per plan. ofWork HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor PLUMBING CONTRACTOR SPECIALIST Electric Contractor $75.00 Permit Fee Paid $469.00 Park Dedication $200.00 Issued By: Date 08/19/2005 Final/O.P. 00/00/0000 0 Permit Void~ Parcelld # 1342506500 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 PO BOX 423 AgenUOwner 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 7292 - Name RUSCH HOMES Address 1140 HEIDI HAVEN DR Create Date 08/17/2005 Lot 79 Block Ward Subdivision 1st Add Pheasant Creek Zone Street Number Lot Dimensions 1"9 Corner I I Sidewalk Existing Building Grade Elevation Stakes Set At Site 08/17/2005 Set By Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade es has commenced. Wiscgnsin 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. 0115850 Parcel No. Plbg Lie/Cert# 879882 Plbg Lie/Cert# 170792 Plbg Lie/Cert # 3202 Lie/Cart # 230863 Mailing Address POBOX423 Mailing Address PO BOX 749 Mailing Address PO BOX 184 Mailing Address 1226 CHELSEA CT 0 Plbg ~ Erosion 0 Other: Telephone No. OMRO WI 54963 - 0000 Spec House Telephone No. Omro WI 54963 -0 685-0241 Telephone No. NEENAH WI 54957 - 749 920-231-5946 Telephone No. RIPON WI 54971 -184 920-748-5050 Telephone No. MENASHA WI54952 -0 920-749-9121 1/4, 1/4,Section ,T N,R E(or)W Lot No. Block No. 79 Rear Left Right ~ Constr 0 HVAC 0 Elec Mailing Address 0 Other: ,¡' Forced Air Furnace 0 Radiant Baseboard or Panel 0 Heat Pump 0 Boller Central Air Conditioning Other Nat. loP. Oil Elec. Solid Sola Ga SpaceHtg ~ 0 0 0 0 0 WaterHtg ~ 0 0 0 0 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: 0 Full sealin9 of joints. 0 Blower door test. 0 Exterior air infiltration barrier. Fuel 1-Story 0 2-Story 0 Other 0 Seasonal Quad-level ~ Permanent ~ Municipal Utility 0 Plus Basement 0 Other 0 Private On-Site Well $120,000.00 The applicant agrees to comply with all applicable codes, sues and ordinances and with the conditions of this permit. understands that the issuance of the permit creates no legal liability, express'm e ep rtment or munidpality; and certifies that all the above information is accurate. Unfinished Basement ~ Sq. ft. LivingArea ~ Sq. ft. Garage 768 Sq. ft. Sewer ~ Municipal 0 Septic Permit No. 25877 BTU/HR 16034 BTU/HR 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 1.- Erosion Control required along rear lot line and around catch basin on SW corner of lot. Inspection Wis. Permit Seal Other $30.00 " Construction HVAC Electrical 0 Plumbing 0 Erosion 0 Date 8/17/05 Total SBD-5823 (R. 07/92) $105.00 326617 Cert. No. 70266 e OSHKOSH ON THE WATER PARKLAND DEDICATION FEE COLLECTION RECORD Job Address 1140 HEIDI HAVEN DR Date 08/19/2005 Name RUSCH HOMES Address OMRO WI 54963 Subdivision 1st Add Pheasant Creek Lot 79 Building Permit Number 0115850 Number of Dwelling Units Number of Structures Fee Required Tiikr Fee Paid Owner's Signature Date Inspector's Signature Date 5r3~':XX x)( ~~'Obl-- oW ~..n À' ~'r" 0 <T~, \ 1- )( ,-e. x )I. "o¡,tf\ . f~ ,:3 ð>:x ,ht' L~~ ~)i ,h S Q~ 9,'\bL ",?I~ (J1 1- ~\O£. (J1~. ".,,5 J ~ X ,11- ~/./..t7~ ,..,),)< hl>< "'I ,..,),1 :""¡X ~ -J. 'j. x .>l '" 7>. ^ ~ CJ) Lot 79 - 1st Add'n to Pheasant Creek Farm 1155 Judy Lee Dr.! 1140 Heidi Haven Dr. .+. s ~ °./li'Ð..fH 10 15 20 25 Fe" 1 inch equals 20 feet 02.55 DISCLAIMER This map is neither a legally recorded map nor a ,"rvey and I is not intended to be used as one. This drav.ing is a compilation of records. dala and information localed in vanous city, counly and state offices and other "uroes affecting the area shown and il is to be used fm reference purposes only. The City of Oshkosh is nol responsible for any inaccura"es herein containad. If d.crepancies are found, please contact the City of Oshkosh. Source: City of Oshkosh G.I.S. Monday, December 01, 2003