HomeMy WebLinkAbout0115848-Building
0
OSHKOSH
ON THE WATER
Job Address 1260 HEIDI HAVEN DR
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
No
115848
Owner RUSCH HOMES LLC
Create Date
08/17/2005
Designer
Ross
Contractor
RUSCH HOMES LLC
Category
110 - New Single Family
Plan G1-44-0805
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const: VB
Size 44' x 48'
Unfinished/Basement
~Sq.Ft.
~Sq.Ft.
Rooms 3 Height ~ Ft.
Bedrooms Stories 1
Baths 2
0 Projection I
Canopies
Finished/Living
Garage
~Sq.Ft.
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 Not Required
Park Dedication
Required
II Dwelling Units -----.!
II Structures
Use/Nature NSFRI New singie family w/ atiached garage. driveway. and 14' x 14' patio as per plans.
ofWork
HVAC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor
CUMINGS ELECTRIC INC
Approval
$75.00 Permit Fee Paid
$349.00 Park Dedication
$200.00
Issued By:
Date 08/19/2005
Final/O.P. 00/00/0000
0 Permit Voided i
Parcelld II 1342954300
In the performance of this work I agree to perform all work pursuant to ruies goveming 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
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.
0
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7290
Name RUSCH HOMES LLC
Address 1260 HEiDI HAVEN DR
Create Date 08/17/2005
Lot
127
Block
Ward
Subdivision 2nd add pheasant creek Farm
Zone
Street Number
Lot Dimensions
60' x 120'
I I Sidewalk Existing
Building Grade Elevation Stakes Set AI 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 est
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.
0115848
Parcel No.
~ Constr
D HVAC DElee
Mailing Address
D Plbg
~ Erosion
D Other:
Plbg LiclCert II
879882
Pibg LiclCert II
170792
Pibg LiclCert#
3202
LiclCertll
230863
Mailing Address
PO BOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Maiiing Address
1226 CHELSEA CT
Omro
Telephone No.
WI 54963 - 0000
Telephone No.
685-0241
Telephone No.
WI 54957 - 749 920-231-5946
Telephone No.
Wi 54971 -184 920-748-5050
Telephone No.
WI 54952 - 0 920-749-9121
,T N,R E(or)W
Block No.
Wi 54963- 0
OMRO
NEENAH
RIPON
MENASHA
Building Address
1260 HEIDI HAVEN DR
Zoning District(s)
S.~ 1~
Subdivision Name
2nd add pheasant creek Farm
Front
Right
Unfinished
Basement ~ Sq. ft.
LivingArea ~ Sq. ft.
Garage 528 Sq. ft.
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg~ D D D D D
WaterHtg ~ D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Fuel
D Other:
0-
¡¡
22451 BTU/HR
14394 BTU/HR
~ Municipal Utility
D Private On-Site Well $140,000.00
s nd ordinances and with the conditions of this permit, understands that the issuance of
artment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE
DATE SIGNED
APPROVAL CONDITIONS This permit is is ued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
1.- Erosion control is required to protect the swale along the rear property line.
Inspection
Wis. Permit Seal
Other
$30.00
,¡' Construction
HVAC
Electrical
D Plumbing
~ Erosion
D
Date
8/17/05
Total
SBD-5823 (R. 07192)
$105.00
326619
Cert. No.
70266
0
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
1260 HEIDI HAVEN DR
Date 08/19/2005
Name
RUSCH HOMES LLC
Address
OMRO
~
54963
Subdivision 2nd add pheasant creek Farm
Lot 127
Building Permit Number
0115848
Number of Dwelling Units
Number of Structures
Fee Required
¡Efj¿
Fee Paid
Owner's Signature
Date
Inspecto~s Signature
Date
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