HomeMy WebLinkAbout0115849-Building
0
OSHKOSH
ON THE WATER
Job Address 1270 HEIDI HAVEN DR
CITY OF OSHKOSH
No
115849
BUILDING PERMIT. APPLICATION AND RECORD
OWner RUSCH HOMES LLC
Create Date
08/17/2005
Designer
RoSS Design
Contractor
RUSCH HOMES LLC
Category
110 - New Single Family
Plan G1-45-0805
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
R-1
Class of Const: VB
Size 47'x36'
Unfinished/Basement
~Sq,Ft,
~ Sq. Ft.
Rooms
Height 26 Ft.
0 Projection I
Finished/Living
Bedrooms
Stories 2
Canopies 0
Garage
~Sq.Ft.
Baths
3
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
Required
# Dwelling Units 1
# Structures
-------1
Park Dedication
Use/Nature NSFRI New Single Family w/ attached garage, driveway, and 14' x 14' patio.
of Work
HVAC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor
CUMINGS ELECTRIC INC
Fees: Valuation /
Issued By: ¡v--/
$100,000.00 Plan Approval
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Date 08/19/2005
Final/O.P. 00/00/0000
0 Permit Voided I
Parcelld # 1342954200
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 wi an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secur a p' als before starting such activity.
Date
Signature
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.
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7291
Name RUSCH HOMES LLC
Address
1270 HEIDI HAVEN DR
Create Date 08/17/2005
Lot
126
Block
Ward
Subdivision 2nd Add Pheasant Creek
Zone
I I Sidewalk Existing
Street Number
Lot Dimensions
60' x 120'
Building Grade Elevation Stakes Set At Site
08/1712005
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.
before excavation
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.
0115849
Parcel No.
0 Constr
0 HVAC 0 Elec
Mailing Address
0 Plbg
0 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 WI 54952 -0 920-749-9121
Plbg LiciCert#
879882
Plbg LiciCert#
170792
Plbg LiciCert#
3202
LiciCert #
230863
Mailing Address
POBOX423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
1226 CHELSEA CT
Building Address
1270 HEIDI HAVEN DR
Zoning District(s)
S.~ 1~
Subdivision Name
2nd Add Pheasant Creek
Front
1/4,Section
Lot No.
126
Rear Lefi
,T
N,R E(or)W
Block No.
Right
.¡" New 0 Repair
0 Alteration 0 Raze
0 Addition 0 Move
0 Other:
Unfinished
Basement
Living Area 1530
Garage 468
.¡" Forced Air Furnace
0 Radiant Baseboard or Panel
0 Heat Pump
0 Boiler
Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg0 ODD 0 0
WaterHtg 0 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
Sewer
0 Municipal
0 Septic
Permit No.
Envelope
Infiltration
24345 BTU/HR
14192 BTU/HR
0 Municipal Utility
0 Plus Basement 0 Private On-Site Well $160,000.00
The applicant agrees to comply with all applicable codes. stat es and ordinances and with the conditions of this permit. understands that the issuance of
the permit creates no legal liability. express or . t rtment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE
APPROVAL CONDITIONS
DATE SIGNED
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
Inspection
Wis. Permit Seal
Other
$30.00
.¡" Construction
HVAC
Electrical
D Plumbing
0 Erosion
0
Date
8/17/05
Total
SBD-5823 (R. 07/92)
$105.00
326618
Cert. No.
70266
0
OSHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
1270 HEIDI HAVEN DR
Date 08119/2005
Name
RUSCH HOMES LLC
Address
OMRO
WI
54963
Subdivision 2nd Add Pheasant Creek
Lot 126
Building Permit Number
0115849
Number of Dwelling Units
Number of Structures
Fee Required
~
Fee Paid
OWne~s Signature
Date
Inspector's Signature
Date
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65.39'
HEIDI HAVEN DR.