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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) $105.00 326618 Cert. No. 70266 0 OSHKOSH ON THE WATER Job Address PARKLAND DEDICATION FEE COLLECTION RECORD 1270 HEIDI HAVEN DR Date 08119/2005 Name RUSCH HOMES LLC Address OMRO WI 54963 Subdivision 2nd Add Pheasant Creek Lot 126 Building Permit Number 0115849 Number of Dwelling Units Number of Structures Fee Required ~ Fee Paid OWne~s Signature Date Inspector's Signature Date cE"':o - roOo :gLLCN <C", ~ 't -oQ)COL!) C~Ig¡ N ().-"'<t ~ë~~ N co I ~ en : : : _coo X OQ)I'-CO ....J5:~ - 60.00' .+. ;: ~ ...c:~ <J).9 0 g: ~~ ...c:è <J) ï: Oê E '+- 0 0:;: 0 .Ç-§ 0- E Ut: 2- ~ 0 M 0 N æ " ø .E! 0 N (f) ëii :J C" Q) .s:: " .S g~"f~L ~.1! HH~HH ~ ~ c:: H~~~~n~ ;; oi" LU ~.9~g5~ð~~" i3 ~ ::¡; ~~o~g.õ""o -'" " <i' ~H'Æs~h~ -ó5 ro d <i~ ~]j~..'; §]S' ~ ::¡¡ (/) .êHH~"~~~ è ~ ë5 ~;;;,g~ ~~~r' (j ~ :;.~H~H:;; ~ ê.§ ~f:~HHH Jj 3! ~~":¡:¡g: ~i:;; 60.00' ¡CjJ,! 120.20' 90.2 ---------------------------- ------ ---------------------------- ---------------------------- 1260 60.00' 0 0 0 N ~ ....'< 10 Storm/Drainage Easement I . " 1" l' '-f 'f- '1- ""i- -¡. " ..,. --¡. -r- 1- Y- i' 'J. ." "3,60 /'j XI'-f PATIo 0 0 12.,0 N ~ óI~' ')'(g" 2,2' 7' v 20' M' '1 q<{. c¡ 'b" 010' TRJrC)(IN6 e' PAD 1 1(,,'$" 128 x x 1'i3,3d- 65.39' HEIDI HAVEN DR.