HomeMy WebLinkAbout0117080-Building
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.OSHKOSH
ON THE WATER
Job Address 1150HEIDIHAVENDR
CITY OF OSHKOSH
No
117080
BUILDING PERMIT. APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date
10/31/2005
Designer
Contractor
RUSCH HOMES LLC
Category
110 - New Single Family
Plan 60-1005
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const: 8
Size
Unfinished/Basement
~sq.Ft.
~Sq.Ft.
Rooms
0
Height 0 Ft.
D Projection I
Finished/Living
Bedrooms
Stories 1
Canopies 0
Garage
~sq.Ft.
Baths
0
Signs
0
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
Park Dedication
Use/Nature New SFR with attached garage and 14x14 patio.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
$100.000.00 Plan Approval
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 11/01/2005
Final/O.P. 00/00/0000
D Penmit Voided I
Parcelld #
In the perfonmance 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 penmit application wit. n sement. the City strongly urges the permit applicant to contact the easement
holder(s) and to se a p vals 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
7308
10/31/2005
.. ....".
Lot
Zo~e
.. L..ot.pj!,!e.i1~!~.n.~...
Building Grade Elevation Stakes Set At Site
10/31/2005
Set By
Department of PüblicWorks
I, the undersigned. owner or agent of the above .described property agree to have the gra
has commenced.
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Appiication No.
0117080
Parcel No.
DElee
Mailing Address
PO BOX 423
Mailing Address
POBOX423
Mailing Address
D Pibg
0 Erosion
D Other:
Omro
Telephone No.
WI 54963 - 0423
Telephone No.
685-0241
Telephone No.
OMRO
WI 54963 - 0
- 0
Mailing Address
Telephone No.
-0
Mailing Address
Telephone No.
-0
S . ft.
Subdivision Name
1/4, 1/4,Section ,T N,R E(or)W
Lot No. Block No.
Rear Left Right
Front
APPLICANT'S SIGNATURE
Sewer
0 Municipal
D Septic
Permit No.
'.~~
0 Municipal Utility
D Private On-Site Well $120,000.00
and ordinances and with the conditions of this permit, understands that the issuance of
partment or municipality; and certifies that all the above information is accurate.
DATE SIGNED
1':í;'Ê~ER~ ,IL
Nat. L.P. Oil Elec. Solid Sola
Ga
SpaceHtg 0 D D D D D
Water Htg 0 D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Fuel
Unfinished
Basement ~ Sq. ft.
Living Area ~ Sq. ft.
Garage 502 Sq. ft.
24408 BTU/HR
16572 BTU/HR
This permit is issue pursuant to the following conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS revocation of this permit or other penalty
Submit truss plans prior to installation, maintain erosion control.
$30.00
Date
10/31/05
Total
$105.00
326632
Cert. No.
70264
07/92)
-e
:OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
1150 HEIDI HAVEN DR
Date 11/01/2005
Name
RUSCH HOMES LLC
PO BOX 423
OMRO
WI
54963
Address
Subdivision
Lot
Building Permit Number
0117080
Number of Dwelling Units
Number of Structures
Fee Required
€0iA
Fee Paid
Owner's Signature
Date
Inspecto~s Signature
Date
r\€.\Q\
55.37'
~~40
78.~3'
Lot 135 - 2nd Add'n
Pheasant Creek Farm
1150 Heidi Haven Dr.
Tax # 12-4295-5100
.+.
City of Oshkosh
Department of Community Development
10
20
30
Feet
1 inch equals 20 feet
DISCLAIMER
Thl, map I, ne"her a legally re,orned map nor
a "evey and" I, not Intended to be ",ed a, one.
Thl, drawing " a compilation of record" data
and Information located In varlo", city, co,nty
and ,tete offioos and other ""ree, affecting
the area ,hown and ";,to be ",edfo"eference
p",po,e, only. The CltyofO'hko'h;, not
re'po",lble foe any ;naccuracle, herein contained.
If d;"repanCle, are fe,nd, plea'e contact the
C;ty of O,hko,h.
Source: City of Oshkosh G.I.S.
Wednesday, March 09, 2005