HomeMy WebLinkAbout0117081-Building
e
åSHKOSH
ON THE WATER
Job Address 1155HEIDIHAVENDR
CITY OF OSHKOSH
!
BUILDING PERMIT. APPLICATION AND RECORD
No
117081
Owner RUSCH HOMES LLC
Create Date
10/31/2005
Contractor
RUSCH HOMES LLC
Designer
Category
110-NewSlngleFamlly
Plan 59-1005
Type
. Building
0 Sign
0 Canopy
0 Fenee
0 Raze
Zoning
Class of Const: 8
Size
Unfinished/Basement
~Sq.Ft.
~ Sq. Ft.
Rooms 0 Height 0 Ft.
Bedrooms Stories 1
Baths 0
0 Projection I
Finished/Living
Canopies ----'!
Garage
~Sq.Ft.
Signs
----'!
Foundation
. Poured Concrete 0 Floating Siab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Penmit Required
Flood Plain No
Height Permit Not Required
Park Dedication
Required
# Dwelling Units 1
# Structures
Use/Nature New SFR with Attached Garage and 14x14 patio.
ofWork
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$120,000.00 Plan Approval
$75.00 Permit Fee Paid
$469.00 . Park Dedication
$200.00
Issued By:
Date 11/01/2005
Final/O.P. DO/DO/DODO
0 PenmitVoided I
Parcelld #
In the perfonmanee of this work I agree to perform all work pursuant to rules 90vernlng the described construction.
While the City of Oshkosh has no authority to enforee 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 penmit applicant to contact the easement
holder(s) and to see R vals before starting such activity.
Signature
Date
Address POBOX 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.
~
bSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7307
Name RUSCH HOMES LLC
Address
1155 HEIDI HAVEN DR
Create Date 10/31/2005
Lot
Block
Ward
Subdivision
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set At Site
10/31/2005
Set By
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade e
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.
0117081
Parcel No.
Plb9 LiclCert#
879882
Plbg LiclCert#
0 HVAC 0 Elec
Mailin9 Address
PO BOX 423
Mailin9 Address
POBOX423
Mailing Address
0 Plbg
0 Erosion
0 Other:
0 Constr
Omro
Telephone No.
WI 54963 - 0423
Telephone No.
685-0241
Telephone No.
OMRO
WI 54963 - 0
-0
Plbg LiclCert # Mailin9 Address
Telephone No.
-0
Plbg LiclCert # Mailing Address
Telephone No.
-0
S . ft.
Subdivision Name
1/4,
E(or)W
Front
0 Other:
Unfinished
Basement
Living Area 1562
Garage 720
27500 BTU/HR
19120 BTU/HR
0 Municipal Utility
0 Plus Basement 0 Private On-Site Well $140,000.00
The applicant agrees to comply with all applicable codes, tu sand ordinanees and with the conditions of this penmit, understands that the issuanee of
the permit creates no legal liability, express" th epartment or municipality; and eertifies that all the above information is accurate.
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 penmit or other penalty
Submit Truss Plans prior to installation, maintain erosion control until lawn is well established/rooted. In the future, house
plans shall match the site plan (3 stall garage vs. 2 stall.)
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
v' Construction
HVAC
Electrical
D Plumbing
~ Erosion
0
Date
10/31/05
$105.00
326633
Cert. No.
70264
0
6SHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
Name
1155 HEIDI HAVEN DR
RUSCH HOMES LLC
Date 11/01/2005
Address
PO BOX 423
OMRO
'!!'L
54963
Subdivision
Lot
Building Permit Number
0117081
Number of Dwelling Units
Fee Required
Number of Structures
$2o0kl
'Ii:-
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
------------------------
~
úJ
úJ
""-J
0)
II'
,}'I'
HEIDI
39.67'
----
~ 65.97'
Se.e..cL.e..c{ '5lAJltt..t:
20"sionnloraiflage f:.~:~~~~:---------
---------------
\¡¡~
,\'1,""
--------------------------
55"'
-----ì
cJfJL( f
-510& pL
~
.þ..
CO
';'9'
~
0)
33'
9'
fql. cr }
40'
II'
7'
IY'
5
114
A.$~5.44'
7QO, 'Í'ð
Lot 114 - 2nd Add'A
Pheasant Creek Farm
1155 Heidi Ha,ven Dr. .
Tax # 12-4295-3000
.~,
II
City of Oshkosh
Department of Community Development
10
20
30
Feet
1 inch equals 20 feet
DISCLAIMER
Thl' map " ",Ithe, a legally ",o,ded map no<
a ,""ey and It Is not Int,"ded to be used as one.
This d'awlng " a oempltatlon of reeo'ds, data
and Info,matlon located '" varlou, city, county
a"d 'tate offic," and othar ""u<ce, affecting
the area ,hown and "',tobe ",ed for <efarence
parpose' only. The CltyofO'hko'h ',not
<e,po"'ble fo, any Inaccu"cle, hareln contained.
If dlsc<ep,"cle' are found, ~e"e contact the
CltyofO'hko'h.
Souree: City of Oshkosh G.I.S.
Wednesday, March 09, 2005