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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 $2o0kl 'Ii:- Fee Paid Owner's Signature Date Inspector's Signature Date ------------------------ ~ úJ úJ ""-J 0) II' ,}'I' HEIDI 39.67' ---- ~ 65.97' Se.e..cL.e..c{ '5lAJltt..t: 20"sionnloraiflage f:.~:~~~~:--------- --------------- \¡¡~ ,\'1,"" -------------------------- 55"' -----ì cJfJL( f -510& p L ~ .þ.. CO ';'9' ~ 0) 33' 9' fql. cr } 40' II' 7' IY' 5 114 A.$~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