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Home My WebLink About0117083-Building .e OSHKOSH ON THE WATER Job Address 1170 HEIDI HAVEN DR CITY OF OSHKOSH No 117083 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 58-1005 Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning Class of Const: 8 Size Unfinished/Basement ~Sq.Ft. 2030 Sq. Ft. Rooms 0 Height 0 Ft. 0 Projection I Canopies Finished/Living Bedrooms 0 Stories Quad-level Garage ~Sq.Ft. Baths 0 Signs Foundation . Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Required Park Dedication Required Flood Plain ~ # Dwelling Units ----1 Height Permit Not Required # Structures ----1 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 Pennit Fee Paid $454.00 Park Dedication $200.00 Issued By: Date 11/01/2005 Final/O.P. 00/00/0000 0 Permit Voided I Parcelld # 1342954900 In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party. if you perfonn the work described in this permit application wi . an easement. the City strongly urges the pennit applicant to contact the easement hoider(s) and to secure a ry a rovais before starting such activity. Date Signature Address POBOX 423 AgenVOwner Omra 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. .~ OSHKOSH ON THE WATER Name RUSCH HOMES LLC Lot Subdivision Street Number Building Grade Elevation Stakes Set At Site GRADE STAKE FORM Zone 11/01/2005 Block Address 1170 HEIDI HAVEN DR Ward Lot Dimensions Set By Grade Stake Number 7309 - Create Date 11/0112005 I I Sidewalk Existing Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade e has commenced. y ~ lished before excavation WisconsJn 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. 0117083 Parcel No. ~ Constr Plbg LiclCert # 879882 Plbg LiclCert# 0 HVAC 0 Elec Mailing Address PO BOX 423 Mailing Address POBOX423 Mailing Address 0 Plbg ~ Erosion 0 Other: Omro Telephone No. Wi 54962 - 0423 Telephone No. 685-0241 Teiephone No. OMRO WI 54963 - 0 -0 Contractor: Plbg LiclCert # Mailing Address Telephone No. -0 Plbg LiclCert # Mailing Address Telephone No. S . ft. Subdivision Name 1/4, 1/4.Section Lot No. .T -0 N.R E(or)W Block No. Left Right 0 Other: Nat. L.P. Oil Elec. Solid Sola Ga SpaceHtg ~ 0 0 0 0 0 WaterHtg ~ 0 0 0 0 0 Dwelling unit will have 3 kilowatt or more installed eiectric space heating equip. Infiltration control option is: ~ Full sealing of joints. 0 Blower door test. 0 Exterior air infiltration barrier. Fuel Unfinished Basement Living Area Garage 26672 BTU/HR 16034 BTU/HR APPLICANT'S SIGNATURE ~ Municipal Utility 0 Private On-Site Well $140,000.00 tues and ordinances and with the conditions of this pennit, understands that the issuance of e Department or municipality; and certifies that all the above information is accurate. DATE SIGNED This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this pennit or other penalty Submit Truss plans prior to installation, maintain erosion control until lawn is well established, reminder to meet egress window sill height in bedroom 4. Inspection Wis. Permit Seal Other $30.00 .¡' Construction HVAC Electrical 0 Plumbing 0 Erosion 0 Date 10/31/05 Total SBD-5823 (R. 07/92) $105.00 326634 Cert.No. 70264 .e OSHKOSH ON THE WATER Job Address PARKLAND DEDICATION FEE COLLECTION RECORD Name 1170 HEIDI HAVEN DR RUSCH HOMES LLC Date 11/01/2005 Address PO BOX 423 OMRO WI 54962 Subdivision Lot Building Permit Number Number of Dwelling Units 0117083 Number of Structures Fee Required $200'°rJ ~ Fee Paid Owner's Signature Date Inspecto~s Signature Date ",~Ñ otto r\€.\O\ r\~ '-J t:-- 63.6()' ,\,\6() Lot 133 - 2nd Add'n Pheasant Creek Farm 1170 Heidi Haven Dr. Tax # 12-4295-4900 N w+. s City of Oshkosh Department of Community Development 0 10 20 30 Feet 120.00' 1 inch equals 20 feet DISCLAIMER This map Is ",ithe. a 'egally .ecorded map oor a smvey aod it Is not loteoded to be "ed as ooe. This drawiog Is a compilatioo 01 records, dala aod I",ormatioo located io va.lo" city, coooty aod slale offices aod other so"cces affecting the area shown aod " is to be "ed fo' .etere"e "".poses ooly. The City of Oshkosh lsoot .espo"ible for aoy ioacomacles hereio cootained. If discrepa"res are loood. ~ease contact the City of Oshkosh. Source: City of Oshkosh G.I.S. Wednesday, March 09, 2005