HomeMy WebLinkAbout0117088-Building
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OSHKOSH
ON THE WATER
Job Address 1275 HEIDI HAVEN DR
CITY OF OSHKOSH
No
117088
BUILDING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date
10/31/2005
Designer
Contractor
RUSCH HOMES LLC
Category
110-NewSingleFamliy
Plan 57-1005
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const: 8
Size
Unfinished/Basement
~Sq.Ft.
2030 Sq. Ft.
Rooms
Height
0 Ft.
0 Projection I
Finished/Living
Bedrooms 0
Stories Quad-ievel
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
-----1
Park Dedication
~~- rffi_'~~'~-
.Wm
HVAC Contractor
CONDON TOTAL COMFORT
CUMINGS ELECTRIC INC
Plumbing Contractor
UNKNOWN
Electric Contractor
$125.000.00 Plan Approval
$75.00 Permit Fee Paid
$484.00 Park Dedication
$200.00
Fees: Valuation
Issued By:
Date 11/01/2005
Final/C.P. 00/00/0000
0 Permit Voided I
Parcelld #
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 applicatio wi in an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to see ss pprovals before starting such activity.
Date
Signature
Address POBOX 423
Agent/Owner
Omra
WI 54963 - 0000
Telephone Number
685-0241
To schedule inspections please cali 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
Name RUSCH HOMES LLC
Lot
123
Subdivision 2nd addn to pheasant creek
Street Number
Building Grade Elevation Stakes Set At Site
GRADE STAKE FORM
10/31/2005
Address
Block
1275 HEIDI HAVEN DR
Grade Stake Number
Ward
Create Date 10/31/2005
7306
Zone
Lot Dimensions
Set By
I I Sidewaik Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade ~ before excavation
has commenced. ~ !d~
Wiscons1n Department of Industry,
.Labor and Human Reiations
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.
0117088
Parcel No.
0 Constr
Plbg LiciCert#
879882
Plbg LiciCert#
170792
Plbg LiciCert #
3202
LiciCert #
0 HVAC 0 Elec
Mailing Address
PO BOX 423
Mailing Address
POBOX423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
0 Plbg
0 Erasion
0 Other:
Omro
Telephone No.
WI 54963 - 0000
Telephone No.
685-0241
Telephone No.
WI 54957 - 749 920-231-5946
Telephone No.
WI 54971 -184 920-748-5050
Telephone No.
WI 54963 - 0
OMRO
NEENAH
RiPON
S . ft. 1/4,
Subdivision Name
2nd addn to pheasant creek
Frant
OSHKOSH WI 54901
1/4,Section ,T
Lot No.
123
Left
-0
N,R E(or)W
Block No.
Right
1-Story
0 2-Story
0 Other 0 Seasonal
Quad-Ievei 0 Permanent 0 Municipal Utility
0 Plus Basement 0 Other 0 Private On-Site Well $145,000.00
The applicant agrees to comply with all applicable codes, stat es an ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no iegalliability, express or .. . Dep nt or municipality; and certifies that all the above information is accurate.
Unfinished
Basement
Living Area 2030
Garage 768
Nat. loP. Oil Elec. Solid Sola
Ga
Space Htg 0 0 0 0 0 0
Water Htg 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
0 Other:
26672 BTU/HR
16034 BTU/HR
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 permit or other penalty
Submit Truss plans prior to installation, maintain erosion control until lawn is fully established, reminder to meet egress
window sill height in bedroom 4.
Inspection
Wis. Permit Seal
Other
$30.00
Date
10/31/05
Total
SBD-5823 (R. 07/92)
$105.00
326635
Cert. No.
70264
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OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
1275 HEIDI HAVEN DR
Date 11/01/2005
Name
RUSCH HOMES LLC
PO BOX 423
OMRO
~
54963
Address
Subdivision 2nd addn to pheasant creek
Lot 123
Building Permit Number
0117088
Number of Dwelling Units
Number of Structures
Fee Required
~ $200.0~
Òz.-
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
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Lot 123 - 2nd Add'n
Pheasant Creek Farm
1275 Heidi Haven Dr.
Tax # 12-4295-3900
N
-+,
s
City of Oshkosh
Departmenl of Community Development
10
30
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122,87' .
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20
Fee'
1 inch equals 20 feet
DISCLAIMER
ms map Is ","e, a legally moo,ded map "0'
a soIVey a"d . Is "01 '"Ie"ded to be used as o"e.
ThIs dmwI"g Is aeomplialio" 01 ,eeo,ds, data
a"d '"'o,malio" localed '" ,aclo", elly, Co""1y
a"d stale offices a"d olhe' soucees aflecli"g
the acea show" a"d . Is to be ",ed 10' ,ete,e"ce
p",poseso"'Y. The CllyolDshkosh Is "01
,espo"slb'e fo, a"y I",eeumeles heml" eo"tal"ed.
If dlsc,epa",les ace lou"d, ~ease co"tael Ihe
CllyolDshkosh.
Source: City of Oshkosh G.I.S.
Wednesday, March 09, 2005