HomeMy WebLinkAbout0118057-Building
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OSHKOSH
ON THE WATER
Job Address 1145 HEIDI HAVEN DR
CITY OF OSHKOSH
No
118057
BUILDING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES
Create Date
01/23/2006
Designer
Contractor
RUSCH HOMES LLC
Category
110 - New Single Family
Plan 002-0106
Type
. Building
0 Sign
0 Canopy
0 Fenee
0 Raze
Zoning
Class of Const: 8
Size
Unfinished/Basement
~Sq.Ft.
~Sq.Ft.
Rooms
6
Height 14 Ft.
0 Projection I
Finished/Living
Bedrooms 3
Stories 1
Canopies 0
Garage
~Sq.Ft.
Baths
Signs
-----.2
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
Park Dedication
Required
# Dwelling Units 1
# Structures
Use/Nature NSFRI New single family 1 story with 2 car attached garage and a 14' x 14' patio. The driveway will be 20'wide.
of Work
HVAC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Issued By:
Date 02/01/2006
Final/O.P. 00/00/0000
D..Penmit Voided I
Parcelld # 1342952900
In the perfonmanee 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 enforee easement restrictions of which it is not a party, If you perfonm the work
described in this permit application within an easement. the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals 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.
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7324
Name RUSCH HOMES
Address
1145 HEIDI HAVEN DR
Create Date 01/23/2006
Lot
113
Block
Ward
Subdivision 2nd Add't Pheasant Creek
Zone
I I Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site
01/23/2006
Set By
DW.G. BK-607, P-25
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade estab .
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
0 Constr
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0118057
Parcel No.
0 HVAC 0 Elec
Mailing Address
P.O. BOX 423
Mailing Address
PO BOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
1226 CHELSEA CT
0 Plbg
0 Erosion
0 Other:
OMRO
Telephone No.
WI 54963 - 0000
Teléphone No.
685-0241
Telephone No.
WI 54957 - 749 920-231-5946
Telephone No.
WI 54971 -154 920-748-5050
Telephone No.
920-749-9121
Plbg LiciCert#
879882
Plbg LiciCert#
170792
Plbg LiciCert#
3202
LiciCert #
230863
0 Seasonal
0 Permanent 0 Municipal Utility
0 Plus Basement 0 Other 0 Private On-Site Well $120,000.00
The applicant agrees to comply with all applicable codes, sta es nd ordinanees and with the conditions of this penmit, understands that the issuanee of
the penmit creates no legal liability. express i' th Dep rtm t or municipality; and eertifies that all the above information is accurate.
Building Address
1145 HEIDI HAVEN DR
Zoning District(s)
.; New
0 Alteration
0 Addition
~
.; Single Family
0 Two Family
0 Garage
0 Other (print):
0 Repair
0 Raze
0 Move
0 Other:
Unfinished
Basement ~ Sq. ft.
LivingArea ~ Sq. ft.
Garage 750 Sq. ft.
0 Site Constructed
0 Manufactured
.; 1-Story
0 2-Story
0 Other
OMRO
WI 54963 - 0
NEENAH
RIPON
MENASHA
WI54952 -0
S.ft 1~
Subdivision Name
2nd Add't Pheasant Creek
Front
114,Section ,T N,R E(or)W
Lot No. Block No.
113
Rear Left Right
I
.; Foreed Air Furnace
0 Radiant Baseboard or Panel
0 Heat Pump
0 Boiler
Central Air Conditioning
Other
Nat. loP. Oil Elec. Solid Sola
Ga
SpaeeHtg0 DO 0 0 0
WaterHtg 0 0 0 0 0 0
Dwelling unit will have 3 kilowatt or
more installed electric spaee heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Fuel
Sewer
0 Municipal
0 Septic
Permit No.
24408 BTUIHR
16512 BTUIHR
APPLICANT'S SIGNATURE
DATE SIGNED
APPROVAL CONDITIONS This penmit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Inspection
Wis. Permit Seal
Other
Construction
HVAC
Electrical
D Plumbing
0 Erosion
0
$30.00
Total
SBD-5823 (R. 07192)
$105.00
Date
1/23/06
318113
Cert. No.
70330
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OSHKOSH
ON THE WATER
Job Address
PARKLAND DEDICATION FEE COLLECTION RECORD
1145 HEIDI HAVEN DR
Date 02/01/2006
Name
RUSCH HOMES
P.O. BOX 423
OMRO
WI
54963
Address
Subdivision 2nd Add't Pheasant Creek
Lot 113
Building Permit Number
0118057
Number of Dwelling Units
Number of Structures
Fee Required
~ $j2¿
Date
Fee Paid
Owner's Signature
Inspecto~s Signature
Date
55.37'
1140
l.Ya
.a.9,
TIûs map is.!llJ.~ recorded map nor
a snrvey and it is not Intended to be used as one.
TIûs drawing is a compilation of records, data
and infonnationlocated in varions city, connty
and state offices and other sources affecting
the area shown and it is to be nsed for reference
pnrposes only. The City of Oshkosh is not re-
sponsible for any inaccnrades herein contained.
If discrependes are fonnd, pl..se eontact the
no.. .rn.L"_L
ot 113
2nd Add Pheasant
Creek Farms
(1145 Heidi Haven Dr)
30 Feet +
City of Oshkosh Wis<:onsin
Cornmnnity Development
Created by - dpb
1/18106