HomeMy WebLinkAbout0118380-Building
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OSHKOSH
ON Tl-i~ WATER
Job Address 1250 HEIDI HAVEN DR
CITY OF OSHKOSH
No
118380
BUILDING PERMIT -APPLICATION AND RECORD
OWner RUSCH HOMES LLC
Create Date
02128/2006
Contractor
RUSCH HOMES LLC
Designer
Category
110 - New Single Family
Plan 010-0206
Type
. Building
0 Sign
0 Canopy 0 Fence 0 Raze
Class of Const: 8
Rooms 6 Height 19 Ft.
Bedrooms Stories 1
Baths 2
~
Zoning
R-1
Size IRRG
Finished/Living
~Sq.Ft.
~Sq.Ft.
D Projection I
Unfinished/Basement
Canopies
Garage
~Sq.Ft.
Signs
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 --.-!
# Structures
Use/Nature NSFRI New single family 1 story, 2 car attached garage and 14' x 14' patio. Driveway will be 18' wide.
ofWork
HVAC Contractor
CONDON TOTAL COMFORT
CUMINGS ELECTRIC INC
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor
Fees: Valuation
$100,000.00 Plan Approval -
$75.00 Permit Fee Paid
$409.00 Park Dedication
$200.00
Issued By:
Date 03/03/2006
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1342954400
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 auth rity to enforce easement restrictions of which it is not a pany. if you perform the work
described in this permit application hin n e sement, the City strongly urges the permit applicant to contact the easement
holder(s) and to see necess ry pro als before starting such activity.
Date
Signature
Address PO BOX 423
AgenUOwner
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.
~.
OSHKOSH
ON TAE WATER
GRADE STAKE FORM
Grade Stake Number
7331
Name RUSCH HOMES LLC
Address 1250 HEIDI HAVEN DR
Create Date 02128/2006
Lot
128
Block
Ward
Subdivision 2nd add'! Pheasant Creek
Zone
~walk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site
03/01/2006
Set By existinp sidewalk at P.L.
I, the undersigned, owner or agent of the above described property agree to have the
has commenced.
Wisconsin Department of Industry,
Labor and Human Relations
Safety and Bundings Division
P.O. ~'ox2509
Madis~n. WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0118380
Parcel No.
0 Constr
Plbg Llc/Cert#
879882
Plbg Lic/Cert #
170792
Plbg Lic/Cert#
3202
Lic/Cert #
230863
0 HVAC 0 Elec
Mailing Address
P.O. BOX 423
Mailing Address
POBOX423
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
Telephone No.
685-0241
Telephone No.
WI 54957 - 749 920-231-5946
Telephone No.
WI 54971 -184 920-748-5050
Telephone No.
920-749--9121
WI 54963 - 0
OMRO
NEENAH
RIPON
MENASHA
WI54952 -0
New
0 Alteration
0 Addition
0 Repair
0 Raze
0 Move
S.~ 1~
Subdivision Name
2nd add't Pheasant Creek
Front
1/4,Section
Lot No.
128
Left
,T
N,R E(or)W
Block No.
Building Address
1250 HEIDI HAVEN DR
Zoning District(s)
Right
0 Other:
Nat. loP. Oil Elec. Solid Sola
Ga
SpaceHtg0 000 0 0
WaterHtg 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
Unfinished
Basement 1422
living Area 1422
Garage --~
24766 BTU/HR
17405BTU/HR
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 applica codes. statues d rdi nces and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or im e D art e or municipality; and certifies that all the above information is accurate.
C-
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
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Inspection
Wis. Permit Seal
Other
$30.00
Construction
HVAC
Electrical
0 Plumbing
0 Erosion
0
Date
2/28/2006
Total
SBD-5823 (R. 07/92)
$105.00
352342
Cert. No.
70330
e.
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
1250 HEIDI HAVEN DR
RUSCH HOMES LLC
Date 03/03/2006
Name
Address
P.O. BOX 423
aMRa
~
54963
Subdivision 2nd add't Pheasant Creek
Lot 128
Building Permit Number
0118380 -
Number of Dwelling Units
~/Å
Number of Structures
Fee Required
Fee Paid
Owner's Signature
Date
Inspector's Signature
Date
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