HomeMy WebLinkAbout0119609-Building
.~.
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number
7350
Name RUSCH HOMES LLC
Address 1185 HEIDI HAVEN DR
Create Date 05/11/2006
Lot
117
Block
Ward
Subdivision 2nd Add to Pheasant Creek
Zone
Street Number
Lot Dimensions
I I Sidewalk Existing
Building Grade Elevation Stakes Set AI Site
05/11/2006
Set By
D.W.G. EX. SIDEWALK AT BOTH PL
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have th grade established before excavation
has commenced. . ^'i rv\\ '\ \! '
..:. \\ \ U \ \
Wisconsin Department of Industry,
Läbor 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.
0119609
Parcel No.
0 Constr
Plb9 Lic/Cert#
879882
Plbg Lic/Cert#
170792
Plbg Lic/Cert#
3202
Lic/Cert #
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
0 Plbg 0 Erosion
aMRa
aMRa
NEENAH
RIPON
0 Other:
Owner's Name
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
Lot Area
S.~ 1~
Subdivision Name
2nd Add to Pheasant Creek
Front
OSHKOSH WI 54901 - 0
1/4,Seciion ,T N,R E(or)W
Lot No. Block No.
117
Rear Left Right
Building Address
1185 HEIDI HAVEN DR
Zoning District(s)
0 Repair
0 Raze
0 Move
Ý Forced Air Fumace
0 Radiant Baseboard or Panel
0 Heat Pump
0 Boiler
Central Air Conditioning
Other
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.
Ý New
0 Alteration
0 Addition
Fuel
0 Other:
Unfinished
Basement ----.!:JIJ() Sq. ft.
Living Area ----.!:JIJ() Sq. ft.
Garage 512 Sq. ft.
BTU/HR
BTU/HR
APPROVAL CONDITIONS
Failure to comply may result in suspension or
0 Village 0 City 0 County 0 State of:
City Of Oshkosh
Inspection
Wis. Permit Seal
Other
Name Nicole Krahn
$30.00
Date
5/11/2006
Total
SBD-5823 (R. 07/92)
$105.00
352263
Cert. No.
248101
.e
OSHKOSH
ON THE WATER
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
Name
1185 HEIDI HAVEN DR
RUSCH HOMES LLC
Date 05/19/2006
Address
P.O BOX 423
aMRa
WI
54963
Subdivision 2nd Add to Pheasant Creek
Lot 117
Building Permit Number
Number of Dwelling Units
0119609
Number of Structures
Fee Required
,$200.00 Fee Paid
~7~\\~ llblh~m\cll
Owner's Signature
Inspector's Signature
Datex6\IC¡!Cb
Date
6Â .r¿1.
,\,\SO
t\€.\O\
\"\p-'J€.~ O~'
~õ;----
""""""'¡'~
"", 610\' .t.-
Lot 134 - 2nd Add'n
Pheasant Creek Farm
1160 Heidi Haven Dr.
Tax # 12-4295-5000
w+.
s
City of Oshkosh
Department of Càmmunity Development
10
20
30
Feel
1 inch equals 20 feet
DISCLAIMER
This map Is "either a legally recorded map "or
a s",vey a"d IT Is oot 1"leoded to be used as Doe,
This d",wl"g Is a compUatlo" of records, data
a"d '"formatlo" located ;" various clly, COU"1y
a"d slale offices a"d other sources affeell"g
the area shown and it Is to be used lor reference
purposes only, The CllyofOshkosh isnol
"'po"slb'e lor a"y I"aceurades herel" co"taloed.
Ifdlscrepandesare Iou"d. please co"laclthe
CllyolOshkosh.
Source: City of Oshkosh G.I.S.
Wednesday, March 09, 2005