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OSHKOSH
ON THE WATER
Job Address 3140 BAILEY CT
CITY OF OSHKOSH No 122364
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 10/20/2006
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 51-1006
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size IRR
UnfinishedlBasement ~ Sq. Ft.
Rooms
3
Height
20 Ft.
D Projection I
FinishedlLiving
~ Sq.Ft.
~ Sq.Ft.
Bedrooms 3
Stories
Canopies
Signs
Garage
Baths
2
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Park Dedication Not Required
# Dwelling Units
# Structures
UselNature NEW SINGLE FAMIL Y'11 story home with a two car attached garage, 14'x14' patio, and 22' wide concrete driveway.
of Work
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $100,000.00 Plan Approval
Issued By: ~l A )
$75.00 Permit Fee Paid
$433.00 Park Dedication
$0.00
Date 11/01/2006
FinaIlO.P. 00/0010000
D Permit Voided I
Parcelld # 1342950700
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 application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure ne a r als before starting such activity.
Signature
Date
Address
PO BOX 423
AgentlOwner
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 7404
Name RUSCH HOMES LLC
Address 3140 BAILEY CT
Create Date 10/20/2006
Lot 91
Block
Ward
Subdivision 2nd Add't Pheasant Creek
Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 10/23/2006 Set By
D.W.G. BK - 612, P - 20
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade es . hed before excavation
has commenced.
Wisconsin Department of Industry,
'Labor ana 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.
0122364
Parcel No.
Plbg LiclCert #
879882
Plbg LiclCert #
170792
Plbg LiclCert #
3202
Plbg LiclCert #
246943
D HVACD Elec
Mailing Address
P.O. BOX 423
Mailing Address
POBOX 423
Mailing Address
PO BOX 749
Mailing Address
PO BOX 184
Mailing Address
PO BOX 3904
D Plbg
~ Erosion
D Other:
D Constr
Telephone No.
OMRO
WI 54963 - 0000
NEENAH
Telephone No.
WI 54963 - 0 685-0241
Telephone No.
WI. 54957. 749 920-231-5946
Telephone No.
WI 54971 _ 184 920-748-5050
Telephone No.
WI 54903 - 3904 920-410-5933
,T N,R E(or)W
Block No.
OMRO
RIPON
OSHKOSH
1/4,
1/4,Section
Lot No.
91
Left
Forced Air Furnace
D Radiant Baseboard or Panel
D Heat Pump
D Boiler
~ Central Air Conditioning
Other
Nat. L.P. Oil Elec. Solid Sola
Ga
Space Htg D D D D D D
Water Htg ~ D D D D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: D Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
Living Area
1300
1300
516
Sewer
~ Municipal
D Septic
Permit No.
, Envelope 23666
Infiltration 15912
j"
r~l
D Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement D Other D Private On-Site Well 100000
The applicant agrees to comply with all applicable codes, statues and ordinances and with the conditions of this permit, understands that the issuance of
the permit creates no legal liability, express or im lied, on th epa ment or municipality; and certifies that all the above information is accurate.
Garage
APPLICANT'S SIGNATURE
APPROVAL CONDITIONS
DATE SIGNED
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
D Village ~ City D County D State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
$30.00
./ Construction
D HVAC
D Electrical
D Plumbing
~ Erosion
o
Name Nicole Krahn
Date 10/25/2006
$105.00
352288
Cert. No. 248101