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OSHKOSH
ON THE WATER
Job Address 3120 BAILEY CT
CITY OF OSHKOSH No 123892
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 03/15/2007
Designer
Contractor RUSCH HOMES LLC
Category
110- New Single Family Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size Irrg
UnfinishedlBasement ~ Sq. Ft.
Rooms
Height
20 Ft.
o Projection I
FinishedlLiving
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
6
3
2
Stories
Canopies
Garage
Baths
Signs
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 Required
# Dwelling Units
# Structures
UselNature NSFRI New single family' 1 story with 3 car attached garage and 14' x 14' patio.
of Work i
HV AC Contractor
CONDON TOTAL COMFORT
Plumbing Contractor
PLUMBING CONTRACTOR SPECIALIST
Electric Contractor CUMINGS ELECTRIC INC
Fees: Valuation $125,000.00 Plan Approval
Issued By: ~W
$75.00 Permit Fee Paid
$508.00 Park Dedication
$200.00
Date 03122/2007
FinaIlO.P. 0010010000
o Permit Voided I
Parcelld # 1342950900
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 s r n es ry 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
Job Address 3120 BAILEY CT
PARKLAND DEDICATION FEE COLLECTION RECORD
Name RUSCH HOMES LLC
Address
P.O. BOX 423
Subdivision 2nd Add't Pheasant Creek
Building Permit Number 0123892
aMRa
Lot 93
Date 03/22/2007
WI
54963
Fee Required
Number of Dwelling Units Number of Structures
Owner's Signature
Inspector's Signature
$200.00
r::f2?
,
Fee Paid
/'
Date
Date
G
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 7427
Name RUSCH HOMES LLC
Address 3120 BAILEY CT
Create Date 03/15/2007
Lot 93
Block
Ward
Subdivision 2nd Add't Pheasant Creek
Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 03/16/2007 Set By D.W.G. BK - 613, P - 60
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grad.e. esta~:d before excavation
has commenced. r , ~
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
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0123892
Parcel No.
o Constr 0 HVAC 0 Elec 0 Plbg
Mailing Address
P.O. BOX 423
Plbg Lic/Cert # Mailing Address
879882 POBOX 423
Plbg Lic/Cert # Mailing Address
170792 PO BOX 749
Plbg Lic/Cert # Mailing Address
3202 PO BOX 184
Lic/Cert # Mailing Address
230863 1226 CHELSEA CT
S . ft. 1/4,
Subdivision Name
2nd Add't Pheasant Creek
Front
~ Erosion
o Other:
RIPON
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
OMRO
NEENAH
MENASHA
WI 54952 - 0
,T N,R
Block No.
E(or)W
1/4,Section
Lot No.
93
Left
Living Area
Garage
1731
1731
713
Nat. L.P. Oil Elec. Solid Sola
Gas
Space Htg ~ 0 0 0 0 0
Water Htg ~ 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.
~ Plus Basement
The applicant agrees to comply with all applicable codes,
the permit creates no legal liability, express or i~
APPLICANT'S SIGNATURE f..z...-,
~ Municipal Utility
o Private On-Site Well 150000
atues and ordinances and with the conditions of this permit, understands that the issuance of
e epartment or municipality; and certifies that all the above information is accurate.
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
o Village ~ City 0 County 0 State of:
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review Construction
o HVAC Name JOHN ZARATE
Inspection o Electrical
Wis. Permit Seal $30.00 o Plumbing Date 3/15/2007
Other ~ Erosion
Total $105.00 0 352303 Cert. No. 70330
SBD-5823 (R. 07/92)