HomeMy WebLinkAbout0124274-Building
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OSHKOSH
ON THE WATER
Job Address 3230 MOCKINGBIRD WAY
CITY OF OSHKOSH
No
124274
BUILDING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Create Date
04/10/2007
Designer
Contractor RUSCH HOMES LLC
Category
110 - New Single Family Plan 015-0307
Type
. Building
o Sign
o Canopy.
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size
Unfinished/Basement
1361 Sq. Ft.
1361 Sq. Ft.
518 Sq. Ft.
Rooms
Height
16 Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
6
3
2
Stories
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
Use/Nature NSFRI New single family* 1 story with 2 car attached garage and a 14' x 14' concrete patio. The driveway will be 24' wide.
of Work
HV AC Contractor
GRANT SCHULTZ HEATING & COOLING
Plumbing Contractor SBS PLUMBING LLC
Electric Contractor ELECTRICAL CONTRACTING SPECIALISTS
Fees: Valuation
$105,000.00 Plan Approval
$75.00 Permit Fee Paid
$448.00 Park Dedication
$200.00
Issued By:
Date 04/17/2007
FinaIlO.P. 00/00/0000
D Permit Voided I
Parcelld # 1336070000
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 . in an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure a a provals before starting such activity.
Date
Y/r1/tJ7
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 (Le. 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 3230 MOCKINGBIRD WAY
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 04/17/2007
Name RUSCH HOMES
Address
P.O. BOX 423
OMRO
WI
54963
Subdivision Casey's Meadow
Lot 7
Building Permit Number 0124274
Number of Dwelling Units Number of Structures
Fee Required
$200.00
E/2"
Fee Paid
Owner's Signature
Date
't/t7/~,
Inspector's Signature
Date
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OSHKOSH
ON THE WATER
GRADE 51 AKE FQRM
Grade Stake Number 7434
Address 3230 MOCKINGBIRD WAY
Create Date 04/1 0/2007
Name RUSCH HOMES
Lot 7
Block
Ward
Subdivision Casey's Meadow
Zone
Street Number
Lot Dimensions
U Sidewalk Existing
Building Grade Elevation Stakes Set At Site 04/10/2007 Set By M.B. EX. SIDEWALK AT WEST END
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced. ~
Wisc;onsin 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.
0124274
Parcel No.
o Constr 0 HVAC 0 Elec
Mailing Address
P.O. BOX 423
Plbg Lic/Cert # Mailing Address
879882 POBOX 423
Mailing Address
PO BOX 42
Mailing Address
55 CRIMSON LN
Plbg Mailing Address
4635 RED FOX RD
o Plbg
~ Erosion 0 Other:
Telephone No.
OMRO WI 54963 - 0000
Telephone No.
OMRO WI 54963 - 0 685-0241
Telephone No.
920-428-7000
Telephone,No;
OSHKOSH WI 54902 - 7298 (920) 216-1616
Telephone No.
OSHKOSH WI 54904 - 7784 920-410-5933
S . ft.
Subdivision Name
Casey's Meadow
1/4,
1/4,Section ,T
Lot No.
7
Left
N,R E(or)W
Block No.
Living Area
1361
518
./ Concrete
o Masonry
o Treated Wood
o Other
1361
o Seasonal
~ Permanent ~ Municipal Utility
~ Plus Basement 0 Other 0 Private On-Site Well
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 implied, on t e rtment or municipality; and certifies that all the above information is accurate.
Garage
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
o Village ~ City 0 County D. 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 4/10/2007
Other ~ Erosion
Total $105.00 0 352310 Cert. No. 70330
SBD-5823 (R. 07/92)
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