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Home My WebLink About0128262-Building e CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3250 MOCKINGBIRD WAY Owner RUSCH HOMES No 128262 Create Date 12/1112007 Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan 058-1207 Type . Building o Sign o Canopy o Fence o Raze Zoning R-1 Class of Const: 8 Size Irrg Finished/Living Garage ~ Sq. Ft. ~ Sq. Ft. Rooms Bedrooms Height 25 Ft. o Projection I Baths 6 3 2 Stories Canopies Unfinished/Basement ~ Sq. Ft. Signs Foundation . Poured Concrete 0 Floating Slab o Concrete Block 0 Post o Pier 0 Other o Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units # Structures 1 Use/Nature NSFRI New single family. 1 story, 2 car attached garage 12' x 20' patio and driveway. of Work HV AC Contractor CONDON TOTAL COMFORT Plumbing Contractor SBS PLUMBING LLC Electric Contractor CUMINGS ELECTRIC INC Fees: Valuation $75.00 Permit Fee Paid $493.00 Park Dedication $200.00 $120,000.00 Plan Approval Issued By: Date 12/21/2007 Final/O.P. 00/00/0000 o Permit Voided I Parcelld # 1336050000 In the performance of this work I agree to perform all work pursuant to rules goveming 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 a necessary~p a before starting such activity. I have read and understan ,the.,i:! ore d information. Signature Date AgenVOwner Address POBOX 423 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. .r:>. 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N N N ~ - :::r ~ >- -9 ~ .~ ("" . ~~,., 125. 7' 0- I~ ~ ~ a cr -- co (9 0 0 co 2 0 C\I - CO ~ ~ ~ u CD C\I <0 0 cry ~ e OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 7474 Name RUSCH HOMES Address 3250 MOCKINGBIRD WAY Create Date 12/11/2007 Lot 5 Block Ward Subdivision Caseys Meadow Zone U Sidewalk Existing Street Number 3250 Mockingbird Lot Dimensions Building Grade Elevation Stakes Set At Site 12/12/2007 Set By EXISTING SW AT BOTH PL Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade esta has commenced. 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. 0128262 Parcel No. o Constr 0 HVAC 0 Elec 0 Plbg Mailing Address P.O. BOX 423 Plbg Lie/Cert # Mailing Address 879882 POBOX 423 Plbg Lie/Cert # Mailing Address 170792 PO BOX 749 Plbg Lie/Cert # Mailing Address 3202 PO BOX 184 Plbg Lie/Cert # Mailing Address 246943 4635 RED FOX RD S . ft. 1/4, Subdivision Name Caseys Meadow o Erosion o Other: Telephone No. OMROOSHKm 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 54904 - 7784 920-410-5933 ,T N,R E(or)W Block No. WI 54963. 0 OMRO NEENAH RIPON OSHKOSH 1/4,Section Lot No. 5 Left Living Area 1440 1440 484 Nat. L.P. 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. o Seasonal o Permanent 0 Municipal Utility o 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 i lied, on th 9 ment 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 0 City 0 County 0 State of: City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 Plan Review Inspection Wis. Permit Seal Other Total SBD-5823 (R. 07/92) $30.00 ./ Construction o HVAC o Electrical o Plumbing o Erosion o Name JOHN ZARATE Date 12/11/2007 $105.00 381609 Cert. No. 70330 e OSHKOSH ON THE WATER Job Address 3250 MOCKINGBIRD WAY PARKLAND DEDICATION FEE COLLECTION RECORD Date 12/21/2007 Name RUSCH HOMES Address P.O. BOX 423 OMROOSHKOSH WI 54963 Subdivision Caseys Meadow Lot 5 Building Permit Number 0128262 Number of Dwelling Units Number of Structures Fee Required $20~.00/J / J~/I~ Fee Paid Owner's Signature Date Inspector's Signature Date