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Home My WebLink About0143683-Building CITY OF OSHKOSH No 143683 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD R EYISE D ON THE WATER ;1 s Job Address 3324 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 10/13/2010 Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan UDC - 3167 - 1010 Type • Building - 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R - Class of Const: 8 Size IRR Unfinished /Basement 1352 Sq. Ft. Rooms 2 Height 14 Ft. ❑ Projection Finished /Living 1352 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage _ 528 Sq. Ft. Baths 2 Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ 1 story home with a 2 car attached garage. `This permit does not include a patio and /or deck. of Work HVAC Contractor GRANT SCHULTZ HEATING & COOLING Plumbing Contractor SBS PLUMBING LLC Electric Contractor BOE ELECTRIC LLC Fees: Valuation $90,000.00 Plan Approval $75.00 Permit Fee Paid $408.00 Park Dedication $200.00 Issued By: Date 10/18/2010 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 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 any necessary approvals before starting such activity. I have read and understand the afore mentioned information. Signature Date Agent/Owner Address P 0 BOX 423 OMRO WI 54963 - 0423 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. OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 7548 .3339 Name RUSCH HOMES LLC Address 'MOCKINGBIRD WAY Create Date 10/13/2010 Lot 24 Block Ward Subdivision Caseys Meadow Zone Street Number Lot Dimensions 61x120 1 Sidewalk Existing Building Grade Elevation Stakes Set At Site 10/18/2010 Set By D.W.G. BK - 622 , P - 63 Department of Public Works 1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. CITY OF OSHKOSH No 143683 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3332 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 10/13/2010 Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Plan UDC - 3167 -1010 Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRR Unfinished /Basement 1352 Sq. Ft. Rooms 2 Height 14 Ft. ❑ Projection Finished /Living 1352 Sq. Ft. Bedrooms 3 Stories 1 Canopies Garage 528 Sq. Ft. Baths 2 Signs Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupancy Permit Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use /Nature NSFR/ 1 story home with a 2 car attached garage. *This permit does not include a patio and /or deck. of Work HVAC Contractor GRANT SCHULTZ HEATING & COOLING Plumbing Contractor SBS PLUMBING LLC Electric Contractor BOE ELECTRIC LLC Fees: Valuation $90,000.00 Plan Approval $75.00 Permit Fee Paid $408.00 Park Dedication $200.00 Issued By: Date 10/18/2010 Final /O.P. 00 /00 /0000 ❑ Permit Voided Parcel Id # 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 'thin an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any nece a - .rovals before starting such activity. I have read and un a an t e • - - ntioned information. Signature � / Date Agent/Owner Address P 0 BOX 423 OMRO WI 54963 - 0423 Telephone Number 685 -0241 To schedule inspections please call the Inspection Request line at 236 -5128 notirhg 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. OSHKOSH PARKLAND DEDICATION FEE COLLECTION RECORD ON THE WATER Job Address 3332 MOCKINGBIRD WAY Date 10/18/2010 Name RUSCH HOMES LLC Address PO BOX 423 OMRO WI 54963 Subdivision Caseys Meadow Lot 23 Building Permit Number 0143683 Number of Dwelling Units 1 Number of Structures 1 Fee Required $200.00 1 Fee Paid Owner's Signature Date Inspector's Signature Date OSHKOSH GRADE STAKE FORM ON THE WATER Grade Stake Number 7548 Name RUSCH HOMES LLC Address 3332 MOCKINGBIRD WAY Create Date 10/13/2010 Lot 23 Block Ward Subdivision Caseys Meadow Zone Street Number Lot Dimensions 61x120 J Sidewalk Existing Building Grade Elevation Stakes Set At Site 10/13/2010 Set By Department of Public Works 1, the undersigned, owner or agent of the above described property agree to have the grade establi d fore excavation has commenced. �� Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0143683 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701 -2509 Wisconsin Statues 101.63, 101.73 ❑ Constr ❑HVAC ❑ Elec ❑ Plbg 0 Erosion ❑ Other: Owner's Name Mailing Address Telephone No RUSCH HOMES LLC PO BOX 423 OMRO WI 54963 - 0000 379 -7500 Contractor: Q Con/ Elec. HVAC • Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES LLC 879882 P 0 BOX 423 OMRO WI 54963 - 423 685 -0241 Dwelling Contr. Qualifier Lic/Cert # The Dwelling Contr. Qualifier shall be an owner, CEO, COB or employee of Timothy T. Rusch 879883 Dwelling Contr. Contractor: ❑ Con 0 Elec ❑ HVAC Plbg LiGCert # Mailing Address Telephone No. BOE ELECTRIC LLC 892422 4423 EUREKA RD OMRO WI 54963 - 9615 (920) 312 -1980 Contractor: • Con • Elec Q HVAC I. Plbg Lic/Cert # Mailing Address Telephone No. GRANT SCHULTZ HEATING & COOLING 891206 55 CRIMSON LN OSHKOSH WI 54902 _ 7298 (920) 216 -1616 Contractor: U Con • Elec U HVAC 121 Plbg Lic/Cert # Mailing Address Telephone No. SBS PLUMBING LLC 665479M 4635 RED FOX RD OSHKOSH WI 54904 - 7784 920 -410 -5933 k k „ Lot Area w,.� �i�� r S•. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 3332 MOCKINGBIRD WAY Caseys Meadow 23 Zoning District(s) Zoning Permit No. Front lijlIlllijIIIIIIIII Right Q New ❑ Repair Q Single Family Entrance Panel 0 Forced Air Furnace Natal Oil Elec. Solid Sola Alteration Two Famil ❑ Radiant Baseboard or Panel Fuel ❑ Ga ❑ Raze y Size: 200 am ❑ Addition ^ Garage Service: ❑ Heat Pump Space Htg 110000 ❑ ❑ Move ❑ Other (print): ❑ Overhead Q Underground ❑ Boiler Water Htg Q ❑ ❑ ❑ ❑ ❑ ❑ Other: Q Central Air Conditioning * 1 Dwelling unit will have 3 kilowatt or . .` + ' - - Other more installed electric space heating equip. - �� ._ Q Site Constructed 0 Concrete + '7,._..-".1.:_..„ w" . g Unfinished ❑ Manufactured ❑ Masonry Infiltration control o p tion is: ❑Full sealin ❑ T reated Wood Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 1352 Sq. ft. ❑ Q Municipal air infiltration barrier. ❑ Other Living Area 1352 Sq. ft. 0 1 -Story , ❑ Septic m ` ❑ 2 -Story . Permit No. Envelope Garage 528 Sq, ft, ❑ S e aso nal p BTU /HR ❑ Other Infiltration 8305 BTU /HR 0 Permanent 0 Municipal Utility - Plus Basement ❑ Other 0 ❑ Private On -Site Well 150000 I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the state or municipality; and certify that all the above information is accurate. If one acre or more soil will be disturbeb, I understand that this project is subject to ch.NR 151 regarding additional erosion control and stormwater management. I expressly grant the building inspector, or the inspector's authorized agent, permission to enter the premises for which this permit is sought at all yeas • - • e hours and for any proper purpose to inspect the work which is being done. ❑ I I vouch that I am or will be an owner - occupant of this dwelli , for h I am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the caution "'`"s re, : rd •ntractor responsibility on the Building Permit Application. • 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 ❑ Town ❑ Village 0 City ❑ County ❑ State of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 - 2 6 6 p / Plan Review $75.00 0 Construction Inspection ❑ HVAC Name Nicole Krahn Electrical Wis. Permit Seal $35.00 ❑ Plumbing Date 10/13/2010 Other 0 Erosion Total $110.00 ❑ 381728 Cert. No. 248101 SBD -5823 (R. 07/92) r r P 4 FC" ..,.._. 30' 13' " 91 7' 1 \L' allir rioexiva \\\)r _ , 1 \ ._ ...._ • ( •Pe._ -V i!: kasy-4--- \ / \