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Home My WebLink About0145937-Building (4-&) CITY OF OSHKOSH No 145937 OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3340 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 05/09/2011 Designer Contractor RUSCH HOMES LLC Inspector Nicole Krahn Category 110 - New Single Family Plan UDC - 3273 -0511 Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning R -1 Class of Const: 8 Size IRR Unfinished /Basement 590 Sq. Ft. Rooms 4 Height 22 Ft. ❑ Projection Finished /Living 2030 Sq. Ft. Bedrooms 4 Stories Quad -level Canopies Garage 672 Sq. Ft. Baths 3 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/ Quad level home with a 2 car attached garage. This permit does not include a deck, patio or driveway. (The contractor is of Work required to have a valid building contractor license) HVAC Contractor GRANT SCHULTZ HEATING & COOLING Plumbing Contractor SBS PLUMBING LLC Electric Contractor HULLAR ELECTRIC LLC Fees: Valuation $110,000.00 Plan Approval $75.00 Permit Fee Paid $468.00 Park Dedication $200.00 Issued By: ( Date 05/17/2011 Final /O.P. 00 /00 /0000 ❑ Permit Voided I 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 eas ment, the City strongly urges the permit applicant to contact the easement holder(s) and to secure an sary rova before starting such activity. I have read and understand t o •fore ntio d i ormation. 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. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0145937 P.O. Box 2509 APPLICATION Parcel No. Madison, WI 53701 -2509 Wisconsin Statues 101.63, 101.73 { ❑ Constr ❑ HVAC ❑ Elec ❑ Plbg ® Erosion ❑ Other: Owner's Name Mailing Address Telephone No. RUSCH HOMES LLC PO BOX 423 OMRO WI 54963 - 0000 379 -7500 Contractor: 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 ® Elec ❑ HVAC❑ Plbg Lic/Cert # Mailing Address Telephone No. HULLAR ELECTRIC LLC 850812 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 (920) 233 -3667 Contractor: • Con • Elec ►1 HVAC • Plbg Lic/Cert # Mailing Address Telephone No. GRANT SCHULTZ HEATING & COOLING 891206 55 CRIMSON LN OSHKOSH WI 54902 _ 7298 (920) 216 -1616 Contractor: • Con • Elec • HVAC ► ∎/ Plbg Lic/Cert # Mailing Address Telephone No. SBS PLUMBING LLC 665479M' 4635 RED FOX RD OSHKOSH wi 54904 - 7784 920 -410 -5933 ,z Lot Area S.. ft. 1/4, 1 /4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 3340 MOCKINGBIRD WAY Casey's Meadow 22 Zoning District(s) Zoning Permit No. Front Right � � �:. .,. � mow illEi 1 �' r ,: '- .d 9 mo d - Oa . 2 - , xt *"n a" , s� .,. a'�"�S`i;�� , .��rA�s".� f w�� -,, C v6 v�1�' .?"- 5�s��a"msA � "�,�� A�� a a'..a" I New ❑ Repair /i1 Single Family Entrance Panel ►I Forced Air Furnace Nat IN Oil Elec. Solid Sola ❑ Alteration Two Family Size: 200 am. ❑ Radiant Baseboard or Panel Fuel Ga * ❑ Raze — e El Gara Addition Garage Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ [1 ❑ ❑ ❑ Move Q Other (print): ❑ Overhead ❑ Boiler Water Htg ® ❑ E] CI CI ® Underground ❑ Other: ® Central Air Conditioning * I♦ Dwelling unit will have 3 kilowatt or _ ,F� � 1 Other more installed electric space heating equip. .. a'�x ®Site Constructed Concrete .1 � Infiltration control option is: ❑ Full sealing Unfinished ❑ Manufactured ❑ Masonry Sewer of joints. ❑ Blower door test. ❑ Exterior Basement 590 Sq ft. a , ❑ Treated Wood Municipal air infiltration barrier. Living Area 2030 Sq. ft. Cl 1 Story ❑ Other. ❑ Septic �. ❑ 2 -Story ° - Permit No. Envelope45861 BTU /HR Garage 672 Sq. ft. ® Other ❑ Seasonal Infiltration 16034 BTU /HR Quad -level /�/ Permanent ® Municipal Utility w a,a ® Plus Basement ❑ Other ❑ Private On -Site Well 180000 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 reasonable h. rs and for any proper purpose to inspect the work which is being done. ❑J I vouch that I am or will be an owner - occupant of this dwellin • for w/' 1 am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the cautionary sta w regardi , .. n ctor responsibility on the Building Permit Application. APPLICANTS 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 .. Village County State of: � ❑ Town ❑ Vill g ® City ❑ ty ❑ Municipality Number of Dwelling Location: City Of Oshkosh 7 0 2 6 6 I _:,, v"u A°t- .s§•-.a�''.'r �rz � -:`' a _ �v�, ,� ,,' D S� 'v � 4 .° ?F'" �'.. , �:g. ,'%�� 4� mp- v $' - ,. .;. ' . v w' ;. s re,. .- !'^:'... ,� . r f ., ' "� r vs ,u +,,5 a a' ,u+P� ". �' l 4 r �° a v r..; " ..a.. "� ° ", � yr �,.:�`.. � � � m m , � ::"° -°^, �"�`fa°�"u'�'�. i�:s�`$Gt�� " fi, 3 k"'v. ,�`k y ^F: d �"a',.`r. . "�`�. , � s . . ; ,. r � E :. �,�., r".�' ��: ,�� a ,�`� k•��,±... ��, " � ¢ £� � r'u �� „ �.' Plan Review $75.00 ►41 Construction Inspection ❑ HVAC Name Nicole Krahn ❑ Electrical Wis. Permit Seal $35.00 ❑ Plumbing Date 5/9/2011 Other ® Erosion Total $110.00 ❑ 381736 Cert. No. 248101 SBD -5823 (R. 07/92)