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Home My WebLink About0100986 B(~ CITY OF OSHKOSH OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1175 PHEASANT CREEK DR Owner RUSCH HOMES LLC Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family No 0100986 Create Date 04/11/2003 Plan E1-049-0403R Type IO Building ~ Sign ~ Canopy ~ Fence ~ Raze Zoning R-1 Class of Const: 8 Unfinished/Basement 1536 Sq. Ft. Rooms 4 Height 15 Ft. Finished/Living 1536 Sq. Ft. Bedrooms 3 Stories 1 Garage 450 Sq. Ft. Baths 2 Foundation O Poured Concrete (~ Floating Slab (~ Pier (~ Other (~ Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Height Permit Park Dedication Required # Dwelling Units 1 # Structures Size IRR ~J Projection I Canopies 0 Signs 0 Not Required 1 Use/Nature NSFR/1 story home with a 2 car attached garage, No patio or deck. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: CONDON TOTAL COMFORT CUMINGS ELECTRIC $100,000.00 Plan Approval $75.00 Plumbing Contractor HANSON QUALITY PLUMBING Permit Fee Paid $380.00 Park Dedication $100.00 Date 04/25/2003 Final/O.P. 00/00/0000 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Omro Address P O BOX 423 WI 54963 - 0000 Telephone Number 685-0241 OSHKOSH ON THE WATER Name RUSCH HOMES LLC GRADE STAKE FORM Address 1175 PHEASANT CREEK DR Lot 56 Block Subdivision 1st Add to Pheasant Creek Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 04/11/2003 Set By Grade Stake Number 6937 Create Date 04/11/2003 Ward d.w.g, other lot stake 2 week ago Sidewalk Existing 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. OSHKOSH ON THE WATER .lob Address 1175 PHEASANT CREEK DR Name RUSCH HOMES LLC Address P O BOX 423 Subdivision 1st Add to Pheasant Creek Building Permit Number 0100986 Number of Dwelling Units 1 Fee Required $100.00 PARKLAND DEDICATION FEE COLLECTION RECORD Date 04/25~2003 OMRO WI 54963 Lot 56 Number of Structures Fee Paid Owner's Signature Inspector's Signature Date Date Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0100986 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 P O BOX 423 OMRO WI 54963 - 0000 379-7500 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES LLC 879882 P O BOX 423 Omro WI 54963 - 0 685-0241 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. CUMINGS ELECTRIC 170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946 Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. CONDON TOTAL COMFORT 3202 11 BLACKBURN ST RIPON W 54971 - 184 (920) 748-5050 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. HANSON QUALITY PLUMBING 550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205 I Lot Area Sq. ft. 1/4, 1/4, Section , T N, R E(or)W Building Address Subdivision Name Lot No. Block No. 1175 PHEASANT CREEK DR 1st Add to Pheasant Creek 56 Zoning District(s) lZoning Permit No. Front Rear Left Right J __Setbacks ft ......... _f_t_: ft ft , .,.,~= ~=u~,~E. --~ ~r~-,, ~ .............................. L~J New [] Repair [] Single Family Entrance Panel L~J Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Sola [] Alteration [] Raze [] Two Family Size: 200 amp [] Radiant Baseboard or Panel Gas , [] Addition [] Garage Service: [] Heat Pump Space Htg [] [] [] [] [] [] [] Move [] Other (print): [] Overhead [] Boiler Water Htg [] [] [] [] [] [] [] Other: [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or ] 8~l~,lS~ ~Y~E ~ f~OND~ION [] Other = more installed electric space heating equip. [] Site Constructed · Concrete - Infiltration control option is: [] Full sealing Unfinished [] Manufactured · Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 1536 Sq. ft. S 8~IES · Treated Wood [] Municipal air infiltration barrier. Living Area 1536 Sq. ft. [] 1-Story · Other [] Septic [] 2-Story Permit No. Envelope 26501 BTU/HR Garage 450 Sq. ft. [] Other [] Seasonal Infiltration 18801 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $180,000.00 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 the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty see standard conditions of approval [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location: ~ll~BIB~lOl~,i City Of Oshkosh 7 0 - 2 6 6 ~IS UN!EORIVl ~ERMI~ ~ERIVlI~ iSSUED B~ ~SS=E= SE~ Ne ~ Construction Plan Review $75.00 _ HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 4/11/03 Other [] Erosion Total $105.00 · 292191 Cert. No. 248101 SBD-5823 (R. 07/92) CITY OF OSHKOSH OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1175 PHEASANT CREEK DR Owner RUSCH HOMES LLC Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Type · Building ~) Sign (~) Canopy (~ Fence (~ Raze No 0100986 Create Date 04/11/2003 Plan E1-049-0403R Zoning R-1 Class of Const: 8 Unfinished/Basement 1536 Sq. Ft. Rooms 4 Height Finished/Living 1538 Sq, Ft. Bedrooms 3 Stories Garage 450 Sq. Ft. Baths 2 Foundation · Poured Concrete (~ Floating Slab (~ Pier (~ Other (~ Concrete Block (~ Post (~) Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units 1 15 Ft. Size IRR [] Projection J Canopies 0 Signs 0 Height Permit Not Required # Structures 1 Use/Nature of Work qSFR/1 story home with a 2 car attached garage, No patio or deck. HVAC Contractor CONDON TOTAL COMFORT PI umbing Contractor HANSON QUAL~ITY PLUMBING Electric Contractor CUMINGS ELECTRIC IssuedFees: ValuatiOnBy: ~.$~0,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided $380.00 Park Dedication $100.00 Date 04/25/2003 FinallO.P. 00/00/0000 In the perforrr~_nce of this wofkl~ agree to perform .all work pursuant to rules governing the described construction. Signatur .... · Date Agent/Owner Address P O BOX 423 Omro WI 54963 - 0000 Telephone Number 685-0241 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. [] Constr [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address Telephone No. P O BOX 423 OMRO WI 54963 - 0000 379-7500 Lic/Cert # Mailing Address Telephone No. 879882 P O BOX 423 Omro WI 54963 - 0 685-0241 Lic/Cert # Mailing Address Telephone No. 170792 PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946 Lic/Cert # Mailing Address Telephone No. 3202 1 BLACKBURN ST RIPON Wl54971 - 184 (920) 748-5050 Lic/Cert # Mailing Address Telephone No. 550 N BLUEMOUND RD APPLETON WI 54914 - 0 730-0205 Sq. ft. 1/4, 1/4,Section ,T N,R E(or)W Owner's Name RUSCH HOMES LLC Contractor: L_~ Con[~ Elec'[-] HVAC l__J Plbg RUSGH HOMES LLC Contractor: L.__J Con L_~ ElecL_J HVACL_J Plbg CUMINGS ELECTRIC Contractor: ~_J Con ~ Elec~ HVAC [] Plbg CONDON TOTAL COMFORT Contractor: L_] Con [] Elecl~ HVAC[] Plbg HANSON QUALITY PLUMBING Lot Area Building Address 1175 PHEASANT CREEK DR District(s) Permit No. Subdivision Name Lot No. I Block No. I 1st Add to Pheasant Creek 56 Front Rear Left Right New [] Repair Single Family Entrance Panel Forced Air Furnace [] Alteration [] Raze Two Family Size: __ Radiant Baseboard or Pane Garage Service: [] Heat Pump [] Addition [] Move [] Other (print): [] Overhead [] Boiler [] Other: [] Underground [] Central Air Conditioning Fuel Space Htg Water Htg g unit will have 3 kilowatt or [] Site Constructed Concrete more installed electric space heating equip. Infiltration control option is: [] Full sealing Unfinished [] Manufactured [] Masonry Sewer of joints. [] Blower door test. [] Exterior Basement 1536 Sq. ff. [] Treated Wood [] Municipal ' air infiltration barrier. · ~' ',' Living Area 1536 Sq. ft. 1-Story [] Other [] Septic [] 2-Story Permit No. Envelope 26501 BTU/HR Garage 450 Sq. ff. [] Other [] Seasonal Infiltration 18801 BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $160,000.00 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, ex~r6¥~s,er, imp)ie~J, ~)n l;,he~e..oartmel~ or mu, picil3a~ity; and certities that all the above information is accurate. (Pi }, LO1A 17_ This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or APPROVAL CONDITIONS revocation of this permit or other penalty see standard conditions of approval [] Town [] Village [] City [] County ~.J State of: Municipality Number of Dwelling Location: CityOf Oshkosh 7 0 - 2 6 6 Plan Review $75.00 Construction HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 4/11/03 Other [] Erosion Total $105.00 [] 292191 Cert. No. 248101 SBD-5823 (R. 07192) OSHKOSH ON THE WATER Job Address PARKLAND DEDICATION FEE COLLECTION RECORD 1175 PHEASANT CREEK DR RUSCH HOMES LLC Date 04/25/2003 Name Address P O BOX 423 OMRO WI 54963 Subdivision 1st Add to Pheasant Creek Lot 56 Building Permit Number 0100986 Number of Dwelling Units 1 Number of Structures Fee Required Owner's Signature Inspector's Signature $100.00 Fee Paid Date Date o-, 2385, '- RECEIVED DEPARTmEnT ~ ~ COUMUNlW DEVEL~ ~ DISCLAIMER This map is neither a legally recorded map nor ~ I~ .,.~.~,,,..o,,.t~.~,o~..~,.,o.~. 1175 Pheasant Creek Drive~ ~ [ This dr~in~ i~ ~ ~ompilation of records, data and information located in various city, county Ci~ of Os~osh Wisconsin and state offices and other sources affecting the area shown and it is to be used for reference C o~i~ Development O~HKOfH purpose~ only. The City of O~hko~h i~ not re- . ................... sponsible for any inaccuracie~ herein contained. ~ - m 20~ o~ m~ w~l~ ..... If discrepencies are found, please ~ontact the City of Oshkosh. Created by- MLD 04/10/03