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Home My WebLink About0104162-BuildingOSHKOSH ON THE WATER Job Address 1255 FAIRFAX ST Designer Category 110 - New Single Family Type · Buildiag (~) Sign Zoning R-1 CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Create Date Contractor RUSCH HOMES LLC (~) Canopy (~ Fence (~ Raze No 104162 08/29/2003 Plan El-122-0803R Class of Const: 8 Size Unfinished/Basement 1376 Sq. Ft. Rooms Finished/Living 1376 Sq. Ft. Bedrooms __ Garage 589 Sq. Ft. Baths 2 Foundation · Poured Concrete O Floating Slab (~) Pier O Other O Concrete Block (~ Post (~) Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units I 3 Height 17 Ft. [] Projection 3 Stories 1 Canopies Signs Height Permit .Not Required Ct Structures 1 Use/Nature ~SFPJ I story home with a 2 car attached garage, 14'x14' rear patio. of Work HVAC Contractor Electric Contractor Fees: Valuation Issued By: ~ CONDON TOTAL COMFORT CUMINGS ELECTRIC $100,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided J Plumbing Contractor HANSON QUALITY PLUMBING $380.00 Park Dedication $100.00 Date 09/15/2003 Final/O.P. 00/00/0000 In the performance of this work I agree to perform all work pursuant to ~ules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a par[y, if you perform the work described in this permit application/wi11~ an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to seco~"f~s W,~provals before starting such activity. Signature _.~,..~ ~/{,/( Date . Agent/Owner Address P O BOX 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. OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 7025 Name RUSCH HOMES LLC Address 1255 FAIRFAX ST Create Date 09/03~2003 Lot 35 Block Ward Subdivision 1st Add to Pheasant Creek Zone Street Number Lot Dimensions L__} Sidewalk Existing j Building Grade Elevation Stakes Set At Site 09/04/2003 Set By D.W.G. BK - 590, P - 69 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the grade est~blt~d ~efore excavation has commenced. Wiscomsin 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 wner's Name RUSCH HOMES LLC Contractor:~ Con[~ Elec[] RUSCH HOMES LLC Contractor: CUMINGS ELECTRIC Contractor: CONDON TOTAL COMFORT Contractor:~ Con HANSON QUALITY PLUMBING WISCONSIN UNIFORM BUILDING PERMIT APPLICATION c~t~o n No. [] Constr [] HVAC [~ Elec [] PIbg [] Erosion [] Other: Address P O BOX 423 Telephone No. 685-0241 OMRO WI 54963 - 0000 Mailing Address Telephone No. P O BOX 423 Omro WI 54963 - 0 685-0241 Lic/Oert # Mailing Address Telephone NO. 170792 PO BOX 749 1414 COUNTY RD JJ NEENAH Wi 54957 - 749 231-5946 RIPON WI54971 -184 Lic/Cert # Mailing Address 3202 11 BLACKBURN ST Lic/Cert # Mailing Address N BLUEMOUND RD Telephone No. (920) 748-5050 APPLETON Wi 54914 -0 Lot Area 1/4, 1/4,Section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 1255 FAIRFAX ST 1st Add to Pheasant Creek 35 District(s) Permit No. Front Rear Right Telephone NO. 730-0205 New ~ Repair [] Alteration [] Raze [] Addition [] Move [] Other: Single Family Entrance Panel Forced Air Furnace Two Family Size: [] Radiant Baseboard or Panel Garage ~ervice: [] Heat Pump Other (print): Overhead Boiler Underground Central Air Conditioning Dwelling unit will,have 3 kilowatt or more installed electric space heating equip [] Site Constructed Concrete Infiltration control option is: [] Full sealing Unfinished [] Manufactured Masonry Sewer ofjoints. [] Blower dcor test. [] Extedor Treated Wood Basement 1376 Sq. ff. [] Municipal ir infiltration barder. Other Living Area 1376 Sq. ff. 1-Story Septic ~ 2-Story Envelope 23479 BTU/HR Garage 589 Sq. ft. [] Other ~ Seasonal Infiltration 16842 BTU/HR Permanent Other [] Municipal Utility [] Plus Basement [] Private On-Site Well $150,000.00 The applicant agrees to comply with all applicable coded,ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, express ~on ~¢ Deg.~Jrt~ent or municipality; and certifies that all the above information is a~curat¢. 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 b~ State of: City Of Oshkosh Number of Dwelling Location: 7 0 2 6 6 Name Nicole Krahn Date 8/29/03 Cert. No. 248101 Plan Review $75.00 ;onstruction HVAC Inspection Electrical Wis. Permit Seal $30.00 Plumbing Other Erosion Total $105.00 SBD-6823 (R. 07/92) 292227 OSHKOSH ON THE WATER Job Address 1255 FAIRFAX ST Name RUSCH HOMES LLC Address P O BOX 423 Subdivision 1st Add to Pheasant Creek Building Permit Number 0104162 Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD OMRO Lot 35 Date 09/15/2003 WI 54963 1 $100.00 Number of Structures Fee Paid Date