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Home My WebLink About0103383-BuildingOSHKOSH ON THE WATER ,Job Address 1265 FAIRFAX ST Designer Category 110 - New Single Family Type · Building (~ Sign Zoning R-1 CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Contractor RUSCH HOMES LLC Canopy (~ Fence Class of Const: 8 No 103383 Create Date 08/06/2003 Plan El-104-0803R 0 Raze Size IRR Unfinished/Basement 730 Sq. Ft. Rooms Finished/Living 1519 Sq. Ft. Bedrooms __ Garage 467 Sq. Ft. Baths 3 Foundation · Poured Concrete O Floating Slab (~) Pier (~) Concrete Block (~ Post (~ Treated Wood Occupancy Permit Required Flood Plain No Park Dedication Required # Dwelling Units Height Stories 2 Other 1 24 Ft. [] Projection Canopies 0 Signs 0 Height Permit Not Required # Structures 1 Use/Nature NSFR/2 story home with a 2 car attached garage, 14'x14' rear patio. of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC Fees: Valuation $95,000.00 Issued By: Plan Approval $75.00 Permit Fee Paid [] Permit Voided [ $365.00 Park Dedication $100.00 Date 06/07/2003 Final/O.P. 00/00/0000 In the performance of this wq. rk~agree to perform all work pumuant to rules governing the described construction. Signature ,~'~ ~//~,x~ Date Agent/Owner Address P O BOX 423 emro 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. 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. OSHKOSH ON THE WATER GRADE STAKE FORM Name RUSCH HOMES LLC Address 1265 FAIRFAX ST Lot 34 Block Ward Subdivision 1st Add to Pheasant Creek Zone Street Number Lot Dimensions Grade Stake Number 7006 Create Date 08/06/2003 b~Sidewalk Existing Building Grade Elevation Stakes Set At Site 08/06/2003 Set By D.W.G. BK - 590, P - 49 Department of Public Works I, the undersigned, owner or agent of the above described property agree to have the gra(~blished before excavation 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 ,Application No. BUILDING PERMIT 0103383 APPLICATION Parcel No. [] Constr [] HVAC [] Elec [] PIbg [] Erosion [] Other: Mailing Address PO BOX423 OMRO WI 54963 - 0000 Mailing Address P O BOX 423 Omro WI 54963 - 0 Mailing Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Mailing Address 11 BLACKBURN ST RIPON WI 54971 - 184 Mailing Address )wner's Name RUSCH HOMES LLC Contractor: [] Con[]] Elec'~ RUSCH HOMES LLC Contractor: CUMINGS ELECTRIC Contractor: TOTAL COMFORT Contractor:~ Con' HANSON QUALITY PLUMBING Building Address 1265 FAIRFAX ST Lot Area Telephone No. Telephone No. 885-0241 Telephone No. 231-5946 Telephone No. I920) 748-505O Telephone No. Subdivision Name 1st Add to Pheasant Creek APPLETON WI 54914 -0 730-0205 1/4, 1/4,Section ,T N,R E(or)W Lot No. Block No. 34 Zoning District(s) Permit No. Front Rear Left Right New [] Repair Single Family Entrance Pane[ Forced Air Furnace J []]] Alteration [~ Raze Two Family Size: [] I[] Garage Heat Pump Addition [] Move Other (pdnt): ~ Overhead Boiler [] Other: ~ 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 ofjointa. [] Blower door test. [] Extedor Basement _ __ 73~0 Sq. ft. Treated Wood [] Municipal air infiltration barrier. Living Area 1519 Sq. ft. l-Story Other [] Septic [] 2-Story Permit No. Envelope 23807 BTU/HR Garage 467 Sq. ft. [] Other ~ Seasonal infiltration 13819BTU/HR [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $150,000.00 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,/o~'~e,~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 L~ state of: Municipality Number of Dwelling Location: City Of Oshkosh 7 0 2 6 6 Plan Review $75.00 Construction HVAC Name Nicole Krahn Inspection Electrical Wis, Permit Seal $30.00 Plumbing Date 8/6/2003 Other Erosion Tota~ $105.00 [] 292218 Cert. No. 248101 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address 1265 FAIRFAX ST Name RUSCH HOMES LLC Address PO BOX 423 Subdivision 1st Add to Pheasant Creek Building Permit Number 0103383 Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD 1 $100.00 OMRO Lot 34 Date 06/07/2003 WI 54963 Number of Structures Fee Paid Owner's Signature Date Inspector's Signature Date