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Home My WebLink About0103381-Building CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Create Date Designer Contractor RUSCH HOMES LLC Category 110 - New Single Family Type · Building (~ Sign (~) Canopy (~) Fence (~ Raze Zoning R-1 Class of Const: 8 OSHKOSH ON THE WATER Job Address 1275 FAIRFAX ST No 103381 08/06/2003 Unfinished/Basement 1176 Sq. Ft. Rooms 3 Height Finished/Living 1176 Sq. Ft. Bedrooms 3 Stories 1 Garage 528 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 I 17 Ft. Plan El-102-0703R Size IRR Height Permit Not Required # Structures 1 [] Projection Canopies Signs Use/Nature of Work 4SFPJ 1 stow home with a 2 car attached garage, 14'x14' rear patio. HVAC Contractor CONDON TOTAL COMFORT Electric Contractor CUMINGS ELECTRIC Fees: Valuation $80,000.00 Plan Approval Issued By: ~"~3 $75.00 Permit Fee Paid [] Permit Voided J Plumbing Contractor HANSON QUALITY PLUMBING $320.00 Park Dedication $100.00 Date 08/07/2003 Final/O.P. 00/00/0000 In the performance of this work~/orm all work pumuant to rules governing the described construction. Signature ,)(. [~t c..-. [{"'/(/I Date ~ Agent~Owner Address P O BOX 423 Omre 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 Name RUSCH HOMES LLC Lot 33 Subdivision let Add to Pheasant Creek Street Number GRADE STAKE FORM Address 1275 FAIRFAX ST Grade Stake Number 7004 Create Date 08/06/2003 Block Ward Zone Lot Dimensions [~Sidewalk Existing BuildingGradeElevationStakesSetAtSite 08/06/2003 SetBy 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 grade established 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 ~)wner's Name RUSCH HOMES LLC Contractor: [] conE~ Elec[] RUSCH HOMES LLC Contractor: CUMINGS ELECTRIC Contractor: CONDON TOTAL COMFORT Contractor:~ Con HANSON QUALITY PLUMBING Building Address 1275 FAIRFAX ST [] Constr Zoning District(s) Zoning Permit No. WISCONSIN UNIFORM Application No. BUILDING PERMIT 0103381 APPLICATION Parcel No. [] HVAC [] Elec [] Plbg [] Erosion [] Other; Mailing Address P O BOX 423 Telephone No. 685-0241 OMRO WI 54963 - 0000 Mailing Address Telephone No. P O BOX 423 Omre WI 54963 - 0 685-0241 Mailing Address Telephone No. PO BOX749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 231-5946 Mailing Address Telephone No. 11 BLACKBURN ST RIPON WI 54971 - 184 (920) 748-5050 Mailing Address Telephone No. RD APPLETON WI 54914 -0 730-0205 1/4, 1/4,Section ,T N,R E(or)W Subdivision Name Lot No. Block No. 1st Add to Pheasant Creek 33 Front Rear Left Right New [] Repair Single Family [] Alteration [] Raze Two Family Garage [] Addition [] Move Other (print): [] Other: Unfinished Basement 1176 Sq. ft. Living Area 1176 Sq. ff. l-Stow [] 2-Story Garage 528 Sq. ff. [] Other [] Site Constructed [] Manufactured Envelope _ [] Seasonal [efiltrafion [] Permanent [] Municipal Utility [] Plus Basement [] Other [] Private On-Site Well $135,000.00 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/th~Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE /~. ~'~--t DATE SIGNED ~ Entrance Panel Forced Air Fumace Fuel Size: [] Radiant Baseboard or P Service: [] Heat Pump Space Overhead Boiler Water Htg Underground Central Air Conditioning unit will have 3 kilowatt or Other more installed electdc s Concrete Infiltration control option is: [] Full sealing Masonw Sewer of joints. [] Blower door test. [] Extedor Treated Wood [] Municipal air infiltration barrier. Other [] Septic Permit No. 22451 BTU/HR 14394 BTU/HR 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: 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 Total $105.00 292217 Cert. No. 248101 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER .lOb Address 1275 FAIRFAX ST Name RUSCH HOMES LLC Address P O BOX 423 Subdivision 1st Add to Pheasant Creek Building Permit Number Number of Dwelling Units Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD 0103381 1 $100.00 OMRO Lot 33 Date 08/07/2003 WI 54963 Number of Structures Fee Paid Date Date