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Home My WebLink About0105410-BuildingOSHKOSH ON THE WATER .lob.Address 1240 FAIRFAX ST Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner RUSCH HOMES LLC Contractor RUSCH HOMES LLC Category 110 - New Single Family No 105410 Create Date 11/04/2003 Plan El-144-1003R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning R-1 Class of Const: 8 Size Unfinished/Basement 1538 Sq. Ft. Rooms 8 Height 18 Ft. ~J Projection Finished/Living 1538 Sq. Ft. Bedrooms 3 Stories 2 Canopies Garage 450 Sq. Ft. Baths 3 Signs Foundation O Poured Concrete (~) Floating Slab (~) Pier (~) Other (~) Concrete Block (~) Post (~) Treated Wood Occupancy Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 1 # Structures 1 Use/Nature NSFR/ New single family, 1 story with 2 car attached garage and a 14' x 14' patio. of Work HVAC Contractor CONDON TOTAL COMFORT Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor CUMINGS ELECTRIC Fees: Valuation $100,000.00 Plan Approval $75.00 Permit Fee Paid $380.00 Park Dedication $200.00 Issued By: Date 11/20/2003 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. 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. 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. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT o1o541o P.e. 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 eMRe WI 54963 - 0000 Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. RUSCH HOMES LLC 879882 P e BOX 423 emro 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 NEENAH WI 54957 - 749 231-5946 Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. CeNDeN TOTAL COMFORT 3202 11 BLACKBURN ST RIPEN 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. 1240 FAIRFAX ST 1 st Add't Pheasant Creek 25 Zoning District(s) Zoning Permit No. Front ft. Rear Left Right Setbacks ft. ft ft ~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 [] [] [] [] [] [] [] Underground [] Central Air Conditioning * ~J Dwelling unit will have 3 kilowatt or [] Other: [] Other [] 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. ft. · Treated Wood [] Municipal air infiltration barrier. Living Area 1536 Sq. ft. [] 1-Story · Other Garage 450 Sq. ft. [] 2-Story ~ [] Septic Permit No. Envelope 26501 BTU/HR [] Other [] Seasonal Infiltration 18801 BTU/HR [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~ [] Plus Basement [] Other [] Private On-Site Well $120,000.00 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" SHEET I~I1'-,1~ [] Town [] Village [] City [] County ~J State of: Municipality Number of Dwelling Location: ~i~Bi~l~N City Of Oshkosh 7 0 - 2 6 6 ~ Construction Plan Review $75.00 _ HVAC Name JOHN ZARATE Inspection Electrical Wis. Permit Seal $30.00 [] Plumbing Date 11/4/03 Other [] Erosion Total $105.00 · 292185 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER .lob Address 1240 FAIRFAX ST Name RUSCH HOMES LLC Address P.O. BOX 423 Subdivision 1st Add't Pheasant Creek Building Permit Number 0105410 Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD Date 11/20/2003 OMRO WI 54963 Lot 25 1 Number of Structures $200.00 Fee Paid Owner's Signature Inspector's Signature Date Date OSHKOSH ON THE WATER Name RUSCH HOMES LLC GRADE STAKE FORM Address 1240 FAIRFAX ST Lot 25 Block Subdivision 1st Add't Pheasant Creek Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 11/05/2003 Set By Grade Stake Number 7060 Create Date 11/04/2003 Ward D.W.G. BK-593, P-41 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.