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Home My WebLink About0105884 B105884 CITY OF OSHKOSH No OSHKOSHBUILDING PERMIT - APPLICATION AND RECORD ON THE WATER FOX CITIES CONSTRUCTION CORP Job Address1075 PHEASANT CREEK DROwnerCreate Date12/19/2003 DesignerContractorFOX CITIES CONST CORP Category110 - New Single FamilyPlanE1-160-1203R TypeBuildingSignCanopyFenceRaze R-1 ZoningClass of Const:8SizeIRR Sq. Ft.Projection Unfinished/Basement1695Rooms4Height29Ft. Finished/Living 2372Sq. Ft.Bedrooms3Stories2Canopies0 Garage935Sq. Ft.Baths3Signs0 Poured ConcreteFloating SlabPierOther Foundation Concrete BlockPostTreated Wood Occupancy PermitRequiredFlood PlainNoHeight PermitNot Required Park DedicationRequired# Dwelling Units1# Structures1 NSFR/ 2 story home with a 3 car attached garage, 15'x15' rear concrete patio, and 24' wide driveway at the lot line. Use/Nature of Work HVAC ContractorMCM AIR INCPlumbing ContractorJIM'S PLUMBING & HEATING INC Electric ContractorSCHAFER ELECTRIC INC Fees: Valuation$198,000.00Plan Approval$75.00Permit Fee Paid$674.00Park Dedication$200.00 12/30/200300/00/0000 Issued By:DateFinal/O.P. 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. SignatureDate Agent/Owner 4614 RED FOX RDOSHKOSHWI549040000235-8008 Address-Telephone Number 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. GRADE STAKE FORM OSHKOSH Grade Stake Number7082 ON THE WATER NameFOX CITIES CONSTRUCTION CORPAddress1075 PHEASANT CREEK DRCreate Date12/19/2003 Block Lot80Ward Subdivision1st Add to Pheasant CreekZone Sidewalk Existing Street NumberLot Dimensions Building Grade Elevation Stakes Set At Site12/23/2003Set By D.W.G. BK - 593 , P - 22 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, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 0105884 Safety and Buildings Division P.O. Box 2509 Parcel No. APPLICATION Madison, WI 53701-2509 Wisconsin Statues 101.63, 101.73 PERMIT REQUESTED üü ConstrHVAC ElecPlbgOther: üü Erosion Owner's NameMailing AddressTelephone No. FOX CITIES CONSTRUCTION CORPP O BOX 3485OshkoshWI54903-0000235-8008 Contractor: üü ConElecHVACPlbg Mailing AddressTelephone No. Lic/Cert # FOX CITIES CONST CORP4614 RED FOX RDWI0 1305 OSHKOSH54904-235-8008 Contractor:Mailing AddressTelephone No. Con üü ElecHVACPlbg Lic/Cert # SCHAFER ELECTRIC INCWI0 6364 COUNTY ROAD ANEENAH54956-920-725-2031 Contractor:Mailing AddressTelephone No. ConElec üü HVAC Plbg Lic/Cert # 4264 WINNECONNEWI54986920-582-4402 MCM AIR INC6122 COUNTY ROAD M-9780 Contractor:Mailing AddressTelephone No. Con ElecHVAC üü Plbg Lic/Cert # JIM'S PLUMBING & HEATING INCGREENVILLE54942-0 W6166 GREENVILLE DRWI920-757-5258 Lot Area PROJECT LOCATION 1/4,1/4,Section,TN,RE(or)W Sq. ft. Building AddressSubdivision NameLot No.Block No. 1075 PHEASANT CREEK DR80 1st Add to Pheasant Creek Zoning District(s)Zoning Permit No.FrontRearLeftRight Setbacksft.ft.ft.ft. 1. PROJECT3. OCCUPANCY6. ELECTRICAL9. HVAC EQUIPMENT12. ENERGY SOURCE üü New üü Forced Air Furnace Nat.L.P.OilElec.SolidSolar üü Single Family Entrance Panel Repair Fuel Gas * Two FamilyRadiant Baseboard or Panel amp Alteration 200 Size: Raze Garage üü Space Htg Service: Heat Pump Addition Move Other (print):Overhead Water Htg Boiler üü Underground Other:Central Air Conditioning *Dwelling unit will have 3 kilowatt or 4. CONST. TYPE7. FOUNDATION Other more installed electric space heating equip. Concrete 2. AREA INVOLVED üü Site Constructed 10. PLUMBING Infiltration control option is:Full sealing Masonry Manufactured Unfinished Sewer of joints.Blower door test.Exterior Treated Wood Basement1695Sq. ft. air infiltration barrier. üü Municipal 5. STORIES Other 13. HEAT LOSS (Calculated) 1-Story Septic Living Area2372Sq. ft. 8. USE 73454 EnvelopeBTU/HR Permit No. üü 2-Story 935 GarageSq. ft. Seasonal 28466 InfiltrationBTU/HR Other 11. WATER üü Permanent 14. EST. BUILDING COST üü Municipal Utility Other $265,000.00 Plus BasementPrivate On-Site Well 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 State of: TownVillage üü CityCounty Municipality Number of Dwelling Location: ISSUING 7 0 - 2 6 6 City Of Oshkosh JURISDICTION PERMIT(S)WIS. UNIFORM PERMIT FEES:PERMIT ISSUED BY: ISSUEDSEAL NO. üü Construction Plan Review$75.00 Nicole Krahn Name HVAC Inspection Electrical Wis. Permit Seal$30.00 12/19/03 Plumbing Date üü Erosion Other 248101 Cert. No. 292245 $105.00 Total SBD-5823 (R. 07/92) PARKLAND DEDICATION FEE COLLECTION RECORD OSHKOSH ON THE WATER Job Address 1075 PHEASANT CREEK DRDate12/30/2003 NameFOX CITIES CONSTRUCTION CORP AddressP O BOX 3485OshkoshWI54903 Subdivision1st Add to Pheasant CreekLot80 Building Permit Number0105884 Number of Dwelling Units1Number of Structures1 Fee Required$200.00Fee Paid Owner's SignatureDate Inspector's SignatureDate