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HomeMy WebLinkAbout0110731-BuildingOSHKOSH ON THE WATER .lob Address 2915 HOMESTEAD DR Designer Ross Design Services CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner EXCELL HOMES & REALTY INC Contractor EXCELL HOMES & REALTY INC Category 110 - New Single Family No 110731 Create Date 09/23/2004 Plan F1-093-0904R Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze Zoning Class of Const: VB Size 56' x 61' Unfinished/Basement 1176 Sq. Ft. Rooms 5 Height 26 Ft. ~ Projection Finished/Living 2103 Sq. Ft. Bedrooms 3 Stories 2 Canopies Garage 915 Sq. Ft. Baths 3 Signs Foundation (~ 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 Residence w/attached garage, driveway, and patio 12' x 31'. of Work HVAC Contractor RASMUSSEN'S HEATING & A/C INC Plumbing Contractor WATTERS PLUMBING Electric Contractor SCHOMMER ELECTRICAL CONTRACTING I Fees: Valuation $149,500.00 Plan Approval $75.00 Permit Fee Paid $559.00 Park Dedication $200.00 Issued By: Date 09/23/2004 Final/O.P. 00/00/0000 Permit Voided Parcel Id # 1341980100 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 46 KIRKWOOD DR OSHKOSH WI 54904 - 6559 Telephone Number 920-231-1268 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 Name EXCELL HOMES & REALTY INC GRADE STAKE FORM Address 2915 HOMESTEAD DR Lot 2 Block Subdivision c.s.m. 5333 Zone Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 09/23/2004 Set By Grade Stake Number 7207 Create Date 09/23/2004 Ward 100' x 190.3' ~J 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. Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT 0110731 P.O. 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. EXCELL HOMES & REALTY INC Oshkosh WI 54901 - 0000 231-1268 Spec Contractor: L~J Con~J Elec~J HVAC ~J Plbg Lic/Cert # Mailing Address Telephone No. EXCELL HOMES & REALTY INC 271099 46 KIRKWOOD DR OSHKOSH WI 54904 - 6559 920-231-1268 Contractor: ~J Con ~J Elec~J HVAC~J Plbg Lic/Cert # Mailing Address Telephone No. SCHOMMER ELECTRICAL CONTRACTING INC 170465 N164 TWO MILE RD APPLETON WI 54914 - 9121 920-731-2299 Contractor: ~J Con ~J Elec~J HVAC [] Plbg Lic/Cert # Mailing Address Telephone No. RASMUSSEN'S HEATING & A/C INC 847492 5154 DAVID DR OSHKOSH W 54904 - 8850 920-235-6569 Contractor: ~J Con [] Elec [] HVAC [] Plbg bio/Cart # Mailing Address Telephone No. WATTERS PLUMBING PO BOX 118 MENASHA WI 54952 - 118 920-733-8125 I Lot Area sq. ft. 1/4, 1/4,section ,T N,R E(or)W Building Address Subdivision Name Lot No. Block No. 2915 HOMESTEAD DR c.s.m. 5333 2 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 1176 Sq. ft. · Treated Wood [] Municipal air infiltration barrier. Living Area 2103 Sq. ft. [] 1-Story · Other Garage 915 Sq. ft. [] 2-Story ~ [] Septic Permit No. Envelope 34507 BTU/HR [] Other [] Seasonal Infiltration 20141 BTU/HR [] Permanent [] Municipal Utility ~ ~ ~i ~ird~ ~ [] Plus Basement [] Other [] Private On-Site Well $240,000.00 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 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 Brian NoB Inspection Electrical Wis. Permit Seal $30.00 [~ Plumbing Date 9/23/O4 Other [] Erosion Total $105.00 · 326552 Cert. No. 70266 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address Name Address Subdivision c.s.m. 5333 Building Permit Number Number of Dwelling Units Fee Required PARKLAND DEDICATION FEE COLLECTION RECORD 2915 HOMESTEAD DR EXCELL HOMES & REALTY INC Date 09/23/2004 Oshkosh WI 54901 Lot 2 0110731 1 Number of Structures $200.00 Fee Paid Owner's Signature Inspector's Signature Date Date HOMESTEAD AVENUE ~00' DRIVEWAY AND GRAVEL ACCESS DRIVE 24' blAX O LOT UNE SILT FENCE 12' 14"- HOUSE ~SILT FENCE GARAGE~ 2~ ~) PLAN#2 - 2103 - 704 PASO 19'-6' 61'-0' 15' 19'-6' STOCK PILE ~1 COI3t, l,a~3tm. EXCELL HOMES ~ (~0) 4~6-]g~