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~