HomeMy WebLinkAbout0110424-BuildingOSHKOSH
ON THE WATER
.lob Address 2981 HOMESTEAD DR
Designer Faber Building Center
CITY OF OSHKOSH
BUILDING PERMIT - APPLICATION AND RECORD
Owner DOUGLAS FLOURO
Contractor RICK SCHWARK
Category 110 - New Single Family
No 110424
Create Date 09/08/2004
Plan F1-090-0804
Type I(~ Building (~ Sign (~ Canopy (~ Fence (~ Raze
Zoning R-1 Class of Const: VB Size IRRG
Unfinished/Basement 1119 Sq. Ft. Rooms 6 Height 21 Ft. ~ Projection
Finished/Living 3711 Sq. Ft. Bedrooms 5 Stories 1 Canopies
Garage 1058 Sq. Ft. Baths 4 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 with attached garage, driveway, and covered porch as per plans.
of Work
HVAC Contractor UNKNOWN??? Plumbing Contractor WATTERS PLUMBING
Electric Contractor UNKNOWN????
Fees: Valuation $213,400.00 Plan Approval $75.00 Permit Fee Paid $751.00 Park Dedication $200.00
Issued By: Date 09/09/2004 Final/O.P. 00/00/0000
Permit Voided
Parcel Id # 1341990000
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 1000 TANGER LN WAUPAN WI 54963 - 0000 Telephone Number 920-324-8832
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 D,OUGLAS FLOURO
GRADE STAKE FORM
Address 2981 HOMESTEAD DR
Lot 1 Block
Subdivision csm 5324 Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 09/08/2004 Set By
Grade Stake Number 7201
Create Date 09/08/2004
Ward
irrg ~ Sidewalk Existing
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to ha~e grade established b~fore excavation
has commenced. ~'~- ¢~(X/~
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
Owner's Name
DOUGLAS FLOURO
Contractor:~} conE~ Elec'[~
:~[CK SCHWARK
Contractor:
UNKNOWN????
Contractor:
JNKNOWN???
Contractor: [] Con
PLUMBING
WISCONSIN UNIFORM IApplicetion No.
BUILDING PERMIT 1 0110424
APPLICATION Parcol No.
[] Constr [] HVAC [] Elec E~ Plbg [] Erosion [] Other;
Mailing Address Telephone No.
Oshkosh WI 54904 - 0000
Mailing Address Telephone No.
1000 TANGER LN WAUPAN WI 54963 - 0 920-324-8832
Mailing Address Telephone No.
Oshkosh WI 54901 ~ 0
Mailing Address Telephone No.
Oshkosh WI 54901 - 0
Mailing Address Telephone No.
MBNASHA WI 54952 - 118 920-733-8125
Lot Area
1/4, 1/4 ,Section ,T N, R E(or)W
Building Address :Subdivision Name Lot No. Block No.
2981 HOMESTEAD DR csm 5324
Zoning District(s) Zoning Permit No. Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace
[] Alteration [] Raze Two Family ~ Radiant Baseboard
Garage ~ Heat Pump
[] Addition [] Move Other (print): ~ Boiler
[] Other: Central Air Conditioning
Other
Overhead
Underground l unit will have 3 kilowatt or
Site Constructed Concrete more installed electric space heating equip.
Unfinished Manufactured Masonry Infiltration control option is: [] Full sealing
!Sewer of joints, [] Blower door test. [] Exterior
Basement 1119 Sq. f Treated Wood [] Municipal air infiltration barder.
LivingArea 3711 Sq. ft. l-Story Other [] Septic
Garage 1056 Sq. ft. [] 2-Story Permit No. Envelope 45259 BTU/HR
[] Other [] Seasonal Infiltrafion 31777 BTU/HR
Permanent [] Municipal Utility
[] Plus Basement Other [] Pdvate On-Site Well $278,952.00
The applicant agrees to comply with all ¢l:~,t[cable codes, statues and ordinances and with the conditions of this permit, understands that the ssuance of
the permit creates no legal liability, e:~ss (~r impJ~d, on ti:re Dep~me~t or municipality; and ce~ifies that all the above infor~afign is~umte./
This per t is issued pumuant to the following ~ndifions Failure to comply may result in suspension o~
APPROVAL CONDITIONS ,n,s pt~t ,f.~, .
revocation of this pe~it or other penalty
See Standard conditons of approval
[] Village [] City [] State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 2 6 6
Plan Review $75.00 Construction
HVAC Name Brian Noe
Inspection Electrical
Wis. Permit Seal $30.00 Plumbing Date 9/9/04
Other Erosion
Total $105.00 306866 Cert. No. 70266
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
J(Cb Address
Name
Address
Subdivision csm 5324
Building Permit Number
Number of Dwelling Units
Fee Required
Owner's Signature
Inspector's Signature
PARKLAND DEDICATION FEE COLLECTION RECORD
2981 HOMESTEAD DR
DOUGLAS FLOURO
Date 09/09/2004
Oshkosh WI 54904
Lot 1
0110424
Number of Structures 1
$200.00 Fee Paid
~ ~ ~'~-~ Date ~/~ ~/
Date
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