HomeMy WebLinkAbout0099011-BuildingOSHKOSH
ON THE WATER
Job Address
Designer
Category
Type
2739 HAMILTON ST
110 - New Single Family
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Contractor CREATIVE CUSTOM HOMES, INC
· Building O Sign O Canopy O Fence O Raze
No 0099011
Create Date 10/10/2002
Plan D1-153-1002R
Zoning R-1 Class of Const: 8
Unfinished/Basement 783 Sq. Ft. Rooms 6 Height 26 Ft.
Finished/Living 1563 Sq. Ft. Bedrooms 3 Stories 1
Garage 823 Sq. Ft. Baths 2
Foundation · Poured Concrete O Floating Slab O Pier (~ Other
(~) Concrete Block (~) Post O Treated Wood
Occupancy Permit Required Flood Plain No Height Permit
Park Dedication Required # Dwelling Units 1 # Structures
Size Irrg
[] Projection
Canopies
Signs
Not Required
Use/Nature '4SFPJ New single family Home, 2 story, 2 car attached garage. 12' x 12' patio.
of Work
HVAC Contractor VANS HEATING & NC INC
Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
Fees: Valuation $89,000.00 Plan Approval $75.00 Permit Fee Paid $347.00 Park Dedication $0.00
Issued By: ~'~' Date 12/10/2002 Final/O.P. 00/00/0000
[] Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~ Date
Agent/Owner
Address 1087 VELP AVE GREEN BAY WI 54303 - 0000 Telephone Number
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Name CREATIVE CUSTOM HOMES Address 2739 HAMILTON ST
Lot 135 Block
Subdivision Rusch Kienast 2nd Add't. Zone
Street Number Lot Dimensions
Building Grade Elevation Stakes Set At Site 10/11/2002 Set By KN 584 / 6
Grade Stake Number 6836
Create Date 10/10/2002
Ward
L_J. Sidewalk Existing _d
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,
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
CREATIVE CUSTOM HOMES
Contractor:
Contractor:
Building Address
2739 HAMILTON ST
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
IApplication No.
[] Constr [] HVAC [] Elec
[] Plbg [] Erosion [] Other:
Lot Area
Mailing Address
1087 VELP AVE
Telephone No.
GREEN BAY WI 54303- 0000
Mailing Address Telephone No.
1087 VELP AVE GREEN BAY WI 54303 - 0
Mailing Address Telephone No.
2886 OAK STREAM DR DE PERE WI 54115 - 0 920-532-0110
Mailing Address Telephone No.
525 BUTLER ST DEPERE WI54115 -5426 (920) 336-2816
Mailing Address Telephone No.
550 N BLUEMOUND RD APPLETON WI 54914 -0 730-0205
1/4, 1/4,Section ,T N,R E(or)W
Lot No. Block No.
135
Subdivision Name
Rusch Kienast 2nd Add't.
Permit No. Front Rear Left Right
New [] Repair Single Family Entrance Panel Forced Air Furnace
Fuel
[] Alteration [] Raze Two Family Size: 200 am [] Radiant Baseboard or Panel
Garage Service: [] Heat Pump Space Htg
[] Addition [] Move [] Other (print): [] Overhead [] Boiler Water Htg
[] Other: [] Underground [] Central Air Conditioning ~ g unit will have 3 kilowatt or
[] Site Constructed Concrete Other more installed electric space heating equil
Infiltration control option is: [] Full sealing
Unfinished [] Manufactured Masonry Sewer of joints. [] Blower door test. [] Extedor
Basement 783 Sq. ft. Treated Wood [] Municipal air infiltration barrier.
Living Area 1563 Sq. ff. 1~Story Other [] Septic
[] 2-Story Permit No. Envelope 23606 BTU/HR
Garage 823 Sq. ff. [] Other [] Seasonal Infiltration 14358 BTU/HR
[] Permanent [] Municipal Utility
[] Plus Basement [] Other [] Private On-Site Well $116,000.00
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 ore. lied, on the D~epartrr~nt or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE ~, c~/~)~./.~,./,j~' ,~/,.,~_ DATE SIGNED '~. J~-JZ~-f-~
This permit is i;s~e-~ ~uf~t to th~ following conditions. Failure to comply may result in'~u-spension or
APPROVAL CONDITIONS revocation of this permit or other penalty
SEE "STANDARD CONDITIONS OF APPROVAL" SHEET
Town [] Village [] City [] County I I State of: Municipality Number of Dwelling Location:
City Of Oshkosh 7 0 - 2 6 6
Plan Review $75.00 Construction
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 [] Plumbing Date 11/22/2002
Other [] Erosion
Total $105.00 [] 275835 Cert. No. 70330
SBD-5823 (R. 07/92)
OSHKOSH
ON THE WATER
Job Address
Name
Address
Subdivision
Building Permit Number
Number of Dwelling Units
Fee Required
PARKLAND DEDICATION FEE COLLECTION RECORD
2739 HAMILTON ST
CREATIVE CUSTOM HOMES
1087 VELP AVE
Rusch Kienast 2nd Add't.
0099011
1
$100.00
Owner's Signature
Inspector's Signature
Date 12110/2002
GREEN BAY WI 54303
Lot 135
Number of Structures
Fee Paid
Date