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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