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HomeMy WebLinkAbout0099012-BuildingOSHKOSH ON THE WATER Job Address 2749 HAMILTON ST Designer CITY OF OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD Owner CREATIVE CUSTOM HOMES Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Type · Building Sign O Canopy (~ Fence (~ Raze No 0099012 Create Date 10/10/2002 Plan D1-154-1002R Zoning R-1 Unfinished/Basement Finished/Living Garage Foundation Occupancy Permit Park Dedication Class of Const: 8 1443 Sq. Ft. Rooms 6 Height 1443 Sq. Ft. Bedrooms 3 Stories 1 434 Sq. Ft. Baths 2 · Poured Concrete O Floating Slab (~ Pier O Other O Concrete Block (~ Post O Treated Wood Required Flood Plain No Required # Dwelling Units 1 18 Ft. Size Irrg [] Projection] Canopies 0 Signs 0 Height Permit Not Required # Structures Use/Nature of Work '4SFR/ New single family, I story, 2 car attached garage. 12' x 12' Patio HVAC Contractor VANS HEATING & A/C INC Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor MIKE DELSART ELECTRIC INC Fees: Valuation Issued By: $86,000.00 Plan Approval $75.00 Permit Fee Paid [] Permit Voided $338.00 Park Dedication $0.00 Date 12/10/2002 FinallO.P. 00/00/0000 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 Name CREATIVE CUSTOM HOMES Lot 134 Subdivision Rusch Kienast 2nd Add't Street Number Building Grade Elevation Stakes Set At Site GRADE STAKE FORM Block Zone Address 2749 HAMILTON ST Grade Stake Number 6837 Create Date 10/10/2002 Ward Lot Dimensions L.._[ Sidewalk Existing 10/11/2002 Set By kn 584 / 6 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. ~ Wiscchqsin 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 [] Constr Owner's Name CREATIVE CUSTOM HOMES Contractor: L~J Co,]--~ Elec'~ HVAC I I Plbg CREATIVE CUSTOM HOMES, INC Contractor: L._J Con ~j ElecL_~ HVAC~_J Plbg MIKE DELSART ELECTRIC INC Contractor: L_J Con L_J ElecL~ HVAC [] Plbg VANS HEATING & NC INC Contractor:l I Con [] Elecr~ HVAC[] Plbg HANSON QUALITY PLUMBING Lot Area Building Address 2749 HAMILTON ST WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. [] HVAC [] Elec [] Plbg [] Erosion [] Other: Mailing Address Telephone No. 1087 VELP AVE GREEN BAY WI 64303 - 0000 Lic/Cert # Mailing Address Telephone No. 679085 1087 VELP AVE GREEN BAY WI 54303 - 0 Lic/Cert # Mailing Address Telephone No. 170942 2886 OAK STREAM DR DE PERE WI 54115 - 0 920-532-0110 Lic/Cert # Mailing Address Telephone No. 3941 525 BUTLER ST DEPERE WI 54115 - 6426 (920) 336-2816 Lic/Cert # Mailing Address Telephone No. 550 N BLUEMOUND RD APPLETON WI 54914 -0 730-0205 Sq. ft. Subdivision Name 1/4, 1/4,SectiOnLot No. ,T N,R E(or)W Rusch K enast 2nd Add't 134 Block No. Permit No. Front Rear Left Right New [] Repair Single Family [] Alteration [] Raze Two Family Garage [] Addition [] Move [] Other (pdnt): [] Other: Unfinished Basement 1443 Sq. ft. Living Area 1443 Sq. ft. Garage 434 Sq. ft. [] Site Constructed [] Manufactured [] 2-Story [] Other [] Plus Basement Entrance Panel Forced Air Furnace Size: 200 am [] Radiant Baseboard or Panel Service: [] Heat Pump r-~[] Overhead [] Boiler u Underground Central Air Conditioning Other Concrete Masonry [] Treated Wood [] Seasonal [] Permanent [] Other Sewer [] Municipal [] Septic Permit No. [] Municipal Utility [] Private On-Site Well Fuel Space Htg Water Htg unit will have 3 kilowatt or more installed electric space heating equip.I Infiltration control'option is: [] Full sealing of joints. [] Blower door test. [] Exterior air infiltration harder. Envelope 25763 BTU/HR Infiltration 17662 BTU/HR $113,000.00 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_Dc.implied, on the r3epartj'nent or municipality; and certifies that all the above information is accurate. APPROVAL CONDITIONS This permit is issue~d ~"~ant to the-following conditions. Failure to comply may result in suspension or , revocation of this permit or other penalty SEE "STANDARD CONDITIONS OF APPROVAL" SHEET [] Town [] Village [] City [] County U 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 Tota~ $105.00 [] 275834 Cert. No. 70330 SBD-5823 (R. 07/92) OSHKOSH ON THE WATER Job Address 2749 HAMILTON ST Name CREATIVE CUSTOM HOMES Address 1087 VELP AVE Subdivision Rusch Kienast 2nd Add't Building Permit Number 0099012 Number of Dwelling Units 1 Fee Required Owner's Signature Inspector's Signature PARKLAND DEDICATION FEE COLLECTION RECORD Date 12/10/2002 GREEN BAY WI 54303 Lot 134 Number of Structures $100.00 Fee Paid Date Date