HomeMy WebLinkAbout0099014-Building
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OSHKOSH
ON THE WATER
Job Address 2721 HAMILTON ST
CITY OF OSHKOSH No 0099014
BUILDING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date
Designer
Contractor CREATIVE CUSTOM HOMES, INC
Category
110-NewSingleFamily Plan D1-158-1002R
Type
. Building
o Sign
o Canopy
o Fence
o Raze
R-1
Class of Const: 8
Size Irrg
Zoning
Finished/Living
1453 Sq. Ft.
1453 Sq.Ft.
576 Sq.Ft.
Rooms
6
Height
19 Ft.
o Projection I
Unfinished/Basement
Bedrooms
3
Stories
Canopies
o
o
Garage
Baths
2
Signs
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Flood Plain No
Height Permit Not Required
Required
# Dwelling Units
# Structures
Park Dedication
Use/Nature INSFRI New single family, 1 story, 2 car attached garage. 9' x 12' patio
of Work
HV AC Contractor
VANS HEATING & AlC INC
Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
Fees: Valuation
$82,000.00 Plan Approval
$75.00 Permit Fee Paid
$326.00 Park Dedication
$0.00
Issued By:
~
Date 12/10/2002
Final/O.P. DO/DO/DODO
o Permit Voided I
Signature ')(
rm all work pursuant to rules governing the described construction.
Date /(
Address 1087 VELP AVE
Agent/Owner
GREEN BAY
~ 54303 - 0000 Telephone Number
'.
OSHKOSH
ON THE WATER
Name CREATIVE CUSTOM HOMES
Lot 137
Subdivision Rusch & Kienast 2nd Add't
Street Number
GRADE STAKE FORM
Address 2721 HAMILTON ST
Block
Grade Stake Number
Create Date 10/14/2002
Ward
Zone
Lot Dimensions
I Sidewalk Existing
Building Grade Elevation Stakes Set At Site 10/15/2002 Set By OW.G. BK - 582, P - 74
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. ~ ~
Xl.r~~ ~N
0099014
Parcel No.
( ~1 hla
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
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
\V
'2tLE",..,
Plbg LiclCert #
679085
Plbg Lic/Cert #
170942
Plbg LiclCert #
3941
Plbg LiclCert #
o HVAC 0 Elec
Mailing Address
1087 VELP AVE
Mailing Address
1087 VELP AVE
Mailing Address
2886 OAK STREAM DR
Mailing Address
525 BUTLER ST
Mailing Address
550 N BLUEMOUND RD
1/4,
o Plbg
~ Erosion 0 Other:
~ Constr
Telephone No.
GREEN BAY WI 54303 - 0000
Telephone No.
GREEN BAY WI 54303 - 0
DEPERE
WI54115
- 5426
Telephone No.
920-532-0110
Telephone No.
(920) 336-2816
Telephone No.
730-0205
E(or)W
DE PERE
WI 54115 - 0
APPLETON
WI 54914
-0
S . ft.
Subdivision Name
Rusch & Kienast 2nd Add't
Front
1/4,Section
Lot No.
137
Left
,T
N,R
Block No.
Living Area
Garage
1453
1453
576
~ Municipal Utility
o Plus Basement 0 Private On-Site Well
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 Dep rtment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED .kj~ ..../LJ-o~
APPROVAL CONDITIONS This pe~mit isi~sue . rsuant 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
o Village ~ City 0 County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Total
SBD-5823 (R. 07/92)
Construction
HVAC
Electrical
$30.00 0 Plumbing
~ Erosion
$105.00 0
Name JOHN ZARATE
Date 11/22/2002
275837
Cert. No. 70330
'01
OSHKOSH
ON THE WATER
."
PARKLAND DEDICATION FEE COLLECTION RECORD
Job Address
2721 HAMILTON ST
Name CREATIVE CUSTOM HOMES
Address
1087 VELP AVE
GREEN BAY
Subdivision Rusch & Kienast 2nd Add't
Lot 137
Building Permit Number 0099014
Number of Dwelling Units Number of Structures
Fee Required
$100.00
Fee Paid
Owner's Signature
x UN...r'# /~4
Inspector's Signature
Date 12/10/2002
WI
54303
Date
~~ -/V-dJ,L.
Date
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