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Home My WebLink About0095949-Building -'D OSHKOSH ON THE WATER Job Address 2728 HAMILTON ST CITY OF OSiiKOSH No 0095949 BUILDING PERMIT - APPLICATION AND RECORD Owner CREATIVE CUSTOM HOMES Create Date 06/28/2002 Contractor CREATIVE CUSTOM HOMES, INC Designer Category 110 - New Single Family Plan D1-088-0602R Type . Building o Sign o Canopy o Fence o Raze R-1 Class of Const: 8 Size IRRG Zoning Finished/Living 1443 Sq.Ft. ~ Sq.Ft. ~ Sq.Ft. Rooms 7 Height 18 Ft. o Projection I Unfinished/Basement Bedrooms 3 Stories Canopies o Garage Baths 2 Signs o 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 NSFRI New single family 1 story with 2 car attached garage and 12'x12' patio. of Work Check bedroom windows for light. HV AC Contractor VANS HEATING & AlC INC Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor MIKE DELSART ELECTRIC INC $75.00 Permit Fee Paid $377.00 Park Dedication $100.00 Fees: Valuation $99,000.00 Plan Approval Issued By: ~1 ~ 6 ~c;tt Date 07/17/2002 Final/O.P. 00/00/0000 o Permit Voided I In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. Signature Date Address 1087 VELP AVE Agent/Owner GREEN BAY ~ 54303 - 0000 Telephone Number 655-0222; 362-4305 '" G OSHKOSH ON THE WATER GRADE STAKE FORM Grade Stake Number 6766 Name CREATIVE CUSTOM HOMES Address 2728 HAMILTON ST Create Date 07/16/2002 Lot 120 Block Ward Subdivision RUSCH & KEINAST 2ND ADD" Zone I Sidewalk Existing Street Number Lot Dimensions Building Grade Elevation Stakes Set At Site 07/17/2002 Set By mb 578/74 Department of Public Works I, the undersigned, owner ~Of the above described property agree to have the grade established before excavation has commenced. ,II ;L..e.J B~ 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. 0095949 Parcel No. o Constr o HVAC 0 Elec Mailing Address o Plbg o Erosion o Other: Plbg LiclCert # 679085 Plbg Lic/Cert # 170942 Plbg Lic/Cert # 3941 Plbg LiclCert # Mailing Address 1087 YELP AVE Mailing Address 2886 OAK STREAM DR Mailing Address 525 BUTLER ST Mailing Address 550 N BLUEMOUND RD 1/4, GREEN BAY WI 54303 - 0 Telephone No. WI 54901 - 0000 Telephone No. 655-0222; 362-' Telephone No. 920-336-1615 Telephone No. WI54115 - 5426 (920) 336-2816 Telephone No. 730-0205 E(or)W WI 54115 -0 Oshkosh DE PERE DEPERE APPLETON WI 54914 -0 1/4,Section Lot No. 120 Left ,T N,R Block No. 1443 Sq. ft. Sq. ft. o 2-Story Sq. ft. 0 Other Living Area Garage o Seasonal o Permanent 0 Municipal Utility o Plus Basement 0 Other 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 r implied, on Departme t r municipality; and certifies that all the above information is accurate. 1443 434 APPLICANT'S SIGNATURE DATE SIGNED APPROVAL CON DITIONS This permit is issued pursuant 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 0 City 0 County City Of Oshkosh State of: Municipality Number of Dwelling Location: 7 0 2 6 Plan Review $75.00 ../ Construction HVAC Name John Zarate Inspection Electrical Wis. Permit Seal $30.00 o Plumbing Date 6/28/02 Other o Erosion Total $105.00 0 270706 Cert. No. 70330 SBD-5823 (R. 07/92) e OSHKOSH ON THE WATER Job Address 2728 HAMILTON ST PARKLAND DEDICATION FEE COLLECTION RECORD Date 07/17/2002 Name CREATIVE CUSTOM HOMES Address Oshkosh WI 54901 Subdivision RUSCH & KEINAST 2ND ADD'1 Lot 120 Building Permit Number 0095949 Number of Dwelling Units Number of Structures Fee Required $100.00 Fee Paid Owner's Signature 11~0 LAA~ Date 7~/?~d;? Inspector's Signature Date 775.00/ 774.20~ Creative Custom Homes Plan: RAN 1443-1101 Lot 120 Hamilton Street Scale: 1':::: 1/16" \- GARAGE 2O'x2O'€- Concrete Driveway II c . I Top of Wall @ 775.50 LrvlNG 4S'4x2A'." Sl.AB ll'4:.:1 ~o "1 l ~ ".~ <E-----774.66 ~ 774.10