HomeMy WebLinkAbout0095952-Building
o
OSHKOSH
ON THE WATER
Job Address 2738 HAMILTON ST
CITY OF OSHKOSH No 0095952
BUILDING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 07/01/2002
Contractor CREATIVE CUSTOM HOMES, INC
Designer
Category
110 - New Single Family Plan D1-089-0602R
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: 8 Size IRR
Rooms 2 Height 19 Ft. D Projection I
- -
Bedrooms 3 Stories Canopies 0
-
Baths 3 Signs 0
Zoning R-1
Unfinished/Basement 1403 Sq. Ft.
Finished/Living 1403 Sq. Ft.
Garage ~ Sq. Ft.
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
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature NSFR/1 story home with a 2 car attached garage, 20' concrete driveway, and a 11'8"x11'10. rear concrete patio.
of Work
HV AC Contractor
VANS HEATING & AlC INC
Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
Fees: Valuation ." $99,000.00 Plan ~I
Issued By: ~ .;tl ~f fj ~
$75.00 Permit Fee Paid
$377.00 Park Dedication
$100.00
Date 07/17/2002
Final/O.P. 00/00/0000
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 1087 VELP AVE
Agent/Owner
GREEN BAY
WI 54303 - 0000 Telephone Number 655-0222; 362-4305
OJ
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6756
Name CREATIVE CUSTOM HOMES
Address 2738 HAMILTON ST
Create Date 07/01/2002
Lot 121
Block
Ward
Subdivision 2nd Add to Rusch & Keinast Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 07/0212002 Set By mb 578/24
Department of Public Works
I, the undersigned, owne~f the above described property agree to have the grade established before excavation
has commenced. -(II ~ S ~~
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.
0095952
Parcel No.
~ Constr
o HVAC 0 Elec
Mailing Address
o Plbg
~ Erosion
o Other:
Plbg Lic/Cert #
679085
Plbg Lic/Cert #
170942
Plbg Lic/Cert #
3941
Plbg Lic/Cert #
Mailing Address
1087 VELP 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.
121
Left
,T
N,R
Block No.
1403
Sq. ft.
Sq. ft.
o 2-Story
Sq. ft. 0 Other
Living Area
1403
520
o Seasonal
~ Permanent ~ Municipal Utility
o Plus Basement 0 Other 0 Private On-Site Well
The applic::ant agrees to comply with ;:III applicable co.ges,.statues and ()rdinenyes C'lrl(j ",,!th the conditions of this Pepllit,HI)1!:1E:lrstands .that the issuance .of,
the permit creates no legal liability, express 0 . implied, on t e D artment or m nicipality; and certifies that allthe"aoove'infdrmationis accurate. "
APPLICANT'S SIGNATURE . DATE SIGNED'7-{"7--t:7:J
APPROVAL CONDITIONS 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
Garage
o Village ~ City 0 County
City Of Oshkosh
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review $75.00 ./ Construction
HVAC Name Nicole Krahn
Inspection Electrical
Wis. Permit Seal $30.00 D Plumbing Date 7/1/02
Other o Erosion
Total $105.00 0 275746 Cert. No. 248101
SBD-5823 (R. 07/92)
""'7:.:
'.
OSHKOSH
ON THE WATER
Job Address 2738 HAMILTON ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 07/17/2002
Name CREATIVE CUSTOM HOMES
Address
Oshkosh
WI
54901
Subdivision 2nd Add to Rusch & Keinast
Lot 121
Building Permit Number 0095952
Number of Dwelling Units Number of Structures
Fee Required
$100.00
Fee Paid
Owner's Signature
~~fi5~
Date
'7.-1?'-()~
Inspector's Signature
Date
" '
774.4 /
-TI5_
.~
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----------------------0;'----_________ ----________2._____
-101 Easement ,.~~~-.---
Creative Custom Homes, Inc_
Lot 12'1 _ 2738 CloveI' Street
Plan: Hoida 99-.091
Scale: 11'16'1;;: l'
Top of HOLise WaH @ 775_50
U\'ii'JG
G.l\Rp>.GE
10' Easement _.~.-.
- ~-'-'--------2)'2-____._._
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774.G
(-774.44