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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_ .~ () .~ \f,. ----------------------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-____._._ i i \_1 774.G (-774.44