HomeMy WebLinkAbout0097988-Building
e.
OSFiKOSH
ON THE WATER
Job Address 2759 HAMILTON ST
CITY OF OSHKOSH No 0097988
BUILDING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 10/09/2002
Designer
Contractor CREATIVE CUSTOM HOMES, INC
110 - New Single Family Plan D1-121-0802MP
Category
Type
. Building
o Sign
o Canopy o Fence o Raze
Class of Const: 8 Size Irrg
Rooms 7 Height 0 Ft. D Projection I
-
Bedrooms 4 Stories 2 Canopies 0
-
Baths 3 Signs 0
-
Zoning R-1
Unfinished/Basement 504 Sq. Ft.
Finished/Living ~ Sq. Ft.
Garage 484 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 NSFRI New single family, 2 story, 2 car attached garage and 11' x 11' patio. Driveway will be 18' wide.
of Work
HV AC Contractor
VANS HEATING & AlC INC
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
Fees: Valuation
$109,000.00 Plan Approval
$75.00 Permit Fee Paid
$407.00 Park Dedication
$100.00
Issued By:
CV:]
Date 10/14/2002
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.
S;...tu.. :iJAUd/ /~
Agent/Owner
Address 1087 VELP AVE
Date /d}-/Y-&:J.2.
GREEN BAY
WI 54303 - 0000
Telephone Number
e.
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6834
Name CREATIVE CUSTOM HOMES
Address 2759 HAMILTON ST
Create Date 10/09/2002
Lot 133
Block
Ward
Subdivision RUSCH & KIENAST 2ND ADD'- Zone
U Sidewalk Existing
Street Number
Lot Dimensions
Building Grade Elevation Stakes Set At Site 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. 'J)au.e# /~
Wisconsin Department of Industry,
Labor and Human Relations
S~fety and Buildings Division
P.O. Box 2509
Madison, WI 53701-2509
Wisconsin Statues 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
Application No.
0097988
Parcel No.
~ Constr
D HVAC DElee
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
D Plbg ~ Erosion D Other:
Telephone No.
GREEN BAY WI 54303 - 0000
Telephone No.
GREEN BAY WI 54303 - 0
Telephone No.
DE PERE WI 54115 -0 920-532-0110
Telephone No.
DEPERE WI54115 -5426 (920) 336-2816
Telephone No.
APPLETON WI 54914 -0 730-0205
Plbg Lic/Cert #
679085
Plbg Lic/Cert #
170942
HVAC D Plbg LiclCert #
3941
Plbg LiclCert #
S . ft. 1/4,
Subdivision Name
RUSCH & KIENAST 2ND ADD'T
Front
1/4,Section ,T
Lot No.
133
Left
N,R E(or)W
Block No.
504
Living Area
1778
484
D Seasonal
~ Permanent ~ Municipal Utility
D Plus Basement D Other D Private On-Site Well $136,000.00
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, expre or implied, on the Dep ment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE I DATE SIGNED /tJ "'/~-O;l.
APPROVAL CONDITIONS This pe~mit is i~sued . suant 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
Garage
D Village ~ City D County
City Of Oshkosh
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 D Plumbing Date 10/09/2002
Other [!'J Erosion
Total $105.00 D 275819 Cert. No. 70330
SBD-5823 (R. 07/92)
e.
OSHKOSH
ON THE WATER
Job Address 2759 HAMILTON ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 10/14/2002
Name CREATIVE CUSTOM HOMES
Address
1087 VELP AVE
GREEN SAY
WI
54303
Subdivision RUSCH & KIENAST 2ND ADD'l
Lot 133
Building Permit Number 0097988
Number of Dwelling Units Number of Structures
Fee Required
$100.00
Fee Paid
Inspector's Signature
u~.d//~
c:r
Date I()-/~.. t:)~
Owner's Signature
Date
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