HomeMy WebLinkAbout0095953-Building
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OSHKOSH
ON THE WATER
Job Address 2764 HAMILTON ST
CITY OF OSHKOSH
No 0095953
BUILDING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Contractor CREATIVE CUSTOM HOMES, INC
Create Date 07/01/2002
Designer
Category
110 - New Single Family Plan D1-092-0602R
Type
. Building
o Sign
o Canopy
o Fence
o Raze
R-1
Class of Const: 8
Size IRRG
Zoning
Unfinished/Basement
1453 Sq. Ft.
1453 Sq. Ft.
576 Sq. Ft.
Rooms
6
Height
19 Ft.
D Projection I
Finished/Living
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 NSFR/ New Single family 1 story, 2 car attached garage and 12'x12' patio
of Work
HV AC Contractor
VANS HEATING & AlC INC
Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
$75.00 Permit Fee Paid
$368.00 Park Dedication
$100.00
Fees: Valuation $98,000.00 Plan Approval
Issued By:~.;t1.l.:r:fRY vI( -e ~
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
AgenUOwner
GREEN BAY
WI 54303 - 0000 Telephone Number 655-0222; 362-4305
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6767
Name CREATIVE CUSTOM HOMES
Address 2764 HAMILTON ST
Create Date 07/16/2002
Lot 124
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 ~~ the above described property agree to have the grade established before excavation
has commenced. ---:i!1 i -:E5 ;if-
It-LL'l.l . ~
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.
0095953
Parcel No.
~ Constr
o HVAC 0 Elec
Mailing Address
o Plbg
~ Erosion
o Other:
Plbg Lic/Cert #
679085
Plbg LiclCert #
170942
Plbg LiclCert #
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
S . ft. 1/4,
Subdivision Name
RUSCH & KEINAST 2ND ADD'T
Front
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.
124
Left
,T
N,R
Block No.
Living Area
1453
576
Sq. ft.
Sq. ft.
o 2-Story
Sq. ft. 0 Other
1453
o Seasonal
~ Permanent ~ 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 perrnit"UI';)A~~tapds.that the issuance of
the permit creates no legal liability, express or implied, on th epartment municipality; and certifies that all the above Wlforma11onis accUrate.
APPLICANT'S SIGNATURE DATE SIGNED...?~/7-cJ 2-
This penllit is issued pursuant to thefc:illowing conditions. Failure to comply may result in suspension or
APPROVAL CONDITIONS revocation of this permit or other penalty
See "Standard Conditions of Approval" sheet
Garage
o Village ~ City 0 County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 0 2 6
Inspection
Wis. Permit Seal
Other
Construction
HVAC
Electrical
$30.00 0 Plumbing
o Erosion
$105.00 0
Name John Zarate
Date 7/1/02
Total
SBD-5823 (R. 07/92)
275796
Cert. No. 70330
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OSHKOSH
ON THE WATER
Job Address 2764 HAMILTON ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 07/17/2002
Name CREATIVE CUSTOM HOMES
Address
Oshkosh
WI
54901
Subdivision RUSCH & KEINAST 2NO AOO'1
Lot 124
Building Permit Number 0095953
Number of Dwelling Units Number of Structures
Fee Required
$100.00
Fee Paid
Owner's Signature
{if :1~~1 j e -"~.~
Date 7 .. r? >- i:J :2.
Inspector's Signature
Date
. .
775.3'j
775.79~
L t> -I- ) ) L/ J-t,;'; lioN
SctK/e::: /'::: 11, 1/
"
SLAB
11'4:< ~1'e
r"
GARAGE.
23'4>:23"4
l"
Concrete Driveway
'-l
~II
I :
,
I e
, i
.,..
Top of Wall @ 776.60
UVlNG
4j'4><~~Zq
19'11
,J
~775.05
'I '
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-t---775.39