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HomeMy WebLinkAbout0095953-Building . G 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 . cD 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 , cO 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 ' J -t---775.39