HomeMy WebLinkAbout0097179-Building
G
OSHKOSH
ON THE WATER
Job Address 2779 HAMILTON ST
CITY OF OSHKOSH No 0097179
BUILDING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 08/16/2002
Designer
Contractor CREATIVE CUSTOM HOMES, INC
Category
110 - New Single Family Plan D1-116-0802MP
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
R-1
Class of Const: 8
Size Irrg
Unfinished/Basement 156 Sq. Ft.
Rooms
7
Height
20 Ft.
D Projection I
Finished/Living
~ Sq.Ft.
~ Sq.Ft.
Bedrooms
3
2
Stories Bi-Ievel
Canopies
o
Garage
Baths
Signs
o
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 Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature NSFRI New single family, 2 car attached garage. 18' wide driveway.
of Work
HV AC Contractor
VANS HEATING & AlC INC
Plumbing Contractor
HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
Fees: Valuation
Issued By: ?-
$96,000.00 Plan Approval
$75.00 Permit Fee Paid
$368.00 Park Dedication
$100.00
Date 09/10/2002
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.
8121.//#/#4:1-
Address 1087 VELP AVE
Signature
c.(~-/';~ cr~~#~4
Agent/Owner
Date
C)9-/o ,.- 02-
GREEN BAY
WI 54303 - 0000
Telephone Number
655-0222; 362-4305
, ,
e
OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6798
Name CREATIVE CUSTOM HOMES
Address 2778 HAMILTON ST
Create Date 08/16/2002
Lot 131
Block
Ward
Subdivision RUSCH KIENAST 2ND ADD'T. Zone
Lot Dimensions
U Sidewalk Existing
Street Number
Building Grade Elevation Stakes Set At Site 08/19/2002 Set By
DW.G. BK - 573, P - 52
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. ,;;] d/ h ~
'/~-I~ ?,,&p ~ ~
f7
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.
0097179
Parcel No.
o Constr 0 HVAC 0 Elec 0 Plbg
Mailing Address
1087 VELP AVE
Plbg Lic/Cert # Mailing Address
679085 1087 VELP AVE
Plbg Lic/Cert # Mailing Address
170942 2886 OAK STREAM DR
Plbg Lic/Cert # Mailing Address
3941 525 BUTLER ST
Plbg Lic/Cert # Mailing Address
550 N BLUEMOUND RD
S . ft. 1/4,
Subdivision Name
RUSCH KIENAST 2ND ADD'T.
Front
o Erosion
o other:
Telephone No.
GREEN BAY
GREEN BAY WI 54303 - 0
WI 54303 - 0000
Telephone No.
655-0222; 362-<
Telephone No.
920-532-0110
Telephone No.
WI54115 - 5426 (920) 336-2816
Telephone No.
730-0205
E(or)W
WI 54115 - 0
DE PERE
DEPERE
APPLETON
WI 54914
-0
1/4,Section
Lot No.
131
Left
,T
N,R
Block No.
Living Area
156
1668
528
Nat. L.P. Oil Elec. Solid
Ga
Space Htg 0 0 D D D D
Water Htg 0 D D 0 D D
Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
1-Story
o 2-Story
o Other 0 Seasonal
Bi-Ievel 0 Permanent
D Plus Basement D Other D Private On-Site Well
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, ex s or implied, on the D partment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED D9--/v-t)~
APPROVAL CONDITIONS This pe~mit is i~SU p~rsuant 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
o Village 0 City 0 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 o Plumbing Date 8/22/02
Other o Erosion
Total $105.00 0 275843 Cert. No. 70330
SBD-5823 (R. 07/92)
, ,
G
OSHKOSH
ON THE WATER
Job Address 2779 HAMILTON ST
,
PARKLAND DEDICATfoN FEE COLLECTION RECORD
Date 09/10/2002
Name CREATIVE CUSTOM HOMES
Address
1087 VELP AVE
GREEN BAY
WI
54303
Subdivision RUSCH KIENAST 2ND ADD'T.
Lot 131
Building Permit Number 0097179
Number of Dwelling Units Number of Structures
Fee Required
$100.00
Fee Paid
Inspector's Signature
7)aad//--#~ t1~4C Date 09-/o'-z:?~
Date
Owner's Signature
.J1
{,
;,'
Lot 131 Ho.Mll ton
Plo.nl Bl-1824-1 6
Creo. tlve Cl.lstOM HOMes, Inc
Sco.lel 1'=20'
4'-7/8'
Sto.lrs 0 Gro.cle
3 '
2'
.,
4'
HOl.lse
Top of \II' o.ll
@ 777.00
2 ' Go.ro.ge
3'-6'
5'
J:
p
:3
~
o
::5
V)
<+
,
f1)
f1)
<+
18' \ll'icle
Concrete
Drivewo.y