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OSHKOSH
ON THE WATER
Job Address 2789 HAMILTON ST
CITY OF OSHKOSH No 0097516
BUILDING PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 08/21/2002
Contractor CREATIVE CUSTOM HOMES, INC
Designer
Category
110- New Single Family Plan
. Building
o Sign
o Canopy
o Fence
o Raze
Type
Zoning
R-1
Class of Const: 8
Size Irrg
Unfinished/Basement 596 Sq. Ft.
-
Rooms
6
Height
24 Ft.
o Projection I
Finished/Living
1429 Sq.Ft.
~ Sq. Ft.
Bedrooms
3
3
Stories 2
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 Not Required
Park Dedication
Required
# Dwelling Units
# Structures
Use/Nature NSFRI New 2 story with 2 car garage and 12' x 12' concrete Patio. 18' wide driveway.
of Work
HVAC Contractor
VANS HEATING & AlC INC
Plumbing Contractor HANSON QUALITY PLUMBING
Electric Contractor MIKE DELSART ELECTRIC INC
Fees: Valuation $98,000.00 Plan Approval
Issued By: ~ ?
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$75.00 Permit Fee Paid
$374.00 Park Dedication
$100.00
Date 09/24/2002
Final/O.P. 00/00/0000
o Permit Voided I
Signature
all work pursuant to rules governing the described construction.
Date /V:J101.~-U,;(
Address
1087 VELP AVE
GREEN BAY
WI 54303 - 0000
Telephone Number
655-0222; 362-4305
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OSHKOSH
ON THE WATER
GRADE STAKE FORM
Grade Stake Number 6801
Name CREATIVE CUSTOM HOMES
Address 2789 HAMILTON ST
Create Date 08/21/2002
Lot 130
Block
Ward
Subdivision RUSCH & KIENAST 2ND ADD'. Zone
Lot Dimensions
I Sidewalk Existing
Street Number
Building Grade Elevation Stakes Set At Site 08/21/2002 Set By D.W.G. BK - 573, P - 55
Department of Public Works
I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation
has commenced. !)d.(.../$ ~.c;;t-
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.
0097516
Parcel No.
Plbg LiclCert #
679085
Plbg LiclCert #
170942
Plbg LiclCert #
3941
Plbg LiclCert #
D HVAC D Elec
Mailing Address
1087 YELP AVE
Mailing Address
1087 YELP 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 - 0 655-0222; 362-<
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
~ Constr
S . ft. 1/4,
Subdivision Name
RUSCH & KIENAST 2ND ADD'T
Front
1/4,Section ,T
Lot No.
130
Left
N,R E(or)W
Block No.
D D
D D
Living Area
596
1429
463
D Seasonal
~ Permanent ~ Municipal Utility
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, expres or implied, on t 0 artment or municipality; and certifies that all the above information is accurate.
I DATE SIGNED 09-C/( ~ C),;<
Garage
APPLICANT'S SIGNATURE
APPROVAL CONDITIONS This pe~it is i~sue ~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
D Village ~ City D County
City Of Oshkosh
State of:
Municipality Number of Dwelling Location:
7 0 2 6
Plan Review $75.00 ./ Constructiol1'1
HVAC Name JOHN ZARATE
Inspection Electrical
Wis. Permit Seal $30.00 0 Plumbing Date 8/28/02
Other 0 Erosion
Total $105.00 D 275841 Cert. No. 70330
SBD-5823 (R. 07/92)
o
OSHKOSH
ON THE WATER
Job Address 2789 HAMILTON ST
PARKLAND DEDICATION FEE COLLECTION RECORD
Date 09/24/2002
Name CREATIVE CUSTOM HOMES
Address
1087 VELP AVE
GREEN BAY
WI
54303
Subdivision RUSCH & KIENAST 2ND ADD'1
Lot 130
Building Permit Number 0097516
Number of Dwelling Units Number of Structures
Fee Required
$100.00
Fee Paid
Owner's Signature
Inspector's Signature
:ull/Ad~-u
Date CJ?7tI1tt- {)/!..
Date
S l~ ../:. e
PIAN
.....
~
.........
Lot 130
Seo.lel l' = 20' /.
Plo.n NUl'\berl 92-597 OS( 0
Creo.tlve CustOl'\ HOl'\es, Inc. . /0'
5'-5'
3'-4 3/4'
,.r-
24'
House
1 ' Po.tlo
8'
18' 'Wiole Coner e
Drlvewo.y
Go.ro.ge
8'
, J \ 3'