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Home My WebLink About0097518-Building :iO OSHKOSH ON THE WATER Job Address 2795 HAMILTON ST CITY OF OSHKOSH No 0097518 BUILDING PERMIT - APPLICATION AND RECORD Owner CREATIVE CUSTOM HOMES Create Date 08/22/2002 Designer Contractor CREATIVE CUSTOM HOMES, INC Category 110 - New Single Family Plan D1-117-0802MP Type . Building o Sign o Canopy o Fence o Raze Zoning R-1 Class of Const: 8 Size IRR Unfinished/Basement 1403 Sq.Ft. 1403 Sq.Ft. 520 Sq. Ft. Rooms 3 Height 19 Ft. o Projection I Finished/Living Bedrooms 3 Stories Canopies o Garage Baths 2 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 NSFR/ Master Plan "JZ"- 1 story home with a 2 car attached garage, 18' wide concrete driveway, and a 12'x12' rear patio. of Work HV AC Contractor VANS HEATING & AlC INC Plumbing Contractor HANSON QUALITY PLUMBING Electric Contractor MIKE DELSART ELECTRIC INC ::d ::uat;on 0J) $98,000.00 Plan Approval $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 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Slgnatu", y---7)d?/./~hL4 D.,. H~~ . AgenUOwner Address 1087 VELP AVE GREEN BAY WI 54303 - 0000 Telephone Number 655-0222; 362-4305 ,~G OSHKOSH ON THE WATER GRADE 51 AKE FORM Grade Stake Number 6803 Name CREATIVE CUSTOM HOMES Address 2795 HAMILTON ST Create Date 08/22/2002 Lot 129 Block Ward Subdivision 2nd add to Rusch and Kienast Zone Street Number Lot Dimensions U Sidewalk Existing Building Grade Elevation Stakes Set At Site 08/22/2002 Set By D.W.G. BK - 573, P - 56 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 /~ Wisconsin Department of Industry, L~or 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. 0097518 Parcel No. o Constr D HV AC DElee D Plbg Mailing Address 1087 VELP AVE Plbg LiclCert # Mailing Address 679085 1087 VELP AVE Plbg Lic/Cert # Mailing Address 170942 2886 OAK STREAM DR Plbg LiclCert # Mailing Address 3941 525 BUTLER ST Plbg LiclCert # Mailing Address 550 N BLUEMOUND RD S . ft. 1/4, Subdivision Name 2nd add to Rusch and Kienast Front o Erosion D Other: Telephone No. GREEN BAY WI 54303 - 0000 819-2656 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 1/4,Section ,T Lot No. 129 Left N,R E(or)W Block No. 1403 Living Area 1403 520 D Seasonal o Permanent 0 Municipal Utility D Plus Basement D Other D Private On-Site Well $136,900.00 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, expr or implied, 0 the partment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE' I DATE SIGNED 09-~C/-O;t... APPROVAL CONDITIONS This permit is is (j pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty see standard conditions of approval Garage D Village 0 City D County City Of Oshkosh Municipality Number of Dwelling Location: 7 0 2 6 Plan Review $75.00 -/ Construction HVAC Name Nicole Krahn Inspection Electrical Wis. Permit Seal $30.00 0 Plumbing Date 8/22/02 Other 0 Erosion Total $105.00 D 275760 Cert. No. 248101 SBD-5823 (R. 07/92) .-0 OSHKOSH ON THE WATER Job Address 2795 HAM I L TON ST PARKLAND DEDICATION FEE COLLECTION RECORD Name CREATIVE CUSTOM HOMES Address 1087 VELP AVE Subdivision 2nd add to Rusch and Kienast Building Permit Number 0097518 GREEN BAY Lot 129 Date 09/24/2002 WI 54303 Fee Paid Fee Required $100.00 Number of Dwelling Units Number of Structures Owner's Signature D..uId /4& Inspector's Signature Date 0- ~r- O;Z Date S;{e P~N '" 78.351 52'-2 3/16' 0\ Lot 129 Ho.l"lllton Creo.tlve CustOM HOMes, Inc Sco.le I' = 20' Plo.n#l 99-091