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• OWNER S�2..,�2 e n�� � " ADDRESS .���c� ./7�o'JA� I SY- lJ t
DATE ��" �'9- PERtIIT # ����� USE ����- �`-- ��4�-� 7ll�,��Y
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_ �_ . �= WINNEBAGO COUNTY HEIGHT PERMIT •
CITY OF OSHKOSH
�
OWNER:
ADDRESS:
� . ,� ,
TELEPHONE:
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ADDRESS OF PREMISES AFFECTED:
r
HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: �
COUNTY USE ONLY
EXISTING GRADE ELEVATION:
MAXIMUM ELEVATION ALLOWED:
APPROVED: YES Q NO Q
COMMENTS:
CITY INSPECTOR: � �
TELEPHONE: DATE: '
COUNTY INSPECTOR:
TELEPHONE: DATE:
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White copy - County; Yellow copy - Town; Pink copy - Owner
zorraac/�rm vsa cor��Arrce ci�aa.rsT
i. cQm�r,�.
Building Permit � ��"�E+`i Zonux� ' ' 1- Confoxming ✓Non-Conforming_
Job 7t�cation ����� ����I� i ��� �nt Dimension
- PIOpEtty OwRPS-�V!{R.� " L� �� ( C�✓ , IDt AL'2d
II. ' �1$�'1� ]�"� . � . . .
- DeSQi.b2 WDrk: r' ` � 1 �
C ��-�'Lf-� I>1�i J`iDN
, NEW COTISTR[JCITON �/ADDITION ALTERATION
_ Accessory Building _ Pool _ Single Family
_ Fence _ Deck/Patio _ 24u-Family
Boathouse _ Sign Multi-Family
_ Utility Structure _ Porch � Caiarnscial
_ Othes (sP�ifY) _ M3nufacturing
III. COI�LIANCE C��QGg
ies Deficient Deficiency/C�nts
Use
_ Iot Width
7nt Area
T _ Floodplain
T _ EYont Yard
� _ Rear Yard
, _ Side Yard (R)
—i
� _ Side Yard (L)
� _ Parking —
_ _ Building Area
_ _ It>t Area per Family
_ _ Corner Iot
_ _ Other (specifY)
IV. REVIES4 AUL�IORITY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or intesior �.ork when the use is conforming and
when no change of use is pr000secl. (2) Maintenance items, e.g. , siding, windr.�vs,
• etc., when the use is mnforming arxl when no change of use is pmposed.
Instances where wark ccmolies with the atbve criteria, the pesmit can be reviewed
. by the Building Inspector without referral to the Planning Directnr.
. j�_ APPfmVF.D PXYr APPROVEp �
Plan Conmission Action Rarn,ired
Variance s) ' ed
REVVSEWWE.E:D BY: ' i (1'� DATE• .' i OL7'' `.
� � �� �` _ �,: . -
�
- ' � llEPARTJIENT OF INDUSTRY, LAI30R AND HU�1AN RELATIONS
SAFETY & 13UILDINGS DIVISION
� . P.O. I30X 7969
MADISON,WISCONSIN 53707
t
PERMISSION TO START CONSTRUCTION °
FEE REQUIRED IN ADDITION TO 6XAMINATION/WSPEC71ON FEES
Localion uti Project:
� Svicec 33OO Medalist Drive E
` ` ��lY: Oshkosh Plan File Numbcr
�.. County: WirflObdgo . . . . DatePlansRec'd
«...
� Occupancy: Office
b_.. We, the undersionet�;icyuest to begin fyouno and toundation work priur [u approval of ihe plans in accordance with Ind. SQ 14.
�,
is:, .: � . -Y,.,..
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4
Plans have been submitted ro the Deparnnent of Industry, Lubor K Human Relutiuns, Sefery and Buildings Division, un� all informatiun
�� �equested by Code Ltd. 50.1'_' orind. 50.13 hus bcen included with the submittaL �
We have reviewed the specitic code requirements for the building or siructure and its use, as set forth in Ind. 50-64, und,where upplicable,
have shown contplimice on the druwings. :3
:�
Y
We agree to make any changes required after the plans huve been reviewed and w remove or repluce nuncode complying parts of the foun-
� dation and ur fuotings. ,'
We agree to proceed ith he loutings and fuundation only and will nut continue with d�e remainder ol�the building ur structure until '
� _ approvul has been recei ed.�
' �
��� � We �ndeistand thnt, prim� to the start of cons[ruction, u Building Pennit must be obtuined from the lucal authorities havingjurisdiction in
. accordance with their laws and m-dinances.
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/.� � y 7 /1 2/84 �//__��Cy�������ti�'V �/ ��J ���
wner's Siam ure Date Accepted by Date
Name: Squflf e D COrOpolly Dept. of Ind.. Labor& Human Relations
Safety & Buildings Division I
Address: 33OO M�d�list Drive
, Oshkos� ,
�W I 543O1 Not Accepted liecause
��' ` � i -
`� 11/'I 2/84
'- L ,vyf ._ � Pl.ins will be e�amined wi�hir�;the next
�z ��me,c�, s�Lemke & Zastrow , u:�« d.�ys. �� �fpf��Yt _._,_ �
�' ��
'-�-` NOTE: 7his permissiun is applicab���p�u������ing bclow grade ,
Address: 246 N. Ko2118f St. fuundutiun �vurkunly. ��
� I
Oshkosh , WI 549O1 `'L•�^ �' & �'�.DGS. �)'V,
S13-19ft IR.08/4?l .
DESIGNERS COPY