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§~ . PERMIT - ~PP~TION AND RECORD CITY OFCSH~OSH . '. N~
. Address (ç7/ t{/, '3. - ~ Owner ~ltiùl Oe~~ Id. No.
Lot /3. Alock Ward ¿;, Subdivision ß/'67Ut'7-.-é'- 5 <-.5c./b.o/ v/S; é~ Zoning ;¿,- :?- Flood Plain >t..c
Type of Permit: Building ~ Electrical 0 He~ting 0 Plumbing 0 Sign 0 Wrecking 0 Occupancy Permit 7G":? Insp. j,¿) Permit Date S - ~ - f :s
BUILDING Use ;)- ~ / t.-¡/ ~r ¡?Ef#./~
G~¡i-Y j)øe/¿~~ ,
Roof ~t":~ <""SÑ7~C~s.: Siding V; ,v'r'L-
Foundation . F't..L-, ~ ¿? G~5"1;7tE? Type of Construction Ñe<J ¡Ð hA-A"e5='-
Size: ~ feet wide X :If!:,. :8"" feet long Square feet area .?t""r P / ~rI-
Height: ß"'~Stories and Basement ./ ?' f:et above Grade
WidthofLot SZ:>¡S-' INO'OfX~~
Mason .-::J
Carpenter ~ ~
Architect
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor Drain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater - Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 (j Solid 0
Conditioning Forced Air 0 HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Elf. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
Temp.
Switches
Volts
Recep's
Amps
Circ's
Electrical Signs
12696
I
L,
Footing
"-
\J
.....
Inspections -
Foundation
¿;;flrL---
.;'2.~
¡-
125-1
"-v
.§ Electric Service
0
~ Sewer Water Service
p Final 6 r¡,/J>3
Estimated Cost .¡IJiz:. ~ crf)--t.J Fees paid, 77. ~ Date ç -S~ 7f3
TO THE BUILDING INSPECTOR: In accordance with Section 7-1Bofthe Municipal Code of the City of Oshkosh. it is agreed that if work shall be
discontinued for a period of 30 days at any time for any cause after excavation work iscomf;ed' a solid barrier. wall. orwire fence not less than
five feet in height shall be erected all around suchexcavation.Suc~ier. waliorwirefØ{1 .will~.emain' sition until removal is approved by the
Building Inspector. .>¡("'" V "'"
In the performance of this work the undersigned agrees to abi by and do work pursuant to all statutes, ordinances,
codes, and rules governing the d;scri Iconstr~n.
(Signed) p ~. Owner
Address r'.Á' Phon-:-3)- --çÞOJ S-
R.I.
By
Agent
(Acrt"",;"d S;g",",,)
Address
Phone
"ATE O' .""ON"N
D"'"""N' O, 'NOusm. ""OR ANO
HUMAN """"ON'
DOY""" o'..m AND 'U"O'NG'
"" ,. ."""NGmN AVO.
'O'-
MAD'SON..'."'"
.""O""N "^'U,, ",.,
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICA TION
Þ8303 4--
PARCEL NO.
PERMIT NO. I;;"h]í'~
i;KLcONST P?HVAC
Maiïì Îd~es't?ttG<hc:7,v
Mailing Address
PERMIT REQUESTED
Ow~, Name /"1 -
~;ØJ¡t-¡t.A-/ <...,Þ¿¡LcF'/L
CD~;~~:tor's Name
:;-, . A- M ¡;;;::-
PROJECT LOCATION I y.
B~~~g '1D. AddT;'. ~ .," ISU'JII!VjSiOn Name
Gn 'ífi r.óI7 A W <:",,1 ,,'. tV~s
Zoning D:~tdct I L~t Acea I
¡¿. -,;¡r-- 15'"0.5- ¡LIID Sq.ft. Setbacks
1. PROJECT 2. TYPE 3. ELECTRICAL
~ELEC
Sr-.
OPLUMB
Telephone
;;1--3:5 - ¡-ó 35-
Telephone
y.. SECTION , T
C Lot No.
at..PÓ¿y~¡(./ /..3
Front I I Rear ¡ Left Right
;;z..5" ft.! '25 ft. ? ft. /~...s--- ft.
4. HVAC EQUIPMENT 5. ENEAGY SOU ACES
rì(ÍN OAddltion 5]Singlefamily ~~:anc~;<é.-:':,', Æo,ced Air Furnace
ì5A~t:ratlon IS1ITwo famity' :¡l';"ad,ant Baseboa,do, Panel
0 Gacage [']Othee ~i,~e !;,jHeatpump
-li{.;ttached n õ~:;::~~und 0 Boilee .
16 [)etached OCent,al A" Condo
OOther 6. CONST. TYPE 7. FOUNDATION OOthee
0 Mas,", plan no. Œsit t ~onccete 8 BING
(If applicable! 0 ~a~:;:~~red I':J Mason,y . PLUM
(,au'';.',) 0 Treated Wood Sewe'
9. AREA O;m,",;on 10. STORIES OOthee ~unlcipal
0 Basement ~ sq.ft. 01-Sto,y 11. USE D~:~~~t No. 12. WATEA
0 9'8fJ/tl~ B2.StQcV 0 Seasonal
LiVlng';~~ . .,.-"", q.ft. LJ,2th.!" /fA. /J @-Permanent .. ¡;J~~lvate
~Garagl!'"' d.-).:.:: J "0 sq.ft. /J'< ~ OOthee ,?"v,un,c,pal
he applicant agrees to comply with the Wisconsin Uniform D",!elling Code and othee Municipal O,dinances and with the conditions of this peemlt; undeestands
that the issuance of the permit creates no legal liability. expcess or implied, on the Depa'tment or Municipality: and ceeti¡;es that all the above Info,mation
i~:~:t~ TURE OF APPLICANT -'-<0", L' ¡ ) J-----'- DATE 5"- 3 - J.3
Fuel
LP Gas
Nat. Gas
Fuel Oil
Elec.
Wood
Sola,
Coal
Othee
N. R E(orlW
Block No.
80'"
Htg.
W""
HtO.
0
0
0
[3
0
0
0
0
0
i:B
0
0
0
CONDITIONS OF APPROVAL This pe~mit is ~ pu~uant to the following conditions. Failu," to comply m~y ,"suit In suspension 0'
revocat,on of thIS pe'mot or other penalty.
13. ISSUING JURISDICTION
NAME z;5; ~:S P--
lfelTY
OVtLLAGE
0 TOWN
OCOUNTY
"70-
MUNIC. NO.
FEES
PERII/IIT(SI
ISSUED
~ONST'
VAC
ELEC
PLUMB
CERT NO.
WIS. U~~~~~~6~~)MtT
/fd"?9'
/"34-3"Y
/]43,'7'
-
$~
PERMIT¡lpSUED BX
NAII/IE h-.r /"u. A ~
¿Y
DATE
PLAN REVIEW
INSPECTION
WIS. PERMIT SEALIS) ~
OTHER( .I ./ /'>
TOTAL $~
:3~ - - Z--/ o¡L.
DI LHR-5BD-5823
ISSUING JURISDICTION!AGENCY
0 STATE
¿Cé
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