HomeMy WebLinkAbout1994-Building
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110
CITY OF OSHKOSH N! - 4153s
PERMIT - APPLICATION AND RECORD
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OWNER
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PLAN No.¡:d-/t.fD c¡jrN R
ADDRESS
DESIGNER
USE/NATURE OF WORK
A)t;lo
:<f AJ{;Œ
r;=7J/l1I fLY I
TJE7/1CHÈb
GZ4ndó&;
BUILDING CONTRACTOR :I ./- J CbÀ)S1fël¡~o,...J ,
sizeÇ)h¡;(?h. Sq.Ft. R!;s; #Rooms6-ó/ß!j #Storie;;3Ca!e? Height ~(
Foundation c.OfIX1?13"TE" Ciass of Const. ~ Occupancy Permit ,.-
..j:::rtEATING CONTRACTOR ClJ/Cl
Heat D AlC D Vent D Fuel/System
C U SiZjlYl
HEA1í~
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~cueK
Electric Servo
New 0 Change 0 Temp 0
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
1DNlj
PC:A SffD
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasin
_WC
_FDr
_LTub
_SP
_Ur
- San. Sewer
- Storm Sewer
_Lav
_Sink
- Eject
_SS
_Water
Other
FEES; Valuation
Permit Fee Paid $
Date
/
7(:í;?$"'. -'Pp:rk Dedication~ AliA
~ Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~./
ADDRESS S-::2... 7
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9-:2/-:;7"
, DATE
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TELEPHONE. (
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NAMEbLAlRE i7,
LOT <g>
TbAS,
DATE 9/8/q~
AODRESS
BLOCK 9:;; '..IARD
ZONE
SUBDIV.
STREET NO. 593 w, t.Jfh ÂvG, LOT DIMENSIONS
YES 0 NO D
BUILDING GRADE ELEVATIONS STAKES SET AT SITE q-8 ,1994
SIDEWALK EXISTING
BY ¡::'~
FEE: $15.00
~;// Y Ycf/l.ß..hd 7:.0
DEPART~ENT OF ?ü~LIC WORKS
I, the unders i gned, owner or agent of the above descr ¡bed proper1"'f agree 1"0 have the
grade estaD i i shed before excavat i on has commenced.
O~5092
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WISCONSIN UNIFORMBUILDING
PERMIT APPLICATION
(See instructions on back ()f pink copy)
b~; i~:~s"ì~:ii~anc~~~~~~VI1~3"'& ~~)ìed by other government agency
Constr
Application No.
Y\ S'$S
Parcel No.
D Other;
Mailing Address
Telephone No.
{ŸI</J;<33-;<;JkJ
Telephone No.
( )
Telephone No.
( )
Telephone No.
)
Telephone No.
( )
Mailing Address
Mailing Address
SubdivisiDn Name
1/4. Section . T
Lot No.
N,R E{or)W
Block No.
OOther
orce "urnace
0 RadIant Baseboard or Panel
0 Heat Pump
0 Boiler
18 Central Air Conditioning
0 Other
.ZWAIIJ*{!NV:QjN;~I;t'
Unfinished Basement~sq It
LIving Area
ass-
.1-Story
Sq. It. 02-Story
S.1t ~ther
q II.§VB..
,M'Plus Basement
I!!J MuniCIpal Utility
0 Private On-Site Well
Garage 7:90
pc:rAc.\\Ø»
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; unaerstands thatthe issuance of
the permit creates nO legal liability. express or implied. on ~e Department or municipality; and certifie.sthat all the abDve Information IS accurate.
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APPLICANT'S SIGNATURE
APPROVAL CONDITIONS
I, .$;,<.
DATE SIGNED
g
Fallur.e to comply may result In suspension or
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Name
Total
70
~
Date
q\~\ql.\
l4,bÖr$
Cert. No.
SBD-SB23 (R. 06194)
WHITE -Issuing JurisdictIon
YELLOW - DILHR
GREEN -Inspector
PINK - Owner/Agent
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JOB LOCATION:
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ZONING/LAND USE COMPLIANCE CHECKLIST
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'K, C-\-\ARt::> ~O AS.
w.
ZONING /21--
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA:
K
New Construction
Addition
Alteration
TYPE OF CONSTRUCTION: (i.e. fence I pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST
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COMMENTS
DEFICIENT
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
- Rear Yard
- Side Yards
- Building Area
- Parking Standards
- Off-Street Loading Standards
Vision Clearance
- Transitional Yard Standards
== Landscape Standards
- Height
- Conditions of Approval
- Compliance with P.C. or
BZA Conditions of Approval
- Signage Standards
- Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval all plans, except the following: (1) Alterations or interior work when the use is
conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc.,
when the use is conforming and when no change is proposed.
V APPROVED
DENIED
Plan Commission Action Required
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REVIEWED BY: ~~
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DATE: ~hØ'
ENGINEERING DEPT.
Job No. ð2../fi82.
Sit68tNo. .,
M""aør. /)SAI
Data: ;2-/4-'fS-
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PERMIT # I//S.sS
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GENERAL CONTRACTOR
MASON CONTRACTOR
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ADDRESS .5ó8- W; L/fh ArJE,
USE AJSF -? DE37?CJI6h ~~
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DATE INSPECTIONS
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