HomeMy WebLinkAbout0004787-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
04787
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ADDRESS 2'00 /1?"~f1P-<í:SV PLANNO.~7-~¿-::Ç8'7~
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OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR OfA.)fi1e I
- $"2.6
Size-L-c-r~ Sq. Ft./ns-(P
Foundation {.<,......=~'P{-r:>
# Rooms ...s-r f lr,/f¡ # Stories
Class of Canst. ~
I Height I r
Occupancy Permit f.æ:. t;'t/~
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HEATING COþJTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU.S
ELECTRIC CONTRACTOR C' ,->-",^-I' P"-~)
Electric Servo New 0 Change 0 Temp 0
Type - Volts - Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
M '-if-e r 'Ç
_BT
_WH
_Sh
_Disp
_DW
_WSoft
_DF
- CBasln
- San. Sewer
_Lav
_WC
_FDr
- LTub
_SP
_Ur
- Storm Sewer
_Sink
Other
_Eject
_SS
_Water
Fee Paid $ ./ nl'9. IPÐ
Date '¥ r "3- &- 7
Park Dedication $. Jol!:9
Final/O.P -M-~ Îð'?
ISSUED BY
In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction.
SIGNATURE vu4 ~~
AGENT/OWNER
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DATE
ADDRESS
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TELEPHONE #
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CITY OF OSHKOSH NQ
PERMIT - APPLICATIOf\ A:ND RECORD
04787
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ADDRESS 2'°t:1'I1f1 P551 h PLAN NOcn-~¿£8'7K
OWNER (;-£1 "",r-t-- I< u ~ C
DESIGNER
USE/NATURE OF WORK /I.) ~ <-<..J
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~B. U LDING CON.T R..ACTOR Wfll. e I
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\ Size-Lt"':"""s-. Sq_Ft./O.s-lP
\ FOUl}dadñ c.,., '" co ,j- 'E' k
# Rool1's ~.".S- t r 1,,< ~ # Stories
. / c;lass of Canst. ~
Heioht I ~
Occupancy p&.. .:1 f.æ:. '"f f""
ZONE
51. LOT D I MENS IONS
YES 0 NO~
BUILDING GRADE ELEVATIONS STAKES SET AT SITE Oú;r- .5
NAMEG4.. he;r-'- R v ~ c-4
LOT - è...s-
SUBOIV. Sh.-<>-J!""",,-, C\T"Fek
STREET NO. -~O I/e "-'1.~ ::5;/
SIDEWALK EXISTING
DATE "( '30 . Œ(
ADDRESS ?.7 (90 c<.!J¡o.:s,. +-mOt? r-
BLOCK
I.IARD
,19 tr?
BY~
FEE:
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DEPARTMENT OF PUBLIC WORKS
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I, the unders i gned, owner or agent of the above descr i bed property agree to have the -
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S"te 01 WI"o",ln
Dep"tmentof Ind,my,
Lebo, & H,men Reletlon,
D",,'on of Sefety & B,IIdlng,
Box 7969
Medl,on, WI 53707
W'"on,'n S.."tes 1 D1.53, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICA TION
APPLICATION NO.
/f
7
PARCEL NO.
DHVAC
DELEC
DPLUMBING
Telephone
'2- l- ~'è:DJ
Telephone
.N, R, ElodW
Block No.
Fuel
LP Ga,
Nal- Gas
Fuel 011
Electcic
Wood
Sola,
Coal
Olher
Spa"e Ht .
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[J
[J
[J
[J
[J
Wat"Ht -
D
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D
D
D
D
J:t j(Ð .' ~Æ!-!"'t¡¡cr~~"".*""
En"lope "';$-¡;':3 BTU!HR
Infiltration Z~BTU!HR
Garage
Sq. fT.
~ES:I~~"'ea:
$ 4t ')00 ðO
The applicant agrees to comply with the Wi,consin Uniform Dwelling Code andoth" M,ncipal Ordinances and with the condition, of thi, p"m"; understand,
that the issuance of the permit creates no legal liability, express or implied, on the Departmenl or Municipallly; and c"tifies that all the above information Is
ŠIGNA TURE OF APPLICANT ~ ¡;;LA-,
CONDITIONS OF APPROVAL
DATE
Thi, permit is Issued pursuant to the following conditions. Failure to comply mav result in suspension or revoca-
tion of this permit or other penalty.
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FEES:
DCOUNTY Municipality Number
Z:o '2--,,& b
Municipality Number of Dwelling
Location, if different
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PlanRevlew......_$
Inspection.......-$
Wis. Permit Seal Is) - . - $
Other. . - . . - $
TOTAL._.....$
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.s:....~ 7 f ()
CERT- NO.
DI LHR-SBD 5823 (R. 11/84) WHITE - '",Ing Ju,;,d""on
YELLOW - DILHR
GREEN - In,pector
PINK - Owner/Agent
Ci ty Of Oshkosh 1/1/85
:~:::~ã:'b;CORD
Lot # {~ Bldg. Pennit # ~ 7 ?š7
No. of Uni.ts
Fee Requi red
Fee Paid
Date
Date i?- '20 ~.
Owner's sign~ture
Inspector's signature
Parks Subdivision
Improvement
Accts. Rec.: 362-041
III.
IV.
ZONn<G/tAND USE m1k'LI1\NCE amc:!O:.IST
:t.
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Builc!inq Permit iI Zt:Jnirr:]..f::::]fL COnfonning- Non-confonning-
Job I.oœtion ~t) !le~C1.-P55V IDt Dúœnsion
Property Owner G- Ìê- I
II.
a::N5'l'Itt'l'IΠDATA
Descriha W::Jrk:
SF/è-
AkG<.J
Lot l\rea
&J/ ~ Go,
! .
~ ~ amTPJJCnCN
- ADDITIŒ
- Accesso:ty Bu:ildinq
- Fence
- Boathouse
- Utility St=ct:ure
- Other (specify)
- Pool
- Deck/Patio
--",,:,Sign
_Porch
- J\LTERATIŒ
~le Family
- Two-Family
...:.-. ~ti-Farnily
- Ccmœrci.a~
- ManufactL"Iring
CDMPI.:U\NCE cmx:I<S
~lies
.::¿
V
V
-¡:::
V
V
.j",¿'
(../
Deficient
.use
Lot Width
Lot l\rea
Floodplain
E':1:cnr; Yard -
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building l\rea
IDt l\rea per Family
COrner IDt
Other (specify)
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........----
- P---
V' -
- -
Deficiency /O;mœnts
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REVm-1 At1mOlU'IY . . .
The Planning Director, or appropriate designee, ItUSt approve.all plans, except
the follcwing: (1) Alterations or interior 'OOrk when the use is confoming and
when 00 change of use is pJ:OpOSed. (2) Maintenance items, e.g., siding, WÍl1ÕO\</S,
etc., when the use is confoming am when 00 change of use is proposed .
Instances where work =nplies with the a1=Je criteria, the pe1:I!1Ít can be reviewed
by the Building Inspector without refen-al to the p.lanning Director.
~ APProVED -~ur APPPOVEO
- Plan Comnission Action ReqUired
- variance (s) Required
~~~
DATE: ~/j/
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ELEV.
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STREET
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