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Home My WebLink About0004213-Building '_/~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04213 TYPE: BLOG k'HTG D ELEC D PLBG D SIGN D ZONING ~ FLOOD PLAIN t\\ v-f- HEIGHTU If - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS <?,Oc;" tie h"-¡ l".53 I¡ Sf- OWNER é~b~ r:-f- 7</</ "5 <!. h PLAN NO,'t-"1-ð-(;íS7k. DESIGNER USE/NATURE OF WORK Mt-J ""S~1< vj 2(') ¡( è L. n-# .jtt.rt:L'f., 'f ""I BUILDING CONTRACTOR 'lÆ..}:;¡-e.. ¿~ 1<'"¿o "'£0 Size )5'¡<:"'/"'/ Sq, Ft.f.e.OO Foundation (' <'> "'- (I c-e # Rooms IÞ t- L&Q.f~ # Stories Class of Const. 8 I Height /,) Occupancy Permit ì?- p ~ ¿:J ( HEATING CONTRACTOR ¡:JVI/t. erl' c. '" -1 Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRiC CONTRACTOR C- I, ~ ,'VL ~~ Electric Serv, New D Change D Temp D Type- Volts- Amps~ Fixtures Switches Receptacles Circuits PLUMBINdtcONTRACTOR t,J... iI-'f'r~ _Lav _WH _Sh _Disp _DW _WSoft _DF _CBasin _BT - San. Sewer _WC _FDr _SP _Ur -Storm Sewer _Sink Other _LTub _Eject _SS _Water ISSUED BY ee Paid $ /061. 6J Date 6 -;>'2 -<:r7 Park Dedication $- 1c:tJ Final/O.P, ;¿ -!!- 3 ð" In the performance of this work I agree to rform all work pursuant to rules governing the described construction, SIGNATURE g ~ -t:G1J~ DATE ADDRESS TELEPHONE # .1 '1 ~ ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 04213 TYPE: BLDG~HTG D ELEC D PLBG;::J SlêiiN D ZONING ~ FLOOD PLAIN ð u f- HEIGHT,UI1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS ¿;-OG:, fit tt'l l".5:<; It S {- OWNER ~C< b~ r- f- «..Iv "5 ë' h PLAN NO, P'f- 5-C,6('rè DESIGNER USE/NATURE OF WORK /Í-I' <-J 3" ç:: 'R. ,/1 >n 1<'?? n-ð ~ ~ r" 5 'e (',BUILDING CONTRACTOR l1. 'M. Ii'" L-- ¿ ~ )( ,,<::> ¿¡.r.r 0 ~ Size >,)¡< "'/4 Sq, Ft. ferx::J ~ Foundation (' ("- h. (I ,- P ( HEATING C)t~RÂCTOR II n1 f' r,' è c. ., # Rooms 6 f- ¿ ~r:f~ # Stories Class of Canst. 8 I Height I) Occupancy Permit ì< c ~ ell ( ,-, ,-, NAMEG::Jw:J ~ LOi ~ SUBDIV. ' j)DtY C-r-e.~k STREEi NO. j7¿Jt ~ SIDEWALK EXISilNG YES BUILDING GRADE ELEVATIONS STAKES SEi AT SITE t/~", V FEE: $10.00 ~ t;-f'L-'ES-7 ADDRESS ¿ '7 Co. ø CU~ ~ f HARD r:;, DATE BLOCK ZONE LOT DIMENS IONS 0 NO~ 15 ,19 iš7 BY~ V ~~ . DEPARTMENT OF PUBLIC WORKS I, the unders i gned, O1Nner or agent of the above descr i bed property agree to have the grade estab I i~hed before excavation has com~~~~ f2'èf$] 3?~ / State of W',con"n Depactment of Indu"ry, , Labor & Human Rela,;on, ' Dly,,'on of Safety & Building' Box 7969 Madl,on, WI 53707 WI"on"n Statute' 101,63, 101.73 ~G.~ 17- WISCONSIN UNIFORM BUILDING PERMIT APPLICA TION APPLICATION NO..-if. I (See InstrucHon on back) PARCEL NO. DELEC DPLUMBING Telephone 2...3 Telephone ,T Lot N°.z~ Left N, R, E(or)W Block No, ~ R19hd='- It, D Detached S ace Ht. [J ..,s-.. [J [J [J [J 0 Water Ht , D 15'--- D D D D .~ Basemen" Urn lIre q~O LIving Area Garage SIGNA TURE OF APPLICAN CONDITIONS OF APPROVAL DATE This permit IS Issued pursuant to the following conditions. Failure to comply may result In suspenSion or revoca' Hon of this permit or other penalty', DCOUNTY Municipality Number 2£2 PlanReVlew""",$ In,pectlon""",,$ WI"PermItSeal(s) ",$ ~ Other" " ' " . , $ TOTAL"", ,$ 01 LHR-SBO 5823 (R, 11/841 WHITE - Issuing Jurl'dlctlon s::J-' 2-7 DATE CERT. NO. YELLOW-DILHR GREEN - In,pedor PINK - Owner/Agent & :::t-r- City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Add"",ð>O,& {:r" '1{ :51- Owners Name -=.-a.." - r- - - <..1:5:. e.h Name of Subdivision ~LJc:d C¡r- Lot # ¿ 1. Bldg. Permit # Xf¿ L-==t No. of Units Fee Required I (f!Jf) è 6 -2.¿ - 8/> Fee Paid Owner's signature Inspector's signature Parks Subdivision Improvement Accts. Rec.: 362-041 rue IV. zomm/LAND tJSE CQMI'Lrl\NCE am:KLIST I. , =.. Permit # ZOning Il{ /J Confominq Non-Confoming Job IDœêon 7f J~Aj ~t Dæ::n, - Property Owner # rot Area II. ammrrICN DATA 14 L Descr:ibe Iak: . RAJ- )1=(¿ <J(' , þZ--#- (-:;ar- ! - NEW. cnsrRIJcrICN - ADDITICN - ALTERA1'ICN - l\I::cessory Buildil1q - Fence - Boathouse - t1t:ility SI:rUct:u3:e - Other (specify) CDMI?I.IANI:E: CBEX::KS - Pool - Deck/Patio - Sign - Porch - Single Family - 'l'ÑO-Family - J.1Ilti-Family - Cœmarcial - Manufacturing Cœplies V' ~ -1",:'/ -1.L' '-"" /' Deficient -Use ~t Width rot Area Floodplain Front Yare - Rear Yare Side Yare (R) Side Yare (L) PaJ:king Building Area ~t Area per Family Comer rot Deficiency ICatments .¡.¿,,/ ~ .-/ ~ <--..--' =~- t../"".J' 'r &;zt vlQ .f; tf1) I ~ ¡f.. /-~ / "7 Other (specify) REllIEti AtJl'HORI'lY , , The PlaruUng Director, or appropriate designee, l11IJSt approve all plans, except the following: (1) JIlterations or interior ""rk when the use is confoming and when no change of use is proposed. (2) Maintenance items, e.g., siding, windotvs, etc., when the use is confo:rming and when no change of use is proposed. Instances where ""rk,O7Iplies with the aI=Ie criteria, the pe>:mit can !::e reviE!'l.'E!d by the Building Inspèctor without refen:al to the I>1anning Director. ~ APProVED NOr APProvED - Plan Conn1ission Action ReqUired - Variance(s) Required RE\IIEtiED ~;/~ ß ~ 4 -' DATE: /é'/Í¿/¡f7 / .