HomeMy WebLinkAbout0004214-Building
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CITY OF OSHKOSH N~!
PERMIT": APPLICATION AND RECORD
BLDG~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING ~ FLOOD PLAIN~-;;~IGHT~
04? 14
TYPE:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
ADDRESS ~~ I ~V' "'- e ~1 y: S.f-
OWNER G <L 1"11'-' 1>,. ' i ~~
PLAN NO.
DESIGNER
USE/NATURE OF WORK me c¿)
L.........-,@r
:s:~~ rf 4i1- ~~
Ie Je ( UI/f.Cr,'v. 1"'5. h¡eJ
'L..-<I }.< ¿D
BUILDING Cg¡'TRACTOR ()r,J V\ e r-
Size~ ;~ Sq. Ft. $JÐf}.. ýY(ÇIl iF Rooms ~~r f # StorieS~(' ~t/pl Height 4.0
Foundation Ce,~ f'-f' fe Class of Const. ~ Occupancy Permit ì(F,1
HEATING CONTRACTOR ,(j{/Ÿ1 é r r' Cú P\
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR Œu V A l fA-&! ::>
Electric Servo New 0 Change 0 Temp~
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
4 }nife r- 2S
-BT
_WH
-Sh
_Disp
_ow
_WSoft
OF
- CBasin
- San. Sewer
_Lav
_WC
_FOr
_SP
_Ur
- Storm Sewer
_Water
_Sink
_LTub
_Eject
_SS
Other
FEES: Valuatio
I
It Fee Paid $ /tX) ¡'
Date /6 - GL-8'/
Park Dedication $ /òô
Final/O.P. J - ð ' ð't
ISSUED BY
:~:,:f2 4 f~l~ru~ _,",°' ,~ .-.. œ_oo,. ru.
ADDRESS
TELEPHONE #
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LOT I ( BLOCK
sueDIV. ~~hJl,Á ZONE
STREET NO. 1'(;'7 ~ ß . LOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO ~
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /lJ;':';//5' ,19 ð?
C7 "
DATE b -(¿-~?
ADDRESS 'Z? ~O v..J ~/?o
HARD
BY~
FEE:
$10..00
~~
DEPARTMENT OF PUBLIC WORKS
J¡v~
I, the undersigned. owner or agent of the above described property agree to have the
grade estab I i shed before excavat i on has C~~ff ¿~
Ü2f,Sl
'ì- 'l ~f~(pn 17-.
St"e of WI,con,'n
Dep"tment of Indu",y,
Labo' & Human Rel"'on,
D'vl,'on of Safety & Building'
Box 7969
Madl,on, WI 53707
Wi"on,'n Statute, 101,63, 101,73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICA TION
APPLiCATION NO, ..¡¿¡
ISee Instruction on back)
PARCEL NO,
OELEC
OPLUMBiNG
Telephone
Telephone
_N, R, Elo'¡W
Block No.
Right
ft, 7rJ
R'
Fuel
LP G.,
Nat. G.,
Fuel 011
Elect,lc
Wood
Sol..
Coal
Otheo
Wat" Ht ,
0
"ì:J'--.,
0
0
0
0
0
Gaoage
~:~:an:~nt
OOth"
C'C)
The applicant agr'" to comply with the Wi,.on,in Uniform Owelling Code andoth" Muncipal Ordinanc" and with the conditions of thi, p"mit; und,,"and,
that the i"uance of the p"mit coeate, no ie "'tv, expoe" 00 impl'ed, on th Dep..tment 0' Municipality; and certifi" that all the above information i,
accurate. ' ~
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROVAL
DATE
Thi, p"mit i, i"ued pu"uant to the following condition" Fail",e to comply may mult in ,u,pen,ion 0' ,eyoca-
tion of thi, p"mit 00 oth" penalty,
FEES;
Plan Review, ' . $
In,pection".,..,,$
Wi"P"mitSeall,j",$ DATE
Othe~~TAL"",':: S:s,-/èb CERT.NO,
DI LH R-SBD 5B23 IR, 11/B41 WHITE - '"ulng Ju,;,dictlon YELLOW - DI LHR
NAME
GREEN - In,pec10,
PINK - Owne,/Agent
City of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address ~. 7 1f.eP¡ Qll:' :;¡ -Sf-
Owners Name ...c;J: f' r-..(... u:s~J'\.
Name of Subdivision -Sh6.....lu, C~e~k
Lot #
{ I
Bldg. Permit #
4-¿ '1
No. of Units
Fee Requi red
(
Fee Paid
e
ate ¡{ -¿ '2 -~
Parks Subdivision
Improvement
Accts. Rec.: 362-041
III.
r<J.
zamiG/UIND USE COMPLI1\N:E amx::KLIST
I.
~ .' .
~ Pe:cnit 11 zoning ¡JdlJ Confomin; Non-Co~
Jdo --/ "~r¡¿:/AJT '"' -:: . . -
Property CMner & Lot l\rea
==~ A j¿¿,ff- 5 ßc k cI^ ;II- ~
u.
- m.w, CCNSTR!.1C'nON
- ADDITICN
- AL'ŒAATICN
- J\ccesso:ty Bui1.dinq
- Fence
- Boathouse
- Utility . Structuze '
- Other. '(specify)
- Pool
- Deck/Patio
- Sign
- Porch
- Single Family
- Two-Family "
- M1lti-Family
- Camœrcia1.
- Manufact1Jrinq
CDMPL:D\NCE CHEX:I<S
Carplies Deficient
..........- Use
~ Lot Width
.........-- Lot Area
..........- Floodplain
l./" Front Yard -
......... Rear Yard
<.,/ Side Yard (R)
-::::...-- Side Yard (L)
-;::::...-- Pazking'
..........- Building l\rea
~ -
-- ¡-fÍ1 -- Lot l\rea per Family
I f/'r Co= Lot
(./'/ Other (specify)
Deficiency /Catments
&thifCÄ-d{¡6t; 4tkI: ~
I jI
REVro'l AtJI'HORITY ,.
The Planning Director, or appropriate designee, ItVJSt approve ail plans, except
the fÞlJ.c:rwing: (1) Alterations or interior --.ork when the use is confo:cning and
when 110 change of use is proposed. (2) Maintenance items, e.g., siding, windcws,
etc., when the use is con:fo:cning and when 110 change of use is proposed.
Instances where --.ork.=t1?lies with the above criteria, the pennit can be revie,..'ed
by the Building Inspector without referral to the Planning Director.
~ APProVED - NŒ: APProVED
- Plan Conmission Action ReqUired
- variance (s) Required
~BY~~(~-
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:::--=:AD DR E $ $--;;;f--7?-()---tn~~¡¡iH-~~f)- -:-
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ELEV.
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STREET