HomeMy WebLinkAbout0004082-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~!
04082
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PLAN NO.
DESIGNER
USE/NATURE OF WORK
A J~<AJ
:s Ff¿
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#If-. ~ r- Co- ~ 1"
.~o -{l-I
BUILDING CONTRACTOR (!) ...,J. I'l ~
Size >fo ¡<:i2.. Sq. Ft /,;r >
Foundation Co V\.~ f-(> .f-.t,
# Rooms b H 1..,¡J¡ # Stories
Class of Const. ~
t Height I c;,
Occupancy Permit Rei:> ¡J
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HEATING CONTRACTQR
Ik~~
Hea; D NC D Vent D Fuel/System
Heat Loss
BTU'S -
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
I
ype - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ,1(/ .,.;t(.£-'V¡' -
_BT _WH _Disp
_La v
_Sh
_FDr
_DW
_SP
_WSoft
_DF
- CBasin
- San. Sewer
_WC
-Ur
-Storm Sewer
_Water
_Sink
Other
_LTub
_Eject
_SS
ISSUED BY
Park Dedication $ /pC;
Final/O.P. 'i/;¡Y/Þ7
In the performance of this work I agree to
orm all work pursuant to rules governing the described construction.
SIGNATURE ~~
,ç~, /2--~ fY7
DATE
ADDRESS
TELEPHONE #
.1
,'~ /
NAM~~ l~ k '"R <J ~ ~ ~
LOT --z.. 'j
SUBOIV. Sl<1-/~ è"",pel
STREET No.7f"L [-/f'VlPlI":$S IE
I
DATE
ú --::;.--- ~7
¿ 7Ít( (') CUe '1'{~'-'"
~.¡ARD ~ 5-
ADDRESS
BLOCK
SIDEWALK EXISTING
ZONE
sf, LOT DIMENS iONS
YES 0 NO~
ro - s . 19 ðl
BUILDING GRADE E-LEVATIONS STAKES SET AT SITE
BY ~ ¡J
FEE:
$10.00
b, ~~¡/
DEPARTMENT OF PUBLIC '/IORKS
X--:LS.
I, the unders i gned. Owner or agent of the above creser i bed property agree 1"0 have the
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513/zA
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(:;;?1f,4J
State of Wi"on,in
O.p"tment of Ind,"'y,
Lebo, & H,men Reletion,
Divi,ion of Sefety & B,ilding'
Box 7969
Medi,on, WI 537D7
W¡,con,in Stat,t., ,Q'.G3, 1Q1.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICA TION
APPLICATION NO. ~82-
(See Instmction on back!
PARCEL NO.
Elor)W
ft.
0 Detached
Fuel
LP G"
Nat. G"
Fuel Oil
Electric
Wood
Solar
Coal
Other
[J
.Ja::--
[J
[J
[J
[J
[J
Wale' Ht.
£¿-
0
0
0
0
0
¡z"~(rt;'~!,'!!!
/Oi> ~
Living Area IO'i~
.~~
Envelope
Infiltration
Garage
Sq. ft.
94.'E'Stll\1l\
$ ...yO ~
The applicant agrees to comply with the Wi,con,in Uniform Dwelling Code and other Muncipal Ordinanc", and with the conditions of thi, permit; understands
that the i"uance of the permit creat", no I liab, ty, e" or implied n the Department or Municipality; and eertifi", that all the above information i,
accurate. '
SIGNA TURE OF APPLICA
CONDITIONS OF APPROVAL
DATE
This permit is i"ued pu"uant to the following condition,. Failure to comply may r",ult in ,u,pen,ion or revoea.
tion of thi, permit 0' other penalty.
FEES,
DCOUNTY Municipality Number Municipality Number of Dwelling
2.J:2 '2... Ú2 -'? Location, if different
~~~J.!IN~n:¡;~~~ ~
àMRI~~tçnO)¡ II
PlanReview.......$
In,pection . . $ NAME
~:~e~~rm¡t sealbl. : : :: ~ CD;:~. Nolr? 4~~
TOTAL... ...$ -09&-3 - -
DILHR.SBD 5823 IR, 11/841 WHITE - '"uing Ju,i,diction YELLOW - DILHR
GREEN - ¡n,pector
PINK - Owner/Agent
City of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address g I c... It-e trtrt e:s~ V
Owners Name ~ Þ. 0 ~ <!- h
Name of Subdivision -:ShCLL" C -'P'P~l
'(.;,3
I
100
Fee Paid /OéJ
::~:~:'::~~t"~~::: 6'~ It?
Parks Subdivision
Improvement
Accts. Rec.: 362-041
Lot 1/
Bldg. Permit 1/
"f 08 L
No. of Units
Fee Required
"
III.
rv.
GENE!OO:.
Bnj1ñiT'\q Pe:cnit i. ZtJnirJ;ÛO:JnfOrIlÙI'&J- Non-ConforIlÙI'&J-
Job Location ~I ~ , PI ;::z / wt: DiJrension
Property Owner G-4/1 - (. wt: 1\rea .
CCNSTROCTICN DATA
I:Iescr:i.be i'i:>rk:
I.
u.
ZCNnIG/L1IND USE <n1PLI1INCE CHEX::KLIST
/lJ c- <-<.J
~/ /#~/-
/
-;SF!>
- NEW o:mmJC'l'ICN
- AO::essoJ:y Buildinq
- Fence
- Boathouse
- Utility structure
- Other (specify)
o::JMPLIANCE: amc:¡æ
Cœplies
L/
J:
J
-y
Deficient:
~
~
~
~
J
~/
~
r-
- ACoITICN
- AL'mRATICN
- Pool
- Deck/Patio
- Sign
- Porch
- Single Family
- 'lWo-Family
- !o1:Llti-Family
- Camercial
- Manufacturing
Deficiencv /O:mrents
.use
wt: Width
wt: 1\rea
Floodplain
~ Yard -
Rear Yard
Side Yard (R)
Side Yard (L)
Pming
Building 1\rea
wt: 1\rea per Family
O:Jmer wt:
!U/íjo~-
/
Other (specify)
REVIEN AUl'HORITY .. .
The Planning Director, or appropriate designee, rœJSt: approve all plans, ,except:
the following: (1) Alterations or interior '-Or!<: when the use is confoming' and
when no change of use is p:roposed. (2) Maintenance items, e.g., siding, windows,
etc., when the use is confonning and when no change of use is proposed.
Instances whe:J:e WO~k'. lies with the above criteria, the pe::mit can. œ revie.'ed
by the Building. r without ref=1 to the Planning Director.
- APPROVED - 1Ur APPROVED
- Plan Conmission Action ReqUired
- variance(s) ReqUired
REVIEWED BY: /-..° /~ 4l- ~ ----
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DAlE: 1~~L
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--OSHKOSH ,--W I SCONS IN
----------.--- ------------.---
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------SITE 'PLANE----'NOTTOSCALE
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SECTION 7-32 CERTIFICATE OF OCCUPANCY TO BE ISSUED
""~'^~"'" City of DAT~#~',',',
. QSt:lKQSH INSP.lf<'<'" "(7' ~~--
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(A) The Building Inspector, Heating Inspector, Plumbing Inspector,
and Electrical Inspector shall make a final inspection of all
new buildings, additions, and alterations, If no viola tion of
this Chapter or other laws or l..,wful orders be found, the Chief
Building Inspector shall issue a Certificate of Occupancy,
stating the purpose for which the building is to be used, also /", ",' , ^', '"
:~d;~:i~~me~~:d f~~:rm:~~~~~fn~~~e:l~: l~:~o~~e t~~~l:~g a;~- {. ~~':
prem1se or part thereof and the purposed use thereof are 1n,,' ~ Ä~"
conformity with the provision of Chapter 30 on Zoning and ,.s~{ \,
~~t~uii;~~~n~R ;k~e~~~/~H¡~~t~~no~g;;;iE~c~~iLs;~~HCllaptè'~"" :'"
CERTIFICATE HAS B:e;EN ISSUED, NOR SHALL ANY BUILDING BE OCCUPIE~:' ,: !
IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH. "", {.l.¡':
IN THE CERTIFICATE OF OCCUPANCY. <~ ¡..;, ~' I'"
PRESENT 'tHIS "io~1
"
FOR 0 C CUP A N C Y ¡:i E R M I T T 0 Room 205, Ci ty Hall ;
Oshkosh, Wisconsin 54901 I
THIS BUILDING SHALL I
NOT BE OCCUPIED UNTIL !
FI NAL INSPECTIONS i
!II
HAVE BEEN MADE AND I
THIS CARD SIGNED BY ..""
THE FOLLOWING IN- INSPECTIONS MAY BEl
BS:I~~~~RGS,' ,~R~:~o:.::~;11
E LEe T R I C A L D ATE 7-27--<17
HEATING A TE'~/~
PLUM BIN G D AT E g¡;¡¡;'
*FIRE
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DATE
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NOT APPLICABLE TO 1 .ANDZ FAMII:.Y-bWELLJ1JtfS