HomeMy WebLinkAbout0007367-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
07367
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ADDRESS
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PLAN No.¿:'3 -¿)-~~<:')ff-~
,-OWNER
(
,"
DESIGNER
USE/NATURE OF WORK
IV -.e.vV-'
~Fi<-
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BUILDING CONTRACTOR £ I
Size ~""'~::5" Sq. Ft. ¿-
FoundationþQ-'AA 0 r/
.5 G.-- c.
{g 't- ( ~" f͡ # StoriesW./~ vr' I Height ~
Class of Const. ,PJ Occupancy Permit ~
HEATING CONTRACTOR
-¡J..." .iÁ~~
,
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELE~TRIC CONTRACTOR ct -'-' A~~ -(.
"Electric Servo New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
N;l~~
_Lav
_WH
_Sh
_Disp
_DW
_WSoft
_DF
_CBasin
- San. Sewer
_BT
_Sink
Other
_Eject
_SS
- Storm Sewer
_Water
_WC
_FDr
- LTub
_SP
_Ur
rltFeePaid$ !bié)
Date :1 - r.:s- - ~
Park Dedication $
/,00
ISSUED BY
Final/O.P.
¿ - 10 - gs
:,:, :~7 ~ ~. ~o>m ., ~. ~"œ", W .~ _m", '00 -~ ro-;/15/ 6t
AGENT/OWNER . ¡J>,TE .
7l b ð úJ d¡¡ü~ (21 .):33- II ~/
TELEPHONE #
ADDRESS
DATE "3 -10- ~~
NAME ~J~::I-!? 'A~ ADDRESS -:¿ ( c;. 0 N~
LOT ( 3 BLOCK ~.¡ARD 6
SUBDIV. ~ r~r9C<) c.\r~_e-L- ZONE
STREET NO. ~l 't ~~",e;:s3 f 5/- LOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT SITE =:::,fJd ,19 86
I
ì<~
BY v.J
milt;
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DEPARTMENT OF PUBLI C WORKS
I, the unders i gned, Owner or agent of the above
grade estab I i shed before excavat i on has comme ad.
C37?8
77~
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a- '3'-'Z~-- 3 ~l<...-
State of W"con,'n
Dep"tment of Indu,"y,
Lebo, & Humen Relation,
D'v;,'on of Safety & Building'
Box 7969
Med;Nn, WI 53707
WI,con,'n S"tute, 101.63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICA TION
oHVAC
PARCEL NO.
oELEC oPLUMBING
Telephone
"è...-'3 [ '¡?-2..-CD
Telephone
N, R, E(odW
Block No.
ft.
~..~
0 0
0 0
0 0
0 0
0 0
LIving Area
s. S
gs~onal
.l::!lf:ermanent
oOther
BTU/HR
BTU/HR
Garage
1i4i
$
The applicant ag,e., to comply with the Wi,con,in Uniform Dwelling Code andothe, Muncipal Ordinances and with the condition, of thi, permit; under"ands
~~~~.~'~a~:; ~~p:m;~~;~~~~gal liability,~O~' on the Department or Municipality; ::;:ti~ that all the ~ove information i,
CONDITIONS OF APPROVAL
Thi, permit is ¡"ued pursuant to the following conditions. Failure to complV may r.,ult in Mpen,ion or revoca.
tion of thi, pe,mit or other penaltv.
eo
Plan Rev¡ew . . .
In,pection. ..
Wi,. Permit 5eal(,1
Other . .I
TOTAL. (0 f) 7"l... ( CERT. NO.
DI LHR.sBO 5823 (R. ,,/84) WH ITE - ¡"uing J",i""ctlon YELLOW - DILHR
OATE
GREEN - In,pector
PINK - Owner/Agent
City Of Oshkosh 1/1/85
.-
PARKLAND DEDICATION FËE COLLECTION RECORD
::'.... ?rî ~
Name of Subdivision ;s;:,¡;çß~ C}-¡'¡;JÞ'~
Lot II I-y Bldg. Pernlit II 7.3 Ú "/
No. of Units
Fee Required
Fee Paid
Owner's signcture
Inspector's signature
Date 5-/~- 'gO
Date3-!j~~
Parks Subdivision
Improvement
Accts. Rec.: 362-041
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II.
III.
IV.
zam1G/LIIND USE CO~1PLI.l\NΠCHECKUST
GENERAL -_. .
BuildingPer:nit jf ZoniIt;;.!::L Conformi.rJ;- Non-ConfoJ:!tlil1g-
Job I=ation "8'/ '( II ~ .
Property Owner c;... R
cæ~CN DATA . .
Describe W:%k: /CJ~ .5.f 'Iz-
Í.
~ Dilœnsion
IDt Area -
(1'/lfI'~..qX/f ~~
~ . amTRUC'l'ION
----: AtIŒRA1'ICN
Çê Family.
- 'l'.¡o-FêIIIÚ.lr.
- MiIti:,.Pamily
-~
_M3ñUfa~
- ADDITICN-
- AccessoJ:y Building
- Fence
- Boathouse
- Utility StrtJct1tte
- Other (specify)
CDMPLI1\NCE am:::KS
- Pool
- Deck/J?atio
- Sign
_Porch
CarDlies Deficient
..!..é
JL
V
~
V
V
(../"
V
r../'
JY: -
~
Zf(f
Use
IDt Width
IDt Area
F1codplain -
Fmnt Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
IDt Area per Family
Co¡:ner I.ot
Other (specify)
Deficiency ICanœnts
~JdJ~þ-
REVm'l AUI'HORITY
The Plarming Director, or appropriate designee, =t approve all plans, e¡cœpt
the tbllowing: (1) Alterations or interior 't.Ork when the use is confoming and
when no change of use is proposed. (2) Maintenarice items, e.g;+ sièlli;t;, ~.
etc., when t.'1e use is conforming an:i when ro chan<Je of.1JSe is pmpos.ed:..
Instances where =rk c:atplies with the above criteria, tYie.pØ:nC.t çàn. k revie.;ed
by the Building Inspector without referral to the Planning Directbr:" .
~ APProVED - N:Jr APProvED
- Plan comnission Action ReqUired
- variance(s) Required
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DATE: ,;;¡fk
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GABERT & RUSCH CONSTRUCTION
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OSHKOSH;-W I SCaNS I N
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