HomeMy WebLinkAbout0000848-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
_00848
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ADDRESS ;;;21,5-0 tPÞ'(j ill'LAc.. (¿O41:, PLAN NO. r!.1-534--88¿;!2-
OWNER ,UAIL/O r t?A-¡J:Z/A-~ I
DESIGNER
USE/NATURE OF WORK ;k=vJ c-S/¡..J¡;;a;:: :/'A,UI¿Y k ~AT(.4c..-IlELJ C;;A~
~: H"ì ,ßCtf,ufT A-¡;jJLl.ES 7L> fíJVPß~,u tLbæLO¡Je T' ,
BUILDING CONTRACTOR /?o~ 11 I1tll (¿II Ç;,
Size ¡::¡l¡{t¡;Ot,44- Sq.' Ft. .;zS-¿?¿:> # Rooms # Stories;:¿ Height.;:24- f
Foundation ,¡JøØ-tÆrJ ¿;VC~~/EH¡)Y!l Class of Const.tlb/J F£:- Occupancy Permit ¡('~ lJ//!.ç;:-fj ,
/
HEATING CONTRACTOR 'Ji'if?f.A ~¡Uí¡V8:~
Heat 0 NC 0 Vent 0 FueilSystem
GAS./F/1-
/
Heat Loss
BTU'S
ELECTRIC CONTRACTOR C!v/W'-i (fliPS
Eiectric Servo
New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacies
Circuits
PLUMBING CONTRACTOR ¡4e--/-f l3þ5-
_BT
-Lav
-WH
-Sh
_Disp _WSoft - CBasin
_DW _DF - San. Sewer
-SP -Ur - Storm Sewer
-Eject -SS _Water
-WC
_FDr
_LTub
-Sink
Other
FEES: Valuation $ J D, D 00
ISSUED BY J) ~lH'¿iA1..-
{/
/
<)0 ¿:>O ,,'
Permit Fee Paid $ , .------,-
Date j{-f-j7,l..
Park Dedication $ p~
Final/O.P. 51S/ In
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
"G~ru"_M ø;; C ~
r--:. AGEN lOW
7~y~rb
DATE
ADDRESS
TELEPHONE #
<f-/-áb
NAME !1/1ÞC? &S5///I'J/ ADDRESS
LOT ,,:re~ Arr.4C-!-ft3!:::J ¿E~1'1-L.- BLOCK
"
DATE
HARD
I~.
SUBOIV, ZONE
STREET NO. à9S0 ~¡JoóbLAe. r2.ð LOT D/:'-1ENSIONS ~G.ç; UCA~
SIDEWALK EXISTING YES 0 NO ~
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 6-S ,198Ç"
BY 'y(tI
FEE:
$10.00
DEPARTMENT OF PUBLIC 'liORKSK.é?
I, the unders I gned, owner or agent of the above .descr i bed property agree to have the
g~d' """"":"'o~"~""'O""" '~~
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St"e of Wisconsin
Depactment of Induwy,
Labo, & Human Helatlons
Division of Safety & Buildings
Box 7969
Madison, WI 537D7
Wisconsin Statutes 1D1.G3, 101.73
WISCONSIN UNIFORM fÎ) I
BUilDING PERMIT l,,:.
APPLICATION $34 -8Bl::, f-
I 30'1
APPLICATION NO.
PARCEL NO.
LEC
OPLUMBING
Telephone
4 Telephone
7k .- 2Ç:.33
0 Détáched
Fuel
LP Gas
Nat. Gas
Fuel 011
Elec"'c
Wood
Sola,
Coal
Oth.,
Basements
LIving Area 4-'1 (:;;>0
Garage 714-
~;ClŠ:E!'~
OSeasonal
q€e,manent
~Othe'
Envelope BTU(HR
Infil"atlon BTU(HR
14:E$'rt ATJ:b;ðdS'r>~~'~'~'~~'
$ /bD'DC{)
The appl;cant ag,ees to comply with the Wisconsin Uniform Dwelling Code andoth" Muncipal Ordinances and with the conditions of this permit: unde"tands
that the issuance of the pe,mit creates no legal liability exp,ess 0' Implied, on the Depa'tment 0' Municipality; and certifies that all the above Info,matlon Is
SIGNA TURE OF APPLICANT DATE 7- r -q:z:.
CONDITIONS OF APPROVAL
wing conditions. Failure to comply mav mult in suspension 0' revoca.
OTOWN DVILLAGE MCITY
OSTAì7s. ~D"UNDENT
OF. I:f.$ .
P.rs'S",,{ifJ:,~ ¡,\; ",\,r~;!4~:rØLI!Œ.,E¡\rI1l1:
Municipality Number
:10
DATE
Municipality Number of Dwellin9
Location, if different
Inspection........$
Wis. Permit Se,lIs) . . . $ :g,O
Oth"..,........$7/\
TOTAL. . . . . . . $ _l.J
DI LHA-SBD 5823 IA. 11/84) WHITE - Issuing Ju,lsdlctlon
NAME
CERT. NO.
YELLOW - DILHA
GAEEN - Insp,cto,
PINK - Ownat/Agent
DESCRIPTION:
E ~ SEC 36
Com at SW cor LDt 1 accord to CSM Doc #567613
R of D SOD16'33"E 100 ft along ext W line of
said Lot 1 S89D43' 2 7"W 100 ft to beg SOD16'
33"E 69.82 ft N89D53'30"W 162,01 ft SOD46'31"
E 30 ft N89D53'30"W 285.38 ft to Ely line of
Fond du Lac Rd Sly along Ely line of r~
Fond du Lac Rd 32.69 ft S89D53'30"E 256.93 ft
S3D22'E 190.01 ft to N line of Blk 2 in the
Replat of Lake Rest Manor N86D35'E along N
line of said Blk 2 130.09 ft N3D22'W 212.06 ft
S89D53'30"E 373.09 ft N30D6'30'E 23 ft N5D34' .
38"W 32.12 ft NIID30'40"E 51.40 ft S89D43'27"
W 343.50 ft to beg being prt of Govt Lot 4
1. 7161 A
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Z<:.'NnIG/IA'\¡lJ USE CXJ~1PI..IANCE: CHEC:KLIST
t.
= Pe=i t # ZonirJ; ~ COnfonninq - Nm-<:onfonninq-
Job I.oœtion ;x,9'W h,u11 a /Þc /2:; . ~ DiIœnsion -:-
Property Owner tot Area .
~CN D1'æA
Describe N:)rk: ~ c6/,t.-/G¿r::
¿v/ A7TA-C-/d-C/Î <:;:7A;2..,¿¡&E
+Næ.~
- Accesso:ty I3uildina'
- Fence
. .
.f7:¡.,M it ý' d.G=S/;:}G',¿..JO?
- J\DDJ:TICN-
~ At:ŒRtœICN
Ý~lë' FatniJ.y.
~ ~F~r.
- ~ti:,.Fami.lY
-~.
-~~
- I3oathouse
--- Ut:ility St:ructw:e
- Other (specify)
o:H>I.I1INΠCHEX:!<S
- Pool
- Deck/Patic
--.:. Sign
- PÕrch
CalDlies. Deficient
V Use
. .V tot Width
~ tot Area
,~~ F~~.
.?"; Front Yam
V . Rear Yam
~ Side Yam (R)
~ Side Yam (L)
V-- Parking
V 81ildin Area
t:::/¡ ) A- = tot ~ per FatniJ. Y
- ¡VII . - CoJ:ner lot
Other (specify)
Deficiency /Caltæ!nts
m:vm. At11'HORI'lY .
The P1.anning' Director, or appropriate designee, IlUSt app~ all plans, except
the following: (1) Alterations or interior \>Ork when the use is Q:mfOmlng and .
when no chartge of use is proposed. (2) Maint:er1arœ items, e.g;i'~ ~~.
. etc., when the use is Q:mfonninq and when ro chan!5e of,'use is pmpos.ed~.
Instances where \>Ork c:arplies with the above cri~,' t:He.. ~~. ~ rëVie..'ed
by the Building I.nspect:or without refen:al to the Planning DIrectbr':" .
~ ~roVED NOr ~PRJVED .
- Plan Cœmission Action Required
- Variance(s) Fequired
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