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~ PERMIT - APPLICATI~N AN~ RECORD CITY OF OS,H~O3H
OSHKOSH Address 9/.5" &cI#/l;U ~ ' Owner (Jo W~t!F ",,_#C¿JAS;¿;"¿/
Lot /.:::2-- Block ~ Ward~ Subdivision Æn ~þ!AJ-A/J ~ ZOning~ Parkland Dedication Fee
Type of Permit: Building 1S¡f Electrical 0 Heating 0 Plumbing 0 Sign 0 Wrecking 0 Fence 0 Pool 0 Occupancy Permit Required
N~
23715
;,
Main to Curb:
Main to Curb
BUILDING Use a t)¿;"LËf'
1.1' General Cont. ~1Jj..Jr;rp-
Roof z4::¡;l-fI/t.-r 5ÞrÃ.lML1$-
Foundation f};1/~ ~.a:-~
I
Size: --M- feet wide X ~g. feet long
/
'~
Id. No.
Height Permit ~ Flood Plain ~
Insp. JjJ .u Permit Date G ~ ¿q ~
é?
PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St. Sewer Curb to Bu.
Height:
Stories and Basement
Siding l.4/l/J~4ALJ
Type of Construction tJ)cø¡J ~J.-1€F
Square feet area f /.;;?-
¿ S feet above Grade
No. of Ra:=r/ ~
Mason , ~/'> ,,;u;ubþ)C....I6
Carpenter ða#P- -rWAJO54U ~Ht!f5:.
Width of Lot
/?-O
Sewer Fees
}Of
Architect
Water Service
Bath Tub Fioor Drain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink Laundry Mach. ~ S. Pump ~
Water Heater - Water Soft. . B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
(
I-~t
I
~t-I~
t
Inspections -
Footing
Foundation
"ltfot
~ I Electric, Service
~ Sewer
Q
R.I.
HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Solid 0
Conditioning Forced Air 0 H.W. 0 Eiec. Base 0 Steam 0 Radiant 0
System High Elf. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Con. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Electric Service: New
Description-Type
Fixtures-
Appliances
14L.G=-
, Final
Estimatedcost(44/DL)O FeespaidJ//8.~ V Date 4-Z'T-ðb
TO THE BUILDING INSPECTOR: In accordance with Section 7-18 otthe Municipal Code otthe City of Oshkosh, it is agreed that if work shall be
discontinued for a period of 30 days at anytime for any cause after excavation work is commenced, a solid barrier, wall. orwire fence not less than
five feet in height shall be erected all around such excavati"'!o S~ barr~, wallo,rwire fenP"J"ili remain in position until removal is approved by the
Building Inspector. )f.. .-, / / ~
Amps
Circ's
t5z
(Signed)
Owner
Changes
Temp.
Switches
Volts
Recep's
Address
Phone ,;. .35:,;:J..S7 '?
By
(Acthor"" S'go"c,,)
Agent
Electrical Signs
Address
Phone
."-- ~
NAME Öù iUf.\'r"vG=' .j'1ÇOA<;.e,J
rL
sueD I v . (');UI49â /-I.
STREET NO. c¡ / S-
LOT
DATE C{ - 24 -ðC::.
ADDRESS QIO TAp! ~
t.:s~ HARD /to
(p...ulY G>.MAtI,ur ZONE ,1. ---z---
,
JJt¡uÞf A¡.,) 5-f- LOT D 1 MENS IONS
YES D N~
SET AT SITE 4-'ZS ,1981.=
BLOCK
'" ,
SIDEWALK EXISTING
BUILDING GRADE ELEVATIONS STAKES
FEE: $10.00 (l¿L!-Z4-ðb
By\é¡r...)
b~~
DEPARTMENT OF PUBLI C WORKS "'"
/<', =" .
I, the unders i gned, owner or agent of the above descr i bed property agree to have the
grade establ ished before excavation has co~e~4~
{ (/
CJð~4'1:
~I
St"e 0' WI,con"n
Depmment 0' Indu",v,
L,bo' & Hum'n Rel,';on,
D'c','on 0' S"etv & Building,
Box 7969
M,di,on. WI 53707
WI,"on,ln Statutes 10'.63. 101.73
WISCONSIN UNIFORM f).1 Go
BUILDING PERMIT V
APPLICATION ~4~4Æf!-
';;;~7 / s-
APPliCATION NO.
PARCEL NO.
N. R. E(odW
Block No.
/S-
Right
ft.
Forced Air Fumace
Radiant Baseboa,d 0' Panel
0 Heat Pump
0 Boiler
OCen"al Air Conditioning
OOthee
Fuel
LP Gas
Nat. Gas
Fuel Oil
Electric
Wood
Solar
Coal
Other
S ace Ht.
0
~
0
0
0
0
Water Ht .
0
Æ
0
0
0
0
Basements
'2.4 't.'3f3 Sq. ft.
Z4?<1l? Sq. ft. ~:~:~~~
2.:{) {<',;¡,4- Sq. ft. OOther
BTU!HR
BTU!HR
Living Acea
Enveiope
In'iI"ation
Ga"ge
OPrivate-on-site Well
~uniciPal UtilltV
6ðð
The applicant agcees to complv with the Wisconsin Uniform Dwelling Code and othe, Muncipal Ordinances and with the conditions ofthi, permit; understands
that the issuance of the permit creates no legal liability. expcess or implied, on the Department 0' Municipality: and certifies that all the above information is
accurate.
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROVAL
DATE
"1- '1 y- rc
This permit' ued pursuant to the following conditions. Failuce to complv mav result in suspension 0' cevoca.
tion of this peemlt 0' other penaltv.
. $
Inspection. .$
Wis. P"mlt Seailsl . . . $
Oth". . . . . . . . . . . $
TOTAL. ,$ 7D
..DILHR-SBD 5823 (R-1!82) WHITE - '"uing Ju"'d'o,;on
0
~k~
ITY
OTOWN
OCOUNTY
OSTATE
NAM
DATE .::+ -z.,.{ -r~
CERT. NO. ;;J-¡ ðf---
YELLOW-DILHR
GREEN - Inspacto'
PINK - Owne,/Agent
ZONING!LI\ND æE ~1PLIJI.NCE CHECKLIST
I.
GENERAL ()
Building Pennit # Zoning It. - V Confo:tming Non-Confo:tming
Job IDeation ~> '72 ~'-',vI~ IDt DiIœnsion -
Prope;r:ty Owner ~ 1.-ùÞ'?¡tJç:: jAco~So.J IDt Area
CCNS'J.'RœI'ICN DATA
Describe i-brk: pé"'G{./
(~~~ _7~)
-I-- NEW OJNSTRUCTION
- Accesso2:}' Building
- Fence
- Boathouse
II.
g ¡:::{Z.- -+- A -r\A<!.f-fE'!J
~/2.,¿:¡ç;.Ë
- ADDITION
III.
- Utility Structure
- Other (specify)
CDMI?LIANCE æECKS
- Pool
- Deck/Patio
- Sign
Porch
- ALTERATION
~Single Family
- Two-Family
- I-W.ti-Family
- Caturercial
- Manufacturing
Cottplies Deficient
£./
V
V
Use
IDt Width
IDt Area
Floodplain
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
IDt Area per Family
Corner IDt
.........
\../
~
L/
.J....¿
~
~
\..,./'
f...,./'
Other (specify)
IV.
Deficiency /Comnents
REV]E1 Atm!ORITY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior ~rk when the use isconfoJ:l1Ù.ng and
when no change of use is proposed. (2) Maintenance items, e.g., siåing, winOO'lS,
etc., when the use is confonning and when no change of use is proposed.
Instances where ~rk carplies with the above criteria, the peIllÚ.t can be reviewed
by the Building~r without referral to the Planning Director.
'~ APPROVED NOT APPROVED
- Plan Comnission Action Required
- Variance (s) Required
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