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Home My WebLink About0012869-Building ~ " ~ 12869 PERMIT USE/NATURE OF WORK fiJ~ :'({C(2 ,~/ 4tf I Go r-- B l Height f E( Occupancy ptmit(? (~ I I BTU'S' I HEATING CONTRACTOR Ot..J-A.P"'- Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss ELECTRIC CONTRACTOR -z. Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ FixtureD Switches Receptacles Circuits ;;:1.... _ WSoft _OF PLUMBING CONTRACTOR ~..];:>: K, &Icr... _BT _WH _Disp _Lav _Sh _OW _WC _FOr _SP _Sink _ LTub _ Eject Other _ CBasin _ San. Sewer _Ur _ Storm Sewer _ Water _SS In the performance of this work I agree SIGNATURE R ISSUED BY ee Paid $ 27 7. ~ Date ~( - /41- 2J Park Dedication 1$ I () D I Final/O.P. ,;;l-:2 (J - '10 perform all work pursuant to rules governing the described constrJtion. ) ADDRESS TELEPHONE # State of Wisconsin Department oftlndustry," Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 WISCONSIN UNIFORM BUILDING PERIVUT APPLlCA TION See Instructions on back of .......:.: ~TRUCTURE Mailing Address IJt!- Zy-VS7 0 I APPLICATION NO. ....... ....................... .... ....... ..... ,.. ........ ................ .............. .................. ....:.................................................................................................................................... !ml!~~~~~~!~~If~.:~ ..... ..................... ................ ..... ..................................,....... D HVAC PARCEL NO. I: D ELEC DPLUMBING Telephone I' 4-z~~_. 14 ~ ( Crrrt/) 21_~io:eqt "3 '7 Owner's Name G:tzO~ ~c:.. ~ Ie cont.ractor's ~me o. .. fI). DICU-- ~v f~U 1e-()If!0'W; MaZ/8rsjeY3~/'--'?S kA: ,,,............................ ... ..................... ................................ ... .................. .. ............................ .... ... ..... .. .. ... ~~~lg~~!~~~IIIB~ Building Address i -L. - ! Zonin~srct ,T Lot No. 34 N, R E or W Block No. - Entrance Panel Size: 'Zea amp Se vice: Underground o Overhead ::.~!;:~"$j'J.:~l;f;QQNQATIQ"I -g5ite constructed Concrete D Manufactured D Masonry D Treated Wood ............. D Other . Single Family D Two family D Other - Forced Air Furnace Radiant Baseboard or Panel D Heat Pump D Boiler D Central Air Conditioning D Other Ri9h~ 7;. - f1. ~ ft. t ..1~;$"$$~M$QO$Q$.t:?.. Fuel Na1.L.P. Oil Elec. Solid olar Gas * Space Htg. D D D 0 D Water Htg. D D D D D Setbacks liefldtStdAll ............................................ Garage '728 Sq. ft. -Story D 2-Story D Other aiO$$} ...................... ....................... ... .................. ...................... ...................... ...................... ..".................. . ...................... ........ ............ ................... ............................. ............"...... 1~;PJ,;OM~J"~: ~e er Mun..iciPal . Septic al;.H~I1't.O$$~Gi!j.IGM~t~~r: Permit No. 7t - 0 Envelope-. I ...,0 BTU/HR 11;.W"Te:I.}t.~'. Infiltration '00 BTU/HR ~Mun,icipal Utility1";:gQT~M4TgQQQ~1t~... o Private on-site Well $.U boo ~~~~:I~~;~~~t~:r~i~i~~i~i;;tS a~: k~ ::~~~tin~:~~~:~~~: .. .!.7 * D Dwellingu it will have 3 kilowatt or ........ more installed electric space heating equip. ~:'t:,), Infiltration contrbl option is: 0 Full sealing ..... of joints. D Bldwer door test. D Exterior air infiltration b Irrier. Basements Living Area /5- b '8 SIGNATURE OF APPLICANT CONDITIONS OF APPROVAL . 0 $ Inspection 0 0 0 . $ Wis. Permit Seal(s) $ Other . . . . 0 . $ TOT AL . . . $ SBD 5823 (R. 04/87) D COUNTY Municipality Number of Inspection Authority 20_"2.. ~~ .... PERUml) \'lIS ONIFORMPERMIT > . "'It "8 :;:::::::::::::::::::::::::::::::::;:;:: :t::::::t::::::)>}~:::}t}}>::~::::::::::::::::::::<::<.:.:.',....... :~:J$SU~6.,.... ..i;J.t.#)Jt?t,:~~~MI$$Ui!pvg..............................?}'!..................... ~nstruction o HVAC D Electrical D Plumbing D Other MunicipalityJ Number of Dwelling Location, if different ., -,.............".."........ ............................. .:.~'i'~ND.'~~IiN::...;...~... NAME GREEN -Inspecto'r PINK":' Owner/Agent ~ WHITE -Issuing Jurisdiction DATE I' CERT. NO. e "7D City Of oShkol .1 Address Owners Name i ~~;';ND ~OIC:I~FEE co~t;rION RtCOIlO I (-.) 1 -S- ...., f C t t?'. f~4(' /-,:t.Y<.f 1".... _" f. <'- f- f ~! '-~.,' ,." v..> ,,-. ( ""'P...., (_.. .... -~ ... -..;;..~.; v;: Name of SUbdiV~~ Lot # '-> . No. of Units ! Fee Required ( O() /00 ~. ) "/Pr." ~ft-." // I" v' (:1' ./-4/~ e Bldg. P~rmit IF I ;>r;/ ;0 I '~_.V (;~) . ~?' ( ( \ \ ' '-..J l I Parks Subdivi Improvement Accts. Rec.: -..-->-.>---".--- --~ NAME G-eo'1~/ ;=-t-t?h,..~( k LOT 34 S(JBDI v. !)~~~[\rz\i~ LC(fdJ f;;,~?e.5 STREET NO. / 81.)5" f) r~~vl kh<f' ADDRESS (' ,t J;i JlqE BLOCK ZONE SIDEWALK EXISTING YES LOT DIMENSIONS o ' NOg} :~t \\ , ,19e,~. 8y.~N BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: $15.00 ~" ~J'<P~ ~ 039il~ 6, y 4o?-~ I I, the undersigned, owner or agent of grade establ ished before excavation has FEE: $10.~OO '. ~i , ' <'71"" ~ '1/v " I' t\ j; \10 jlJ~ ;J, / ) 11 t? u ,II r'~ .,11 l' 120/1! 'II .~t:~ 'I '. G.L~ DEPARTMttH OF PUBLIC:: WORKS A--; LS. I, the undersigned, owner or agent of the above described property agree tot have the grade established before excavation has comm c ' JATE -c N~ME G€edCe lCa~cc M,'/71J'iJ 34 ADDRESS LOT BLOCK - ~.JARD SUBO I V~c(:.t::l,g /J G:l/\f ~ ~n~F?"t STREET NO. /8t../S Orc..hc..-rL ZONE '!' ' ,,',.' ." I' LNLOT DIMENSIONS 77ft: ~ YES 0 . NO f2l SET AT SITE~ ~I ,19 .8"[( SIDEWALK EXISTING BUILDING GRADE ELEVATIONS STAKES K"IJ;Q!Ir'S duo~ . #;t.,./ ... . /11 ;') m. IV' ~ zamiG/'I.;lND' USE m1Prkcr OiECKUST Ii . . ~t\ ~- Job Ia:a~ 34 OrcJ~ ~.'];;3 ~ 0iItensi.0n Property ~-<€-fj v'-j F H) ~ YI ~ ~J Lot: Area ~CN DATA !' Desc:ribe ~: A..Ye~ R:t= t. GENERAL Bu:i.ldi.nq Pe!:mit # II. . minq- X NEW cmsTm1C'J.'IQl I. ~CN I, _ A~c;~~ Building Fence Eloathouse _ Utility St:ucl:u1:e Other (specify) CDMPI.I1lNCE c:m:x::I<S Pool. _ Deck/Pa~ I. _ Sign I Porch CalDlies V ~ ct:uC.ng. Deficiency/Camlent:.s Plan Camlission Action Required REVm~'ED BY: ....,,'T"l:'. ~... . ,., rJ n I 5" I ( .... .... () C'? ..... ~ -- I ...... ... I C,:) - I ~ ::r I ., J to i , I 33 0 t """'---.' . 00< (! Jf ,qR D li,., ~(,i 0 I I f"; ~ ~ ~ tfJ l-o :;)J :3 i t''';;!::~ ""'f""i,~"q''''''"'!''f'7~:'qrJ",,' ., .. ~ WINNEaAGO COUN1Y HEI~HT CITY OF!OSHKOSH!! Ii '::'t~;','-"<:;:;f;\B0\:;:'if(:"{:g:!0k){;~;,~c, '~'2{~;-~_,~.. PERMIT # OWNER: ADDRESS: TELEPHONE: - - -.- ----------- - - -- - ---'-- - --"f -.-.... ---- ~- -- --'- - - -'- - - -'-' -'- -'- -.-- ADDRESS OF GRADE: /~ EXISTING GRADE ELEVATION MAXIMUM ELEVATION ALLOWED; APPROVED: YES~ ' NO COMMENTS: ,~~. ",:,,,' . " '" "~ _~i .ii - ,.. ~~--y~.,., ,-' ~y CITY INSPECTOR: TELEPHONE: COUNTY INSPECTOR TELEPHONE: <:; -:. 1-oD li;ATE: -<} Ibf:C( c, - -- - - - ---- -- -------ti.h:J::::L(2-f.Q _ L__..,-_ - -_.._____.______ . ", "Wh i te COP; - c:~nt;.: ."~: II~t~;i;.::J~t::;~i~~~f~;:.~:rE li* ,. P RE S I: N T THI SC A R 0 F O. ROC. CU. P A. NC Y PER M I T NOTI SE'CTION 1-32 ctRTI'FrCATE .OF occi.n>!jjlCY TO BE -~~ (A) :. ~. ~ ~~.'....~ ~~:. ~.. ~~n~~:. ; ~~~~ r H: ~~t~g m~~.:I': C~. ~~~ 1 P i~::: ~~ i ~:s ~iC. ~~~.. ' new buildings, additions, and alterations. If no violation ~f this Chap ter or other laws or l~w~ul ot;'~ersp~f()\,1nd, the Ch~e f Building Inspector shall issue a G'erti fica,te of Occupancy, II stating the purpose for which the building is to be used, al~o the maximum load and maximum number of persons that may ace-II omodate on each floor thereof and ':a1so that the building or II premise .or part thereof and the pJrposed use thereof are in il conformity with the provision of Chapter 30 on Zoning and i Ci ty Planning, as required by Sec~ion 30-27 (C) of said Chap'ler. NO BUILDING OR PART THEREOF SHALL 'BE OCCUPIED UNTIL SUCH. l CERTIFICATE HAS BEEN ISSUED. NOR ~HALL.ANY BUILDING BE OGCUP1iED !N ANY MANNER WHICHCONFLIGTS WI~ THECONDIT!ONSPU';r FORTH Ii IN THE CERTIFICATE OF OCCUPANCY. I, e' , II . II: Ii I : qode Enforc~ment Division :i ROOm 205, Clty Hall Oshkosh, Wisconsin 54901 THrs SO [[D'TNG~'SHAL[ Ii ii HAVE BEEN MACii OSHKOSH INS~~ T HIS CAR 0 SI GNEOBY' .';-~' , Ii il THE FOllOWING IIIN INSPECTI0111NS. MAY BE II ' BSUPIELCDTIONRG~\!J>>~ I~ _ ~;~~N;;~~~YeACLlNt .~ JvI 0 A TEl f1b,.".]/r><. II "f.-X f E LEe T R I C A~~ DA T EI HEAT ING -"A T EI I PLUMBING DATEI ~ Ii DATe; NOT APPLICABLETb 1 AND 2 FAMILY DWELL!NGS ' .~. .~~~..:L,:.,;l~",:,_,~,:~,~[l~;~~~~:; .!.~'~I.;;!;~~;d~~~~;;; TO ROUGH EI AP City of OSHKOSH .L./~2!-cR7. . R-o()K~ {I :yC~., J\;- ~ 0 fz-~ I~ ? f~ gJ~~.J~ I~~~~<~~ R/-j--J>t' ~~ &K: :~ (yy? /!c6,~ /IJ~ S-bJ. ~ ~~ r~ ~ ~~~,*'-_. -~. G--~r -0. L.,..----. t/ ~ ~ ! ! ~qf-Ih' . zre:k", '/ <9 /> 01< ~ 2/?~o ~~<t3f<M tJ!~ ~tf& ...--.,