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HomeMy WebLinkAbout0040123-Building ~. CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD lID - N2 40123 TYP : BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING Y FLOOD PLAIN HEIGHT . - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDESS I~~ OJER (lASS I e DESibNER USE) ATURE OF WORK' !N/) IO'~ ~. ~Jm HomEs E>1KWCDD RctV) By J(u B4 I L rD PLAN NoFQ- 0<1'3 b)q4~ A1TAC;{ED 9'I~ # ( aNU~ ~ IN BUIJ ING CONTRACTOR . LASS\ e.. ~~' . izeY~ Sq. Ft. -QoSO # Rooms f- ~BJ! oundation C!JNCRETe Class of Const. ~ING CONTRACTOR '1Sf'/;;we:R fHeat 0 AlC 0 Vent 0 Fuel/System Heat Loss # Stories g' J~ ~/\ J\.X, Height (YV Occupancy Permit ~ BTU'S ELE TRIC CONTRACTOR ~tlo;nmeR lectric Serv. New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits ixtures dSING CONTRACTOR Switches Receptacles ;VJ~r~ BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin WC _Ur _ San. Sewer _ Storm Sewer _ Water Lav Sink _ Eject _SS Othe FEE : valuatl~ i./ 5} cx:o Perm. Fee Paid $ 1'-1 a. so ISS lED BY .QiJ\ ~~ Date-hl-a31q4 ~ . - In t pertormance of this work I agree 10 perlorm all wol1< pursuant to rules governing the described construction: SIGLT. E - 2- AolESS il ! Park Dedication $ /c:o., ~ Final/O.P. ~..~I:A A VQ- 0Cl3 Gl qy ~ WISCONSIN UNIFORM BUILDING PERMIT APPLI(A TION (See instructions on back of pink copy) '. Appllcati.on No. i)O/ f)S Parcel No. . WISCOrl~1n Department of Industry, Labor ~nd Human Relations Safety ~nd Buildings Division PO Bd~7969 MadisQln,wl 53707 Wisco~ in Statutes 101.63, 101.73 . ~ :!::!'::~~!~~~~m!IIII~~'~:I!I!iii:iil::: &tlconstrD HVAC DElee owner'~1.Name ,I Mailing Address ~ f/ ~ ~t-I...~ 'b.J ~ '=- ^- - "\ S:?r Contrac ,or's Name 'Mailing Address III \ It t l D Plbg (f)(Erosion D Other: 'Telephone No. (include area code) ~~,&. (I~ 1 F_ J.?f_ - ~CO Telephone No. (include area code) { t H H tf !i!!i:i::III!~~ilii~illillli!iil!ii ,~ SQ.ft 1/4, 1/4,Section BUi,!q.tj(!:Y ~bJn.\- ~~~D gD S~~o~~ ~ rl\J~~~ LotZ;'/l Zoning Qistrict(s) I Zoning PermitNo. Front I Rear..,., Left Right Setbacks Z;:, ft. ], ~n p! ft. 12 nS ft. ., ')..., C 50 ft. tiUtPRtlJEttlg::?!t!:!::!???:??::::UU::?:!:::m::aW:(jeeupjiMif::L:I.UetE(ljjijGAV?:::JJl:HvAc:eC'l1liMENilttU::12XJENERdv?OUnOE::!:!::?tt:!::?::t:t:::????? ~~w !, 0 Re.pair l..QI\?'ingle Family Entrance Panel '1:3.r6rce. d Air Furnace F I (l1..iat Jl P. Oil ElK Solid Solar OAlter~tion 0 Raze IrOIWO Family Size: WIiI' amp TIRadiant Baseboard or Panel ue:- * o Additj;on 0 Move 0 Garage Service: 0 Heat Pump Space Htg ~ 0 0 0 0 0 JI 0 Other (print): <:: ~nderground 0 Boiler o Overhead 0 Central Air Conditioning Water Htg .I2J 0 0 0 0 0 .~,~,h':"'...'I..'..P.'_"Wii ~~~~!m;~i ~~_i_i s~~!~~!~i~~~1f.~:~~~!~i~; .:.2~.:.:AR!AJNV01;:'VeQ:.:.:.:.:.:.:,:.::.:.:.:.:.:.:.:.:.:. 0 Treated Wood Sewer . . fit t' b . .. I! ....- ::!sW?SrOlles.?:t:!tttt 0 Other ~unicipal air In I ra Ion arner. Unfln Ishrrd .Basement_ Sq. ft. "0" ..... .,~.... ............ ..... ...... ::::o::::::o~:~::::::::::::::::::::::::::::::::::::::::: 0 Septic !:!:!::!J!::~:J:;:::H~A1t:~Q$.!$:(qiil.~tqNit"q)(:) :ze:;s;. 1- tory ::::~.::::M:~"":::::::::::::::::::::::::::::::::::::::::::::::: Permit No Envelope ~. l"'~","' '60 BTU/HR Living Arra 0 Sq. ft'l ~-1Story 0 Seasonal i'f!1d'WAtfEtt:::::i'i'i'?:?tt:!i':: Infiltration 1'(;.., 41 b. S...J.; BTU/HR Garage i! -, ~?---'Sq. ft. ro~ :~e: .-,,, L..-1 ~~~:;nent :B;~~'I~i'~~;C'~;'I'I~~""""""" '1!4~::e.$I8!ao.~tQt:N&~Q$t::!n:::!!::u:!n:: ........ Ii 0 Plus Basement 0 Private On-Site Well $ ~S. Doe:> The app'f'ir ~o' """ '0 oomp'y with ,II 'ppli"bl, ood", '''''''' .od o;~,'" ,od witli th, <ood"'oo, ofth" pNmit; "od'<<',od, 'hot th' '''"'0<001 the per1it creates no legal liability, express or implied, on the ,?e~V ~unictality; and certifies that all the above Information is accurate. APPLI, ANT'S SIGNATUR~J\\m A '- ~ .A...-/ ~ DATESIGNED~'" (P~2-I-~~ APPR()V AL CONDITIONS t hIt permit is issued pursuant tothe following conditions. Failure to comply may result in suspenslOnor ~v}>catlon of thiS perm It or other penalty. /..) JJ/~rACL s;;,.c. €1lo5foU FV,'....."'c,ty?...es 1::::€R ILf/~ Ql.I:2S; I ~ T N,R E(or)W Block No. .. '.' , '. . , ." . , .' .. . . . . ~. .,'.. . i . II Illiii~lt.:~".... 0 Towo 0 ViII", ~~, _ ~. ~,y 0 '"'' of M"""'i>'h,y ,~tQ DW';3 ";t;;; ................................. ~l-h~ - - _ ~__.i~.~ WIS. Perrrjit Seal $'30c<'" 0 Electrical /L ~3. L t1L1 J ,Other II $ 0 Plumbing Date ~_Gi'- _ _ 77 Total 11.. $ ?o.~ ~rosion 1'-/'a070 Cert.No. i.fbtit ..' . . . " SBEl-5823'kR.07/92) ! II WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent * \ <e>. ~€J:. LoO~ oj BbCAC-- .. o \fl \'2...., ~ '-, I /,1 UOl.(Pll ~WD~~ , d) :r .... 'J\ N' ~o r r - r ...9 10Y\0 ~It- ?~, $> 1'2...1 :. tlo ,~ CATE NAME KV-~A- ~/7 ~t!J S uso I V . 4 a9e...s tf-t.~J ~VJ ZONE STREET No!77o $'. ~kuJODtf7 I~ lOT DIMENSIONS YES 0 NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE },.,.1 .2..5 ,19 AOORESS lOT SlOCK ~'l ABD SIDEWALK EX I ST I NG FEE, $15.00 9'''; BY ~_ /~ ;g~~ OEPART~ENT OF ?u8llC WORKS Oot-o~""o ,. "" /" '__ "..:..JU.,,~ ;; - to have the I, the undersigned, owner or agenT of the above described grade eSTaCi ished before excavation has commenced. City Of Oshkosh 1/1/85 ~ PARKLAND DEDICATION FEE COLLECTION RECORD Address It "10 Owners Name c:lPr--;;t;. \ e. Name of Subdivision L\+"- OAKwocb ~i b~ K~~~ , f\PO \\.:)" "fD w~ \-\A.\JE.)...J ~. ~~ L U::> LID} 93 Lot I 6/7 No. of Units Fee Required Fee Paid te Owner's signctur 6/~3/q,-/ . Date Parks Subdivision Improvement Accts. Rec.: 362-041 II '" II II ZONING/LAND USE COMPLIANCE CHECKLIST JO LOCATION: JJ?O. ,<;;. DXWCCi) 'ZJ1S. ZONING /-( PR PERTY OWNERlCONtAACTOR: CUSSIC ;buES By Jr:6/Y1, I ~. COLSTRUCTION DATA: ~ New Construction Addition Alteration (Le. fence, pool, parking lot, sign, etc.) ~ /llM I L ~; Use Lot Width Lot Area ~ Lot Area Per Family ~ Floodplain Front Yard Front Yard Si Rear Yard Side Yards , Building Area Parking Stan Off-Street Lo Vision Cleara Transitional Y Landscape St Height Conditions of Compliance BZA Conditio Signage Stan Drainage Pia Rd viEW AUTHORITY A~iper Section 30-5 E de i nee, must a rov de Street dards ading Standards nce ard Standards andards _ ~I;OJ ~ Approval with P.C. or ns of Approval dards n nforcement of the City Zoning Ordinance, the Director of Community Development, or g pp al all plans, except the following: (1) Alterations or interior work when the use is. cotforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., whem the use is conforming and when no change is proposed. ..11-....... . ~PPROVED EplantommiSSionAction Required DENIED Variance(s) Requir d e/a;-~ DATE: 4/iftlr; OWNE~5S/e ~ 0/ }(oa4, L[l} ADDRESS tno ~. QI/~wa:'i) /(b, . DATEI::/a3/qL/ PERMIT # 4DI a3 USE NsF -A7T; SAIM.{;!F - DelX ~ 4a.-b ~6o::J Wc-rk consists of GENERAL CONT RAC TO R ffi' . MASON CONTRACroR -ZONE ~::~:~D <I:;;' )~ Width of lot DATE INSPECTIONS - REMARKS 1aJ(jCj(j -=? ~?7/l:h ~-4U6S~' - " ,r- A 1'->'7' Af3L~ ?C ~ :nIecG) ?/Qfl ~ -f)~~ ~RLJ9~ U~ IIl/Ji:li 1U./JI/N6'~ - . . . /0111/9'1 1:2/ rilelLi 4J o rot ~ o .r; u a. CD o Front of lot I(~ ~~()~~ NOtiCE ROV.ED ~~1\PPBQYED os q :.t:~.:"~='i,i:y""cif:;:' 'DAfE.'~___ ~bl'00~0~"OSHKOSH INSP ~s y.. ;~.. .~.. g 'g'.,...~. nn..,_mn'__n'~'- DUGH EI.EcjRiCArwilNG~~: FOLLOWING APPROYE,. ~ POUGH PLUMBING 'O;~%;~H ~~~E tJ ;:5 ORS APPROVED --~City of DATE /0-/3 -:7~ OSHKOSH INSP .~ SECTION ]-32 CERTIFICATE OF OCCUPANCY TOclfl:~V1:i;r--~_n_- .~_. '" (A) NO BUILDING OR PART THEREOF SHALL BE OCCUPIED UNTIL SUCH CERTIFICATE HAS BEEN ISSUED. NOR SHALL ANY BUILDING BE OCCUPIED IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH IN THE CERTIFICATE OF OCCUPANCY. ESENT THIS CARD --r\ F R OCCUPANCY PERMIT TO " ' Code Enforcement Division Room 205, City Hall Oshkosh, Wisconsin 54901 / ISPECTIONS. MAY G'ED BY CALLING 236-5050. rS NIT ARIAN 236-5030 o A Tpjf);IIJJ~~ DATEJY~ky DA TE/~o/;-z1 P _ DATE //--~CJ/7'y- . t / F RE 236-5241 ~ DATE NOT APPLICABLE TO 1 AND 2 FAMilY DWELLINGS -DA TE Only for Businesses that Require a Permit from the City Health Department. C TY SEAJ"ER I _. . _ DATE..