HomeMy WebLinkAbout0001563-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
01563
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~P:: ' _ BL~G 1- HT~_ C? _ ~~E? _ C? _ P~B~ _ C? _ ~'~~ _~ _ ~O_N~N~ _ ~ _FL~OD_ ~LAIN t'~ r:-_ ~~IGHT ~4-
ADDRESS /glS-s;t!Jr;t:.IPPtJt1 /'l; PLAN No./Jr-s-Si- 7ot~
OWNER bA/J;,&;tr-- f2.r/S?Ir;? W~-rI'l-U&7Zd.J
DESIGNER
USE/NATURE OF WORK $~tPL1.? ~kl-L~ f~/ jJ@i..J~(/5;.cr ~tJ
(TTT/f&~ tbA/J-A<D ce:... (
L,r 901 Iso P-:?::b" ~6') L g L/<1-
BUILDING CONTRACTOR OCJ,Ue-rt-..s
:::=~~1c!!!!~~. ROO~S ~~StOri~
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HEATING CONTRACTOR_ - . .. - ~/rz
Heat D AlC D Vent D Fuel/System . Heat Loss
I Height ~
, Occupancy Permit ~U I' ~
I
BTU'S
ELECTRIC CONTRACTOR ~
Electric Servo New D Change D Temp D
Type_ Volts_ Amps,/O'"z?
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
tJ~
_Sink
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WC
_Ur
_San. Sewer
_ Storm Sewer
_Lav
_ Eject
_SS
_ Water
Other
,.
ISSUED BY
Permit Fee Paid $
Date
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7 ;1)- i'J"i/'
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Park Dedication $ ;(i!!
Final/O.P. /.--';( I ~C:;7
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~
AGENT/OVVNER DATE
ADDRESS
TELEPHONE #
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~NING/IA.~ USE COt-1PLIANCE CIIECKUST
9-.?4--r~
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I. . =.. Pennit i Zo~M ~::.._ N>n-<:onforming_
Job Location !g7~:- tJ~LJ h Lo~ Dimansion .,'.;',- ,'0.
Property 0Nner G~~~;&SCfrr- Lot Area .
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II. . CCNSTRU:TIOO DATA :~ .... ~-': ~~
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Describe i'brk: ,~ c5'P~- y 11'4rrtAC/~ ~A~
Nrl'l CCNSTRUCTION
..- -- '~" AL'mRATICN
ADOITICN-
Accesso Building
- ry
Fence
Ebathouse
_ Utility structure
_ Other (specify)
III. cnMPLIANCE CHECKS
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, '-,:='-$1hgle' Family
_ 'I\ro-F~ly
l-lilti. ..,.Famil
- , ,-~ _..'/
_ ccnm:.lJ?al.:; t.,'".::
_ M3ilUfaq,tur~
............ -. ,~
Pool
OeckjPatio
~ Sign
Porch
Complies Deficient
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~
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V
V
V'
~
17
-V
V -
7~1(-
Deficiency/Comments
Use
Lot Width
Lot Area
Floodplain '
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
Lot Area per Family
Corner lot
Other (specify)
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IV.
REVIEN AurHORITY
The Planning Director 1 or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior v.urk when the use is conforming and
when no change of use is proposed. (2) Haintenarice items, e~g.;' s:idir1cj,.,: winhvs:t;:
etc., when the use is conforming and when IX) change of., ~e is proposech::;-~' -,': ,:', " , '
Instances where work o:mplies with the arove critei~af tli.e,p~t :Gan, k revie-.-."ed
by the Building Inspector without referral to the Planning Directbr'~'" '
~' APPROVED
NOT APPIDVED
Plan Corrmission Action Required
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variance (s) Required
REVIEWED ~p~~~~TIl:
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certify that I have surveyed, divided and mapped under the direction of Tom Rusch a part of the
Southeast Quarter (SE\) of the Southeast Quarter (SE\) of Section Twenty-nine (29), TownshilJ
Eiyllteen (18) North, Range Sixteen (16) East, 13th Ward, City of Oshkosh, Winnebago County,
Wisconsin containing 27,000.00 square feet of land and being described by: Commencing at the
Southeast corner of said Section 29; thence N.Ono-17'-14"E. 265.27 feet, along the east line of the,
SE~4 of said Section 29; thence N.890-45'-26"\~. :51.15 feet, to the true point of be~)innin(Jj thence
N.Ono-14'-34"E. 180.00 feetjthence N.890-45'-26"W. 150.00 feetj thence S.000-14'-34"W. HlD.(J(J
feet; thence S.890-45'-26"E. 150.00 feet to the true [Joint of be~linning.
,~Il',' That such is a correct representation of all exterior boundaries of the land surveyed.
That I have fully complied with the provisions of Chapter 236.34 of, the Wisconsin Statutes
and the Land Subdivision Ordinance of the City of Oshkosh in surveying and mapping the SHIIIC.
Dated this I /~ day of r -
CO(~B( R.l6t::.I
,/4l,8N.,
t::o~1 Z9.' 1
SBcIIO~ I
:1
, 1986.
UNPLATTED
LANDS
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N. 890-45~26"W.
150,00 '
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13,500.00 sq, ft.
N. 890.45', 26"W.
150.00'
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13,500.00 SQ. ft.
S. 890.45~25"E.
150.00'
31.15'
N.8 'l.45~26'1t';c:
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UNPLA T TED
L A NO S
31.29'- 1...-1.71,
33'
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Wisconsin Registered Land Surveyor
Steven T. Chronis '
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LEGEND -
0= J"x 24" Iron Pipe weighing 1.58 Ibs, /
__ lineal foot set.
S=.Winnebo{lo County Berntsen Monument
June II, 1985
SE. Cfunllr
SlIclion 29, T.IBN.,H.16E.
SCALE IN FEET
~-~~ ~
50' 0' 50' , 100'
I .
150'
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- METRIC ENGINEERING, INC.
9 North _ADISON STREET
'lL TON, WI 53014
This Instrument drafted by STEVEN T. CHRONIS
. L..1454
State of Wisconsin
Department of Industry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73
WISCONSIN UNIFORM lJ J
BUILDING PERMIT
APPLlCA TION 551 - W~ f!.
(See Instruction on back)
J~3
APPLICATION NO.
PARCEL NO,
~VAC
ELEC
DPLUMBING
ress /, ~ ~_ ~,p phone
~7~c> ~r.H~o,L ji!';L)
Telephone
%
%, SECTION
Basements II ?~
Living Area I/?.-?
5-'>- ~
Garage
that the issuance of the permit creates no legal
accu rate,
uncipal Ordinances and with the conditions of this permit; understands
partment or Municipality; and certifies that all the above information is
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROVAL
DATE
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca-
tion of this permit or other penalty.
DCOUNTY
Municipality Number
:20~~
Municipality Number of Dwelling
Location, if different
Plan Review.
Inspection, .
Wis. Permit SeaJ(s)
Other. . . . . . . .
TOTAL... .
01 LHR-SBD 5823 (R. 11/84
10 -/-f(,
CERT. NO. ~ df-
YELLOW - DILHR GREEN - Inspector
PINK - Owner/Agent
l' .- d.-4 -t!j~
6NAME a~~~' K'O.5(L.H- ,.... ...,' .ADDRESS ~7~O LlJ6:>77tt1cJ/G.
1 k~C.>JfBLOCK HARD (~
,;J
DATE
hJ
LOT
.
SUBO IV .
ZONE
STREET No/87S 5'L?~'!2a LOT DIMENSIONS fCJ~ /S-O
D NO rxt .
:~~:::~: ::::I:~EVATlONS STAKES SET A:E:lTE 9-;r- ,19 ~(.
BY~~
r",.\ "",' t::' "'.4
'_;"14~
. ()..;,...l ,_: ~
~%t
b"r~//
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FEE: $10.00
I, the undersigned, owner or agent of the above des
grade established before excavation has commenced
octo 1,\986
INSPECTION
FTG/SLAB
BACKFILL
STRUCTURE
ENERGY
OCCUPANCY ~:2 - . ~ , I Ap/A
~'-----:'~~~-=-~-:-:--:'T.'-~--:-~:~: . . _ '_~__ ~ _ ':" .- _ . . ~ :-~O_N~N~_ ~ .F~~~D_ P~I~~~r:-. ~~I~~T~
ADDRESS If, 1 s- tJAt:./UotJtJ /'l; , PLAN NO, /J/- s-sy- 7 5t~
OWNffR h/Jb6tlr= - [2.(/ S ?/~ L;, ~ 12-U~ TldJ
SHKOSH
"ION AND RECORD
H!
01563
DESIGNER
~
USE/NATURE OF WORK $;1JrP t..E -{34-M I L'-fI /!~/ ,ur?!f-..J ~ r./~ 6- ftvL/1!J
('TTT/},(/HffIJ ~At2A<o G=- '
L,y, 90 f /:;-0 p~ ~ 8 ) L g L /<7-
[,BUILDING CONTRACTOR Oc.vverZ--s
SIZeX,)(~ Sq. F1. //1? ?r" Rooms >r7ht4-r;/StorieS
FoundatiOrl ,~~~. Class of Const. r
" ?-~L~ /
HEATING CONTR~CTOR ~ ~/~ra
/ Height ~
f Occupancy Permit ,/~U I' ~
r-~-'-'"
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NOTICE
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.~:Ip,'--'---
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.'...'..; $},1:}'-
SECTION 7-32 CERTIFICATE'OF
C'Q1.>1\NCYTO ]~E ISSUED
","1>:
'tA) The Building Ir1spe or, Heating Inspector ,Plumbing Insp~'ctor,
and Electrical Insp~c tor shall make a fin~t ," inspection 0; :all
new buildings, additions, and alterations. If no yiolat~91;l 9L
this Chapter ort ~.: laws or l~wful orders be fOund, the, Chief
Building trisp , 11 issue a Certificate of Occupancy,
stating the p or which the building is to be used~also :~
the ma . an...maximuJ].l number of persons that may ~cc- .'
omodat ()<?l:'. thereof and als() that the building''or
premi,S'1, ' rt ,.'. ereof and the purpos'ed use thereof are'in
confJ~ritfi,:,the provision of Chapter 30 on Zoning and
Ci tY.~n'i.ng, as, required by Section 30-27 (C) of said C,hapter.
NO ,!~T THEREOF 'SHALL BE OC9UPIEDUNTIL SUCH.....'..,
~R~lIc~:~g~;~M~~ 6~~~~~~lIMEF~.EP
IN. CEt,'....,'..,."" \)FQCCUPlWGX. r...' ~ ' " '
....11( :'::~~ 1,';'<'..1~ "'h?~~""_~,,l..; ,',
:~~:Sofii!f1~:}MIT.. .... :J;1-:ilPPRo'tii
Tj~ I S~+~B~ 1~9LN9~"~~~;~H DA~~)fz.l~v
. .~?OT BE occup IEq.", g1~GHELECTRICALWIRI.N.G
FINAL INSPECTIO(E:;,ch:;"APPROVEP- c
, i;/!i";.;i~!tYOf .,;, DATE. .f.O. ~~V;i:.C
HAVE BEEN MADE;""~'~~",o:~~~s~'N IN~:,~~=~:~
T~JS CARD SIGNED BY
THE FOllOWING
SPECTOR'S,
BUILDI.NG
ELECTRICAL
HEA.TING
P L U 'M BIN G
IN-
INSPECTIONS MAY BE
ARRANGED 8Y CAtLING
236 - 5050.
/
DA.TE
,DATE
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DATE