HomeMy WebLinkAbout0013691-Building
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~ CITVOF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
13691
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ADDRESS
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PLAN N~~---W*tf1~
OWNER
DESIGNER
USE/NATURE OF WORK AJ~
S;:r:?2 CV /
/
N-~v-
BUILDING CONTRACTOR e
s;~~ _ Sq. Ft. ?tst,f)o/b # Rooms @?>. r,:>.fI, # Sl~
Foundation '-"\.. ~ Class of Const. C
?-
Height
"30
{'2 ~g/
Occupancy Permit
HEATING CONTRACTOR P(~ v~ c; I^-
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
O~Ji\t'f-
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTORS G ")Vi ~ h. .,>
6r-
it } ~ (fer--,.J
_Lav
_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_ San. Sewer
_BT
_WC
_FOr
_LTub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
.~
ISSUED BY
I ee Paid $
Date
Park Dedication $ (' (;) 0
Final/O.P. 1'-10 ~ raq
FEES: Valuation
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
6>~JJ~9
DATE
ADD
A !2.'- 2.-1 ~
TELEPHONE #
f3-S-::s '1-c; 8;"''1 Ie
State of Wisconsin
Department of Ine:ustry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707.
Wisconsin Statutes 101. 63, 10f73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
See Instructions on back of ink co
APPLICATION NO.
PARCEL NO.
.........................................
......................................... .
.........................................
..... ..... ..
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....................
.......................
..............................................
D HVAC
D
ELEC D PLUMBING
Telephone
...y 2-G. .... ~ . 2- -
Telephone
,'e, €. ~ 3S" - 3.ro
9"0
Mailing Address
Bvc....v-
Mailing Address
Contractor's Name
tSJ t...;< ~"- '€ r--
............... ......,.,......... ................ ....................
'............................................... ................................ ....................'..............
PSt.lleCIUtloimlDNtt
............................
........................... .
............................
............................
. . ...................
,............................
...... ................. .
......................
................. .
Y-.,
SUbdiViSif!:. n Name~
~ "'/ /J >
I/f'-t:(e, t I J,? ~
Front
N, R E or W
Block No.
..... ,...................
.........................
...............,...........................
Setbacks
t'kIL!dtRWI'
.. ............... ............,.............
20
L ft Right
ft. 2-S- ft. ~ ft.
U).. a~;$H$A$Y$<>Q$Q$;>..........
Fuel Nat. L.P. Oil Elec. Solid lar
s *
Space Htg. 0 0 0 0 0
WalerHtg. 0 0 0 0 0
* 0 Dwelling nit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Basements
Living Area J 7' "30
,
&'%2-
Sq. ft.
Garage
$
The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit: understands
that the issuance of the permit creates no legalliabilit , express or implied, on the Department or Municipality; and certifies that alllhe above information is
accurate. ~
SIGNATURE OF APPLICANT
CONDITION$ OF APPROV L
DATE
~-::.tV}..t.A ?
Failure to comply may result in suspension or
Municipality Nu ber of
Inspection Authority
-ZO-~ &
1~1111~~Ik~~~~r~..~!~~~~,!!!~:.U
............ ............. .........
DATE
GREEN -Inspector
PINK - Owner/Agent
Plan Review . . . $
Inspection . . . . $
Wis. Permit Seal(s) $
Other . . . . . . $
TOTAL . . . $
SBD 5823 (R. 04/87)
-<15>/ ,.,,..,
onstruction
D HVAC
o Electrical
o Plumbing
o Other . 73'1 ( 0
NAME
CERT. NO.
WHITE -Issuing Jurisdiction
YELLOW - DILHR
'11:" -
~
,-
JATE c;hht . ,
NAM~oklA- kor:,~t(~ .. ADDRESS I~b~- 23l:?vc~ r/C( '"
~::OIV~~ r~f~~';i-
STREET No./~..s-('? ()1j'-c..ka~''Y.j' hrAe lOT DIMENSIONS
YES 0 NO~
BU I LD I NG GRADE ElEVAT IONS STAKES SET AT SITE a~ to , 19 'if 9
(/
,.
CY-
HARD
fZ(
SIDEWALK EXISTING
FEE: $ 15(t oq >--
-pO( 1M?
BY .~7-
/?_~jJ
b DEPARTMENT OF PUBLI C WORK~:~
I, the undersigned, owner or agent of the above described property agree to have the
grade establ ished before excavation has commenced.
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City of Oshkosh 1/1/85
~ ,
PARKLAND DEDICAT10N FEE COLLECTION RECORD
Address 18' -SO Or ~ lCL v-c! La '^' e
...,
Owner's Name ~;k V\ i fe(n ~ V'--cf!e r
Name of Subdivision f(o..ru fCv/"" ~tr0e(f?4---
Lot # ,?:C/ Bldg. Pennit # ! JbY'/
No. of Units
Fee Required
I
Fee Paid
Parks Subdivi
Improvement '
Accts. Rec.: 362-041
'"
zamr;/I:IND USE <:or-'U?UM-iCE cm:c:KUS'I'
J
I.
GENEML
II.
Blt'qninq Pemit t ~
Job I.ccaticn t (?'~U ~~cltaJ 4 k e
Prcpert:y OwrJer=rok0. (<10 fu ~ ~ev-
~CN 0PaA ,
Describe R:k: A)~ _--SF (~
,.........,c,.._.: - Non-Confo1:::mi
\oIIIIW6...~~_ _
~~
I.o1: A2:ea
7~~r
4 0
'Z-z- X 3/
_Z(/NEH CXk:J'J.:1U ~IQl
ADmTIaf
AL1.2RA'1'I~
_ ,~sm:y Bui.ldiD)
Fenc::e
Boathouse
__ Otility st::uct:m:e
_ 0tbeJ: (specify)
In. ~~
Pcol.
Dec:k/Patio
-
_ Sign
PoJ:d1
~ $1i1qle' Family,
_ '1\ilc-Family
_ H1lti.-Pamily
Q::a:mm:ia.l
-~.
eaz.,~
7
7'
qy'
~,
~/
~
~',
7
-/
-::;v
V
Cefic:i.encv/~ts
S1,i Mi"9' AJ:ea
IDt: AJ:ea per Family
0:m3er I.o1:
0the2: (specify)
-
M.I!.c;fL /t9cJ );;;:,,~-k
, I
IV. REVmi At1I'BORI'IY
The Pl.ami.n;; Oi.rec:tcr, cr app%Cpriate designee, lUSt apprcM! all plans, except
the 1b1lcwinq: (1) Alterations or interior w:mc when the use is c:cnform:in1 arxl
when 11Cl c:han;e of use is p:oposed. (2) Maintenance items, e;.e;~.* s:ii:fi.11g. windcwa,
. etc., when the use is c:cnform:in1 arxl when no c:hancga of 'USe is. p:cpcs.ed....
Inst:ances where w:k ~lies with the amve c:ri~, the y;wt-aIV ,~ ~, l:ii! :z:e..n.E!'A'8i
by the ~ni Mine; ~ without refe::ral to the Pl.ami.n;; DUed.m..
? APPRJVED roT APPRJVED
Plan Cazmissicn Act:icn Required
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WINNEBAGO COUNTY HEIGHT PERMIT
CITY OF OSHKOSH
# 1~3
OWN ER: ~ ~~ ~' ko (C( cAfi f;-
ADDRESS: 2<:05:: ~(:!.~5:-f'~~, cf
... co- _'> ~'<''''",,>,'i;...,,",.,,,,,,~~_~:,,,,~,~
TELEPHONE: 1"2-(0 -' ~t ~-S-
ADDRESS OF PREM I SES AFFECTED: / -S-S00r-LLCirrJ fa1P
------------------------------------------------------
HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: ~c:J
COUNTY USE ONLY
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K3() / Fn.5L~
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EXISTING ~RADt ELEVATION:
"-- \
MAXIMUM ~~ION ALLOWED:
APPROVED: .~ YES ~
COMMENTS:
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. .. "'~,; .-, .",,_ ',._,'" ".','_, ,"_~>..,.:',\""":'?~:',""'.,>"'"..""._-,"..::.,;..,_""','. :', ..:.;~'''.,,;..,.,''.....,'>f-'0^i:..~'-'''(,.,/~~~'';..:.,'.,,,~.(':"-';;;:'~';<':'_ ,._c .
CITY INSPECTOR:
TELEPHONE: ~
COUNTY INSPECTOR:~'./U~ ..^ . #Jv;t<')"
TELEPHONE: Cl'2,~l'?/j~/LI DATE: /1'.Ic-d~
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White copy-County; Yellow copy" Town;Pinkcopy'--Own:er
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IN OTt CE
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SEen::) 7-~:~~~~iiii~nii~ii~~i;~~:~~;:i:~~~/~~~~;~~~:~~\~
this Chapter or othe~ laws or l8:Wful9:t:q,~r!;'be JO.\:lIld, the Chief
Building Inspector shall issue a Certificate of Occupancy,
stating the purpose for which the building is to be used, also
the maximum load and milxitn,1,1m 11,utn,l:l~r()fpersons that may acc-
omodate on each floor thereofanq, als() thilt,,~h~'bl.lj,lcl:i,Ilg or
premise or part thereof and the purposed use thereof are in
conformity with the provision of Chapter 30 on Zoning and
City Planning, as required by Section 30-27 (C) of said Chapter.
NO BUILDING OR PART THEREOF SHALL BE, OCCUPIED, ~TIL SUC~
~r:r~J:hk~:~~~Mij~ ~~~~~~NMEF%i~~.~
:t: So E cNc tJ : : ~~ y c ~ : ~ T T 0 i~:: ~~::r~~~n~.~t vision . ROUGH 1
TH I S-SUI(DrNG O~kFrAi[y=in 54901 A1
}~t City of
NOT 8EOCCUPIED UNTIL OS!iKq~
~'ij~ ~.
FI'NAL IKrSPECTtONS
E BEEN MADE AND
..TH.'j S.'" .."CARDSI GN t:D '8 Y
~Ht: FO[[O~ING IN - INSF'E:CTJONS MAY SE
~ ,~. >
SPE CTORS,.." . ~ ARRANGED 8Y CALL.ING
~". U I L 0 I N G ~ ::::<~ 236 - 5050. "\'/
DATE ~'-~
E I,.. 1: C TRrCA 0 ACT E [1-3
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APPf
c;ity ot
OSHKOSH
DATE
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