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HomeMy WebLinkAbout0013691-Building ~, ~ CITVOF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 13691 ~~P_E~ . _ ~L~~. ~ _ ~~E~. C? . ~~B~. C? . ~I~~ .~ . ~O.N~N.G ~_(_ _ . _F~~~D. ~L~I~ .~~I~~T!~ .? (!)tr-LLf~eY Lv.- e kO(4v~r . ADDRESS I ~s:D .==r~ l~ 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. ......................................... ......................................... . ......................................... ..... ..... .. ftE:B:...:..::M....::...:lff::B....:.::E.......Q::..:::..:U\"'E':S':''':'fiO'\U :::::~:':':'::":':" : ::~:::::.::..:. ..... '. :..:' . :::I:::Ij;: .::::::: .................... ....................... .............................................. 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. 4:%1 .".,:,..t~1/"':;"~ ',;.>'" c '::::':,::.~', ,,"~Aj';,;>'t:;)-;:h<:';; ':'--, <:....,. ..,..,.""..,...... 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 ~~~o~~ ~: ~kh-7 /7 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 ~-~, 7XO / /l7S L K3() / Fn.5L~ NoD r \ ! ."..,~"""_'.,;""_,...;v~M."^;''.,._..:.>"_;,......"..M''..""'~..."'"'',,;,.,-;;........"n,~~~"""'.~\>'~")i..:"-:...;i,(.~""'1;;;;C>"'4 EXISTING ~RADt ELEVATION: "-- \ MAXIMUM ~~ION ALLOWED: APPROVED: .~ YES ~ COMMENTS: "-.,-"'-.,,""...,....__"-;'''':..::.,.Ji'.~,.S.f':.j.'~,''~,..'.,.:.'.~,,~_..,._..~_,.::,~"",,;:,,'i~;'..d~.i:.'~:{:"!>','"','''''~\.'tf.",""",;;4t'l'i*"ii-'.:',',:.:-'..' ':'<<";'~; ,', ,:".:..~,..'-+ . .. "'~,; .-, .",,_ ',._,'" ".','_, ,"_~>..,.:',\""":'?~:',""'.,>"'"..""._-,"..::.,;..,_""','. :', ..:.;~'''.,,;..,.,''.....,'>f-'0^i:..~'-'''(,.,/~~~'';..:.,'.,,,~.(':"-';;;:'~';<':'_ ,._c . CITY INSPECTOR: TELEPHONE: ~ COUNTY INSPECTOR:~'./U~ ..^ . #Jv;t<')" TELEPHONE: Cl'2,~l'?/j~/LI DATE: /1'.Ic-d~ {,' White copy-County; Yellow copy" Town;Pinkcopy'--Own:er -----------------------,------------------------------- ---'-- - ...,.--~_.._.-_.--- ..._._~.. -.-....--"-' ._- --".-'-:-'- ..-.------.-..-..------- ----.--- . ..P~- = _ . I <=\0.00 J. ~BI_O\l I -O\~ 0 I ,j .. \ - ~ \ - .,.' g rz1 Q;~ -: ~ j \ - l ~ ~ ) \ ~ \ ~ \ _.-J --r , \, . '= ~ 1f.p' , t/ '2:2.'-0' 0 -, 611#0" ~ ____ __-J,A-9 ~,/ I [/'U"e - ORCHARD L~. "L-~ ~r::::e:-r --------------- IN OTt CE !!f5 ()-tJ./VCA:.~ / . 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 *, I ~ e' ~ ,~ ~ APPf c;ity ot OSHKOSH DATE c::'-/g-d'f ~ Of<~ ~ /!/J:lo :S~7> f~ 4 , Pe: ~ ~ ~ /J2~" , ~"<~~~ :e;;f ~U~rJ~Io.~.~ ~~ ~ of< &::, ff'f ~<E €J~ ~ '0 (.,.. '1 .;:z-. ~ &/'" ~ '/z/M 70p 0/...., ~ 0' ~'\ I ; (rf{~ '-~t9f<#6 ~ '