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Home My WebLink About0015307-Building ... ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD BLDG~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING tl- FLOOD PLAid HEIGHT /70 15307 TYPE: --.........-.............-......... ----..... --.. --.........-... --... --... --... --...... --.....-.......... -- - -- ---...-.. --..... ADDRESS 'l gee S OWNER c.'(Jy () rr- e-k ~ v-ef A.o. c-t 'f ~ ~_oif l3~hr PLAN NO. DESIGNER USE/NATURE OF WORK ~~(A> SFk ~/ 4sf/ ~,- I BUILDING CONTRACTOR SiZ~t-N='j Foundation ~# Rooms 7+( ~""" # Stories Class of Const. 8 ~de(Je! Height 20 Occupancy Permit ;e <pr R HEATING CONTRACTOR 72- C<.. T t<<..-tp _ ~ ~ -e &c Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /Lr+- I Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR D '>c ~iI""""Q 11 Ie ~ _BT _WH _Disp _Sink _FDr _ L Tub _DW _SP _ WSoft _DF _ CBasin _Lav _Sh _ San. Sewer _WC _Ur _ Storm Sewer _ Eject _SS _ Water Other Fee Paid $ Park Dedication $ 100 Final/O.P. /a ./),{- 81 ISSUED BY Date In the performance of this work I agree 0 erform all work pursuant to rules governing the described construction. SIGNATURRLLV7d4 DATE ADDRESS TELEPHONE # State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 .................. ................................. ...... .. ............ .............. ........ ..... .... ... .... .. .~............. ............................................................ PERMiillREQDIsTEO:i) ..................... . ..................... . ................. ..... ...................... ...................... ............................................ ...................... ...................... ...................... ...................... ..................... WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ~RUCTURE 0 HVAC Mailing Address APPLICATION NO. PARCEL NO. ..................... ................ .... ..................... ......................................... o ELEC o PLUMBING orced Air Furnace D Radiant Baseboard or Panel D Heat Pump D Boiler D Central Air Conditioning : D Other ,T Lot No. 3~ Left t. Right ~ ft. It. /0 ft. n11;$N$ft~Y:$Qu$c$/n::.....:: Fuel Nat. L.P. Oil Elec. Solid lar G s * Space Htg. D D 0 D D Water Htg. D D D D D * D Dwellin unit wili have 3 kilowatt or .... more instalie electric space heating equip. 1Q;et.UMIJNGY:.. ........ Infiltration co rol option is: D Fuli sealing of joints. D Blower door test. D Exterior air infiitration barrier. N,R Block No. E or W Basements ..s.-? Cp Living Area "2030 Garage ~7 Cp unicipal Utility Private on-site Well 11~H~A1l0$$Gl11J~Wij~~ij~? .?} ~~~:r~::n ,~~~ :~~~~: 11;:~$;T"I*11QQQ$m::: $ 6.s-oa 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 legal!" Ity: xpress or implie n the Department Municipality; and certilies that all the above information is ;;~~~ TURE OF APPLlCAN ~ DATE CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. t:-M-/ '111~I!i:i.:::: aURISoICttION::n o COUNTY Municipality Number of Municipality Number of Dwelling In~O ~U~i1e.. -.fi? Location, if different ~~;I;r~tllJj~~~~piBM'%.~~y~ij~~~.n>.....:.....:.....:.......................... . NAME ...IJi~=f).=~l{f" f?... c- r - 2-1 ~_"3A/o DATE D VILLAGE D INDEPE .... ...PERMI11ISI....... ........ ........ .-...... ... ....... ........ ........ ...... .... ...... ::iJtiSUE .:iI .. ......... . ....... Plan Review . , . $ Inspection . . , . $ :J_ Wis. Permit Seal(s) $ ~ Other . , . . . . $ 1"01" AL . . . $ 0 SBD 5823 (R. 04/87) _U_S-oo Construction D HVAC o Electrical o Plumbing D Other 73 930 CERT. NO. WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN -Inspector PINK - Owner/Agent I:I:I. zamX;/U."m tlSE <:,G4pUMX:::Z c::m::c::xusr t. ~ 9'; M.;,.~ Pemi: t ZOninq ?:1 CCnfo::min; ~ . - - - .-~ ~12'U:.kJL.w- ~- P-"f 0cWI:~ ~ C"",>, baC,^- _ A1:ea ~~CN~ . / ~N ~: JlJ~ '\"t::-lc ~ . Q-C;;r- . . /.. II. X NEII~"UU i~ AI:.Dr.m:N ~ _ Ac :-~", n:y ~,;, ~itlC1 Peal Cec::k/Pa1:ic - _ Sican Poz:d1 SU1q1.e Fam:lly. - _ 'I:WC-Family _ !I:Il1:i.-Family 0:::rIIDe::.cia .. ~ - . FeDca ~ utili1:y St:uct:uz:e - _ Otbc (specify) ~~ c:an,1ies V ~ v-:--- dji- ~ ---. L/-' V- -:;::--- ~encv/~~ - - - ~/ - -~ N~ V .~1~ Ict: (~ /tao ~~ / - 0tbE (specify) IV. RE:'J'I:EN Au~'% on. Planni.ni Oirec:t:cr, ca: ~\,,/~te designee, amt ~ all pla,ns, e=ep: the ~llcw:in;: (1) Altera'Cia1s ca: ~ w:u:k when the use is QOZ7~ n; am wbm = c:baD;e of use is 1:4-..... <lson. (2) MiI.int:enaD::e it:ems, e..9'~... ~. ~ . et:c., ~ the use is c:cafoz:m:i..Dg aai when m c::haz1cJIB d "\me is ~t--ll!Ied-. IwIt.!1JCe6 1llhe:e w:zk ~lies with the ab:M! c::ri.t:f!3d,a, t:ne tJA~ to dm l::ia :iiviewe:! by the D,;'A""9' Ir~~ wi1::hcuC :e:fecal t:c the Planni.ni ~~. ~ APPRMD ~ APPR:lVED _ Plan Ccmni 'S'Si on kt:ia1 Required varian::e (s) REVmiEC S'l: ~: City of Oshkosh 1/1/85 Jl ~ ,Iff. PARKLAND DEDICATION FEE COLLECTION RECORD Address I g~ ~ Ofl--cJ rJ' \'7/ LVI.. Owner I s Name C!- ..'v12r ~~. ~ if. ~ C>. "- r Name of Subdi vi s ion fz{ 0"-0... (Z" [ '" fI..-., "~- Lot # 3L Bldg. Permit # {r ~7 No. of Units Fee Requi red j D . t:;. ate : q~o("7 Parks Subdivision Improvement Accts. Rec.: 362-041 Fee Paid Owner's signatur Inspector's signature NAfJ\E CAJ'J ~< Sew' R a-ht-- f LOT 32- ... 1 ) BLOCK SUBDI / ~7 1fP~~~!:/:; ZONE STREET NO. l??iR ~-(k~C-~\-J LA-'f ADDRESS r7_yfo ~ - 2-2> -g 9 f A~f"""/<fOOPQ ! /:)r- '" ~ATE ~~ARD FEE: $'15?tt9 6'~~P DEPARTMENT OF PUBLIC WORKS ~ r-'~. I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has c~ 111. ...1"'\\...."....,.. '\.li~.J ,,:J;fJ 'f LOT DIMENSIONS YES 0 NO 1~1 SET AT SITE .'~. '.f2-9 ,19 ~- SIDEWALK EXISTING BUILDING GRADE ELEVATIONS STAKES ;r'7 BY.~- c7 .q61/ /if-9' ~ 7S"/-- ~ ""'- , t t---.- .--------.--.--------.------..-.-----.--..------ --.-1 , , : -r -!,. ! .........,j -- - f-------- -IO'~:" ~ .. .-..-."..-.-...-.---..--:' ~ ....-..- --_.~--;,,+,.._~...~.- ! ( N u--, ------------- - ,.---, r ~-- ,----.--.---.---,..___J_______.___~,___._ . I j I ; 1, .--.-.------..-. Ii- --,- - - -- -----ik- ----.------"' ..... ._~= r;- ~7-rtfs- u vJ?~h':A f?;-~~~! .--~-~-~=.~-- .1..1. 'S"...' _~.~__.__._,__,,__________,_,,____.__.~..___..._.__..._ '_'___'" _"-.,,,___.'. ~ !I " ; l !; ;: -Ic'~":'" i ! I I , :- - ~ -=<:. Ilt... '"I I , ; 1 , , ~ ~ i 1 I i f I ! I 1 ~ 00 () " I...... , $--. WINNEBAGO COUNTY HEIGHT PERMIT / C \TV OF OSHKOSH "'t..' # 170~ v ~",.i: OWNER: C,\~y {ScoW 7--(Vxtf~' . ADDRESS: t/5C:> Maf"-l't:'obc ~F ( i." . . '.' ',' TELEPHONE : '1?:.1.P ..... ~_Cg.Y . . '-. ". . ...... . ,. .' '-" ,-" . . .' '. . . -------_._------------------'--------------------~------- ADDRESS OF PREMISES AFFECTED: . x,~. './~s-. 'r{/\-- cLo t>-cf..' i..--ilCA-: 'e...; HEI GHT OF PROPOSED sJ~ucJrr~.(.~.BOVE.. GRADE: ~( . . . *....}.. . . . COUNTY USE ONLY 7g()/111<:.i-'. R30rnl~L NoD -f.' EXI ST ING GRADE Et,.EVATI ON: MAXIMUM ELEVATION ALLOWED: APPROVED:VE~ ',COMMENTS: ; -. ~':r;-." CI TY INSPECTOR: DA~E:,~~P -zrc;' -j".]. . .... } ! ;....., ',- , . ....-..:"..'.....:,-:',..... ..:'..... . - --~..'..;..,.~.- .;o,,~."'!'"~_..:.:,'...-_ __ _'~___'_ _,.....-i.-_,........ -:"~';" _..i -::W-:~,~._-...':~~:.~.:. __~_ ;.;.;.,._...~---....;~,~-'... ........Wh.itecopy~..county; .Yellow...copy - Town; Pl~kc?PY7own:~r .....,~A ......~...I.;. ,,:'..........; ;""'-- ..,' ,.' .. '."~ ,.'. ,. -..,:, <', '.. '..... "..' ",-:' ..,..._.;,._;.:.:.c.... ".,c.'; ","'-,~"" -. --".,_,.'.; ".,:.it<ib-"';":""';"':" .-0&:.;;..,/_....;...... ....,',', ',~" . e.,' .~,... ',C' ",,-. .."','*'".~~-:,"*'~:4,..,,;,.;.h&,..v."',.;;;;_..<._..,...'.d.i:::";;. ;.~i...-;,',;;,.,.,-',.:{,,' """.-" .;;Ii.:....;".... '.J~ ~i- ~-~( ~ [)fZ ij) /0f1 ;e~ / ~~~i( .r;... (2(<:-IIIS1? c /7 ~ p~ or<- 0. ...-' (~