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I, the undersigned, owner or agent of the above described property agree to have the grade establ ished before excavation has commenced. 3438 City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address/87 D. . Owners Name 4UL- . t5/-e#A-L4 ~~ 'E)' -14ft/VA" ~/L/ /~ ... , l<Utlp - ,l::;-q1E"~/L . 1''' ... ~. Name of Subdivision Lot # fA . Bldg. Permit # ~~i'1 No. of Units J Fee Requi red J I tr[) Fee Paid ~;I~ Owner's signature X faJL ~~Date 7fZ;" ffb ( . :--f. I / Inspector's Signatur~ ~L~. . Date 1-2{-fj.. Parks Subdivision Improvement Accts. Rec.: 362-041 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 ^ BUILDING PERMIT U g (~~~~~~~ ~~~~) 4{,Z ~ 4f::>CoP- ')rHVAC ~~t:.4 ? APPLICATION NO. PARCEL NO. LEC OPLUMBING 5t- Telephone N, R, E(or)W Block No, Livi ng Area Garage The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and with the conditions of this permit; understands ;:~~:~~;; ~~:m~':~:~~~;' nob""V, '" 0' impn,d, <h, D'P"'m'~o~ ;:rtif,m ,ho' oil 'h, ObO'";"60"00 " CONDITIONS OF APPROVAL wing conditions, Failure to comply may result in suspension or revoca- ){cITY OTOWN OCOUNTY OSTATE MUNIC, NO, ..:2 2) 2-~.b Plan Review, , , , , , ,$ Inspect io n , , , , , , , ,$ Wis, Permit Seal (s) , . . $ Other, . . . , , , , . , ,$ TOTAL. . , , , . ,$ DILHR-SBD 5823 (R-1/82) ~n onstruction VAC lectrical Plumbing OOther 51r~7 CERT, NO, WH ITE - Issui':!l' Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agen' w o f- " .5-' 0 . -- _,'_M'.M_..,.'O.,'_"''''_,....:~ (' '~-. ,)...1,. · (~"* :J...y' ~ Q ~ .. '<: ~ V) .... ~ :- , I ?;l.. ~N -- ~ ,~/. " ""\ ADDRESS J X "70 Ofkz-!-IALi.'i LA/v c= CON~R~CTOR(S) &filhtU./ j}C~t2-. USE/WORK 5p.L.. . . ~G=-v #c--ci.4U! owNER fk.}(., <'~ . J4YMGl rRt-1 '-i-{ P 5 DESIGNER PLAN EXAMINER PLANt; 44<.:" L ....4..b~,Q. I /1_3 CJfiEt;o~ S-r-.. . < A-rf:4c:rrz=---.!2 . ~A-'44C~ - FILE LOC.J::fi!2. LOT SIZE THERMAL RES: WALLS VARIANCE CEILING CLASS_____OCC_____ MFA XL SPR HC FRONT_REAR_LEFT_RIGHT_____ ZONE FLOOR FDTN FDTN 1- 3 PERIM ------------PERMIT-RECORD-----------------------------------------~---------------------- DATE NUMBER 4 ,z,1.- -l5 (;" '2 '5 r; ..f 'f" , TYPE ~ FDTN PART~ ;,FDTNPART COMP FDTN PART COMP INSPECTION FTG/SLAB BACKFILL STRUCTURE ENERGY OCCUPANCY h'-9 . V~ .. -"1- ,1/15 , . Inspected with State Building Inspector ( ~-(f-~ ~f~ J ~ !1~r ~ t ~L~.."~" 11~~. 1'. t. .. .' .. ,. ZONlNG/!ANDUSE COr.1PLIANCE . CHECKLIST I. II. GENERAL . auilding Penni. t * Job IDeation /87 () ;/tiCI-f4LtJ Property Owner ,..Que.. ~'JAy ,vA CCNSTROCTION DATA Describe ~rk: ;.J~ ~, '@A/24G.E; zoni.rt;JU Conform:ing_ Non-Confonning_ lA- wt Dimension ~- A Ger':?S wtArea ~ cJ S ~' ,,4 ,rAe-Art; r./J -+- N~wccmTRucnON _ Accessozy Building Fence Boathouse _ Utility Structure _. Other (specify) III. OJMPLIANCE CHECKS ADDITION ALTERATION Pool Deck/Patio ~ Sign Porch ~ingle Family _ 'l\-,Q-Family _ Multi-Family Catmarcial _ Manufacturing Conplies Deficient ~ v/" Deficiency/Corrments Use wt Width wt Area Floodplain . Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area wt Area per Family CoIner wt other (specify) (..../'" L/ (../"' V V-- V J c..----- ~. o IV. BEVIEN AtJI'HOBITY The Planning Director, or appropriate designee, must approve all plans, except the following: (1) Alterations or interior -...urk when the use is conforming and when no change of use is proposed. (2) Maintenance items, e.g., siding, win~vs, etc., when the use is confonning and when no change of use is proposed. Instances where work o::::mplies with the above criteria, the pennitcan be reviewed by the Building Inspector without referral to the Pl~g Director. ~ APPROVED NOT APPROVED Plan Contnission Action Required Variance (s) Bequi.red ==~~~~ DATE : ,,;;([ c?;~t.LI~,- ~ ~ PERMIT NO. .4~-~N 0 T.I C E SECTtON 1.32 cE1l.1'trlCA'tt or OCCtJt>ANCY to BE ISSUED (A) The Building Inspector, Heating Inspector, Plumbing Inspector, at'l.d Electrical Inspector shall make a final inspection of all new buildings, additions, and alteratiqns. ILnQ.v:iolationC)f this Chapter or other laws or lawful orders be found, the Chief' B\,lilding Inspector sha.l1 issue a Certificate ofO~,cupancy, stating the purpose for which the building is to ~.u~ed~ also the maxim.~ load and maximum n\,ltnber .of, persons tha~ ,. '\~acc- omodate on each floot thereof ~t1.9. also that.. tl'~e buiJd, ':~r premise ot part thereof and the purposed ,use thereot~a'(~h conformity with the provision of Chapter 30 on Zonin a \;~~ . ~~t~uii;~:~n~a ;AA~e~~~~F b~~~tt~~no~g;;;i~~Cim~i.L s;d H \~~\~er.. CERTIFICAtE: HAS. BEEN ISSm:l).. NOR.. . SHALL ANY . BUlr.DING .B~ PCC'ED IN ANY MANNtR WHICH CO'Nn.ICAS WI'l11 THE COND:J:TIONSPUT F~R. \\<,~ IN TB~ CERmICATE OF OCCUPANCY. . .'. ... '. . ki~t'~. I, '\'~~~~.~' P A e S EN T Tff!$ eAFr'C)' Code El'lfo-rc7ntent DiV{Sioi\;'~");N~ ~ () A 0 C CUP A N CV P e AM 1 T TO." }. ~~:Q;~.:' w~~~.~. .n=~~.. 1. 54901 R. o.U.... ELECTR THIS. BUILDING SHALL 17~~APPRI NOT BE OCCUPIED UNTIL ~Cilyqf. .0 .. ... . .... OSHKOSH I" FINAL INSPECTIONS' .. . . HAVE BEEN MADE AND THIS CARD SIGNE'O B'Y THE FOllOWING IN- SPE CTORS BUI.LDING ~ .'~e c i '~ I C A LOl : . . .. .. . . . ...... . il f. H,E A T I ~ G t PLUMB I N G F I ROE INSPECTIONS MAY 8E ARRANGED 8Y CALLING 236 - 5050. ,...;. t1' DATE DATE ATE DATE DATE NOT APPLICABLE TO 1" A.J.'W 2 FAMILY DWElLINCS l. . . . -- -~ """'" '-~......~ "'" -'"' ~-J~Y.ih >>1::<1 d 7(Ju!t ,