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Home My WebLink About0028162-Building j~ ..~ CITY OF OSH.KOSH N2 PERMIT - APPLICATION AND RECORD 28162 * ~~P_E~ _ _ ~L~~ ~ _ ~T~ _ ~ _ ~~E? _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _~~/_ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS IflS- {}~~. OWNER .~4-d4A-. ~ PLAN No.Kz.. 'fi'o If? Z- R DESIGNER USE/NATURE OF WORK ft~ r/t. ad:~ ~ BUILDING CONTRACTOR .P~ I!<.d ~ size..J.-crl ~q. Ft.16!''2- # Rooms to ~3-t3d # Stories Foundation ~ Class of Const. J L- Height~ Occupancy Permit ~ HEATING CONTRACTOR ~~-IP/ Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR &..t..-??1 ~r Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR {tJ~.. _BT _WH _Disp _Lav _Sh _OW _WC _FOr _SP _Sink _ L Tub _ Eject Other _ WSoft _OF _ CBasin _ San. Sewer _Ur _ Storm Sewer _SS _ Water FEES: Valuation $ S-7 ) OOtJ .IXlJ Permit Fee Paid $ ISSUED BY ~{I<<-/ ~ Date Park Dedication $ I tP tJ -0 () Final/O.P. C;11.lq~ k I agree to perform all work pursuant to rules governing the described construction. ;7/~:Z-/7L t' DATE ADDRESS TELEPHONE # k1-- <hfOCf7~~ State of Wisconsin WISCONSIN UN FORM Department of Industry, . I Labor & Human Relations G T Division of Safety & Buildings BUILDIN PERMI Box 7969 Madison, WI 53707 APPLlCA TION Wisconsi n Statutes 101. 63, 101.73 (See Instructions on back of Dink CODV) ...........................................................,.... 1&l Ifisl,ll:.slluIIIIR D D ELEC D .........,..,.,.,.,.,.,.,.......,.,.,.,.,.,.,.,.,.,.,...,. '.".'.".'.'.'.'.'.'.'.'.'.'.'.' ........ ..... ONSTRUCTION HV AC OWl}er's Name... Mailing Address A.. /u -- 7", A' AA. II z -:r Ij), /7t:;1-..... /1 /kR ICOlJtjjactor~sNa~e A C.-r: h- MailingAdd~ J"" nAHJ"'!Ffif . ~ IIIS-Z. //'''/.A.,J 'A..A:, .. ...................... L t A // iIIJlomii.lelmfOR:n 0 rea V ............:,.::..:.........,.... Sq. ft. %, %, SECTION BUildY8;~ssIJAMtU4' ~ j~'.ram~".1/~ ~r,~A~~^F-r Zoning District(s) Zoning Permit No. '" FrC?nt If Rear L-I Setbacks Jl-Y ft. ~.() "3ft. 'K."QJ"QT'iH~ '"""," . ... . .......I~iOiji.Q~ij~I 6. EtECT:fiICAUIt :'~Inj.c.~IU.....Rti':) laNew 0 Repair !Sl"Single Family Entrance Panel ~ Forced Air Furnace 10 Alteration 0 Raze O"Two family Size: ,;J-DiO amp Q Radiant Baseboard or Panel o Addition D Move D Garage ~rvice: D Heat Pump D Other Underground 0 Boiler Overhead ~Central Air Conditioning ~~:i~$f;tfIIt~iIIQ"QAl1Qtf D Other *m~e~:~~~I:~ ~1~~t~~I~p~cVee h:a~:~o;e~:i~r 1'5fSite constructed II1fConcrete11.~il~tQM..HGIf ~~~:)t~t~~t~ Infiltration control option is: D Full sealing z.....~N.VQUV$~::~ ~... []Manufactured IE! ~r::~;~YWOOd ~w~~niciPal ~:rj~f~~~~tS:n ~~~:rdoor test. D Exterior Unfinished Basement~q. ft. ::$.~:$rr....It$ 0 Other Septi~ NjJ;.4T4Q$$lGI!m:lm~t~~FI 1{,;,8"7- D :I.V:Q$I(",J uuu.. Permit o. Envelope .;2 3 S'l....3 BTU/HR Living Area . Sq. ft. M ~~~:~~ ~ ~easonal ~ln'WA1l..I'i:t(,:,""'.... uu infiltration / tJ %'97' BTU/HR Garage if G D Sq. ft. 'D Other ~Permanent ~ IMuniciPal UtilityliJ:ESTisaiCDINGCOSTI'i o Plus basement 0 Othe~ Private on-site well;'..b.;;?.f:;;~~;~."....u . The applicant agrees to comply with all applicable C~des,. s utes and or~C~7CWi the conditions of'this permit; understands that the issuance of the permit creates no legal liability, express or implied, on th epa ent orMuf'fiafDl'll ity; d certifies that all the above information is accurate. SIGNATURE OF APPLICANT ___ ./ L -- DATE.Y /..:z 2-/<9,. CONDITIONS OF APPROVAL Thi pe~mit is i.ssued ~ursuant W'the following conditions. Failure to comply may result in suspension or revocation of t~s permit or oth#penalty. ,. J " ')I._'j.l ~ l)J,.L1///---./f~ ('hA "-I/"'~.ot-< LI/I/C;~ . nO" A , V'# ' A. '~.A-o ....y~ _-" 7 ./~..., ~"- "'A'If'-~"..A'? A.., APPLICATION N;.;J-f/~ z.,- PARCEL NO. . PLUMBING D OTHER: Telephone :23/- '/~<f" A , J Telephone /y A if 9#1,... z.."3~ 39'U> T L;~O~ 17 N,R Block No. Elor\W Left Right r- ?,~ ft. 7. ~ jl;'$N$"$~$~Q$C.$~< Fuel Nat. L.P. Oil Elec. Solid Solar Gas * Space Htg. Xl D D D D D WaterHtg.IEf D D D 0 D ft. o Other - ('~ . ;' -- -"y...... /~~. ~'A d~.., . / tI &Y/zrMt .h7~...../, .., , AS _~ .d! ",.-.7::7 I.IM d-l~'7.LU. .. . ., ~ ..... . . - . . . .. .. . .. .. . .. . .. . .. .. .. . . . " .' . , .., '..' '. .., ... .'. . ".. . . ---:-- Plan Review Inspection Wis. Permit Seal, Other TOTAL .,. ., ... . ."o, .,,'0...,'. ...,.' ,.., 0.. ..'."..,....,...,.. o TOWN D VILLAGE CITY 0 COUNTY Municipality Number.of .... OSTATE....., DINDEfEND N Inspection Authority I ....... ...... OF: If / A ),-.1'4 ~ A L 21L - {...... b .!a- ..............~"......,.....~..:"..,..".:,.:.,.~,,',.:,.".,.":...E....IS..~.I.o...l11E...'{.~$....,.,,.,.\".,."...:,..."(( WIS..."...'..,....".":";"'...~,,:,,U,,.,,::.,,..:.....,",.:sI......',...:...:,..".,..,.....,.'.~. ...:.:.'.......,.'"&.,...'..,,.....8. ..N.......Jr ...................................... Il f .. _:J~llIrt~~Y!~i'I!~:... '-/{), l11) ~Constr~ction .. . .... ...... .. .. ... . $ U HVAC $ ~O 0 0 0 Electrical $ ~. - 0 Plumbing $ 0 Other $ 70,00 ................................ ................................. ................................ .................',...........-... ................................... ....................... ........... ................... ........... ......................, ........... ................................. ..................................... d. ................. .......... ..........,....................,... ...................... .......... .............................v......,...,.........'..... ... ..... .' Municipality Number of Dwelling Location, if different . ........"..... ... ...... i~':~'lli()i 10 /5~~ NAME frJt*4~ ~S-SiJ DATE CERT. NO. SBO 5823 (R. 8/90) J "2.- WHITE .,.Issuing Jurisdiction Y~LLOW - OILHR GREEN -Inspector PINK - Owner/Agent City Of O~hkosh 1/1/85 I- \ \ PARKLAND DEDICATION FEE COLLECTION RECORD Address If 7.:5' 11~ //VL Owner's Name g~ ~ ~ Name of Subdivision WtJ..dd. .:f~.K~ t:..~ Lot # ~ I . Bldg. Pennit # ;1ilt 7- No. of Units I Fee Required Fee Paid loo.ov Date ~,;z:J-/ 9~ 1({lh~ Date Parks Subdivision Improvement Accts. Rec.: 362-041 \-:..,- <:- DATE <f;/(p ht- , Ii NAME ~ If!u.-t. - _ ADDRESS - lJr tri. '7 '3 /" SLOCK \ --- ~- ~ /.E!:- Pj/.. rA Y' _LJ _t.-'l-- ~ ..f'/ "- r SUeO!;. - ~ . ~"J'~ /--' ZONlO STREET NO. - - -- ~ . LOT OIMENS IONS YES ~ l' NO 0 ~_1.. ,19 '1/l..- BY ~ ~.~ OEPARi~/o : IT OF PU8LiC WORKS - ~~~ I, the undersigned, owner or agent of the above described property agree iO have the grade estabi ished before excavation has commenced. LOT ~.; A~D SIDEWALK EXISTING BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: -$-te-:-9-O fit f:.c;:C> OO'~S:l9 4S'~ / "'L~ Revised: 8/89 lONING/LAND USE COMPLIANCE CHECKLIST JO~ LOCATION: /}25 ()A:~aJ ~ ZONING: t- { PROPERTY OWNER/CONTRACTOR: ~ ~t~ CONSTRUCTION DATA: ~EW CONSTRUcrKN ___ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (Le. fence, pool, sign, deck, etc.) l'/f-lA) -1-=/~ aff.Pa.A-. U>< L3 Y'o J~ ~r COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT Use Lot Width Lot Area Floodplain Front Yard Side Street (f~y~) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per Family Corner Lot Landscaping Transitional Yard Off-Street Loading Vision Clearance Heig. ht . j. 11 / # ~ __ ~ ~llf} I~.~- The Director of Community Development. or designee, must approve ali plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) t4aintenance items,. e.g. sid.ing, windows, etc.. when the use is conforming and when no change is proposed. Instances where work complies with the above criteria. the permit can be reviewed by the Building Inspector without referral to the Director of Community Development. or designee. ~VE~ DENIED Plan Commission Action Required Variance(s) Required .~ REVImD ~.~ . , . REV I ~ AUTHORITY: DEFICIENCY/COMMENTS (-m,If'~ DATE: \ \O~-\O \ ~'l.,OO \ "?~-~ r,/ ~~I ~& r'i. "'0 ill \ 40-00 "':>"b "S' 'e:.. N ~ . ~ '- o (2... c.. v..p.. 9.:. ? '-oT I ~J) o ~I 1 ?\A~ . \ . . \\\-:::.1..0'00 ~c..A.\.;~.. ' ~WNER D~TE APR 1 6 1992 PERMIT # 81J~2bl-12R...J &iZiit:L GENERAL CONTRACTO R ADDRESS Jf7rtf2td1~ ~ USE ' S Fl' Wc-rk consists of /l/s F.A~ ZONE MASON CONTRACTOR Width of lot ~ o r-4 'W o s::. .~ a. CD o J , :/ - -- - -- I i\ -. ""7 '" " , , [\ , DATE INSPECTIONS REMARKS F rent of lot ~ j, h 1-- ;:7~L Ldf I f /I 1// 7/'i z r!J,~. ;rAlll~ Ole ~ ?;7' 71:Lc.fj~L- -,~f' 0 Ic:.~--;#' , # ~ -::{~ ~ t:tr .HAiLING ADDRESs FOO tti~ILE YOU WERE AWAY DATE ~9~ TI~E /- ~ ~1 ~/Z~ ~~i~ OF PHONE A ....,...,.-' ~ dW TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE /87 S CO~rfJ i:n, ~iffF ~~ SIGNED 71t1--