HomeMy WebLinkAbout0036509-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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36509
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ADDRESS
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<2oRf.4tJ<;Tt?AD
PLAN No.F\ - \-+1- ID\~l
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR ~. YV\ t ~ \ L~
Size Sq. Ft. ~ # Rooms b - :?:> BR# Stories
Foundation alJ~ Class of Const. ~
'l'J/
l Height C>?:>t
Occupancy Permit --Y !!;
~ HEATING CONTRACTOR /JIl eM /l J IC
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
tf-ELECTRIC CONTRACTOR FiNK €lB...4''7ZJC'--.
Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
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. ...J I;YI S
'nl.PI1 BJ;J6
~LUMBING CONTRACTOR
_BT _WH
_Lav
_Sh
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
FEES, Valuation $ !~~erm;t Fee Paid $
ISSUED BY '7( /< . . _ Date
/
tt31-~50/
lDlalJq3
Park Dedication $
Final/O.P.
/ Cf)~ 02.
~IGNATURE~
, all work pursuant to rules goverriing the described construction.
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ADDRESS
TELEPHONE #
JOB LOCA T! ON :
ZONING/LANO USE COMPLIANCE CHECKLIST
~S1l6Hrcpl>>r - 7~VJ~J)OIO~ wt51Il1I/.~G;
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Revisa:i: 8/89
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~ROPERTY QWNER/CONiRACT R:
CONSTRUCTION DATA: . N~~ CONSTRU~<N ADDITION ALT~~TION ---?ARKING LOT
TYPE OF PROPOSED C TR CTION: (i.e. fenc~pool. sign. deck, e~c.)
1t;l/,2 ~fg ,'!?S""'~ Mb ~ ~€;2 ,
_-\-t:0"2E = ~l-\q' *~.1 (~~ =- a;rlf~
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Stree~ (~~)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Fami.ly
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height /
REVIEW AUTHORITY: c/ j/IId Va) M ~
The Director of Community Development. or de 19nee. must approve all plans, except the
following: (1) Altera~ions or interior work when the use is conforming and when no change
in use is p~posed. (2) r~ain~enance i~ems.. e.g. sid.ing. windows. etc., when the use is
conforming and when no change is p~posed. .
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector without ref~r~al to the Director of Community Development, or designee.
~APPROVED DENIED
Plan Commission Action ReQuired
Variance(s) Required ~
REVIo"ED 3~#< ~~~
COMPLlifs
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OEFICIENCY/COMMENTS
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State of Wisconsin
Department of Industry, WISCONSIN UNIFORM
Labor & Human Relations
Division of Safety & Buildings BUilDING PERMIT
Box 7969
Madison, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of Dink CODVJ
..
1!1!,li~~~~~I.q ..... IDCONSTRUCTION D HVAC D ELEC
o~~a~ A'~ / ...tr'l.N"Y ;5;;dr~//~__~ LAIt
Contract6r~s Name '~ Mailing Addres~ /II (/ A / 1/
~/4;1. /f/j /. ~ .. r- /.l/;7j>' A( 60 /JO{ r
.:.;.:::... ...................................-:.:.:::;:-:;:::;:;:. ...... ...................::::> ..... Lot Area
IIII~!~I~~I~J~~:::,/f"' ~~ / Sq. ft.
Building Address 11
95"ao dfi5L)6tYr Or.
Zoning District(s) Zoning Permit No.
3GSOC(
APPLICATION NO.
PARCEL NO.
D PLUMBING ~THER: ~o--J
n ~ ~~ ~ Te:r; ~d':tr"'
~;;~ ?91~
%, SECTION
%,
Subdivision Name
/d~//~~.I 7d ,;/ .~L","~",
~. Front Rear
a:;m:eAOJ.cm.
I.8l New
o Alteration
DAddition
Setbacks ft.
. .~~:()iijij~ij~ :$;$.t:".RlC.u.:r.*::ftVjQ.:..t..OeM~N'tJ
~ Single Family E~trance P.Rn~l_ ~ Forced Air Furnace
o Two family Slze:,;rgfl amp D Radiant Baseboard or Panel
D Garage Service: D Heat Pump
o Other gUnderground D Boiler
o Overhead D Central Air Conditioning
~;'~$tt~l;:EOg"QlllQ" .. D Other
~ Site constructed ~ Concrete,g;:PIQM$.JN~:: ..........
o Manufactured 0 Masonry Sewer
o Treated Wood g Municipal
...... 0 Other 0 Septic
"S....':"'::li:li6e,' ,,:,,,,\,:,,,,,,,,, Permit No.
:;....~::;::M.".~::::::::::::::::::::::::::......
D Repair
D Raze
D Move
o Other
Z.*A~~tiflOU.O ... .....
Unfinished Basement.P6 Sq. ft,:$~':$:r..R.ft$
9/./00 ~ 1-Story
Living Area -rt 71f15.. Sq. ft. 0 2-Story
Garage 65"9- Sq. ft. 0 Other
~ Plus basement
J;! Seasonal
~ Permanent
o Other
1'1;WAteiR:j';......
~ Municipal Utility
D Private on-site Well
T
L096t,l
Left
E(or)W
N,R
Block No.
Right
~ ~ ~
. ..... ..... ...1~;'$.N$.A~Y$.OU~Q.$.)
Fuel Nat. L.P. Oil Elec. SolidiSolar
Gas *
Space Htg. M.. 0 D D D D
WaterHtg. gOD D D D
* D Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
............. Infiltration control option is: D Full sealing
of joints. D Blower door test. D Exterior
air infiltration barrier.
11;H~AT:JM'j$$.{GJ:i.I~ijI~ti:i\:lW:
Envelope WI,::;t:;fJ BTU/HR
:...:::::.:.: Infiltration 'OF}. ~ Cf'J BTU/HR
1J::~I]i.,g,gg!Nlg$j;:
$ /6'~ P/d'
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the
permit creates no legal liability, express or implied, on the Department or Municipality; and certifies that all the above information is accurate.
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(J\) CRAWL 5~ \/CJ0/1r/&
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.............. ................
..............................
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o VILLAGE ~TY D COUNTY Municipality Number of
D INDEPENDENT. Inspection Authority
()S\-\ \'Z~ ~ '7 0 'OlD b
:.:~.~~.)r ~~1.ll.IfllI~lll:ijiiMII~~~~I~.. ..
~ Construction \
D HVAC
D Electrical
o Plumbing
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D TOWN
o STATE
OF:
.
-
.
.
Municipality Number of Dwelling
Location, if different
...........................-...,..............,..
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$
$
$ "?D. t!!2
$ ""'-...:1".... Q?
$ '7L/'
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\ D \ CM \ ~3
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NAME
DATE
\ 311 i-\ \ <6
CERT. NO.
WHITE -Issuing Jurisdiction
YELLOW - DILHR
GREEN -Inspector
PiNK.... Owner! Agent
I <,'~,
1:..~
NAME b /Y! ::tv I L Dr;Ji?!'~
LOT qo~
-,+11 .<::.
S USD I V . T A {)()oJ , '10
STREET NO. o1S.J 0
v1e:;ni~';ev
&-S /, f t-f
t7
SIDEWALK EXISTING
CATE
ADDRESS
10/011 ) 93
.
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;;>
BLOCK
'..lARD
ZONE
c.J..
LOT DIMENSIONS
YES D No0
() (1;t ~ / , 19 9 3
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
8Y~~
FEE: $15.00
.0;;--
----
I, the undersigned, owner ~r agen~ of the above described property agree TO have the
grade eS~aDj ished before excavation has commenced.
O{J4864
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City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address ()5aD GrlSLi6HT C1:
Owners Name (YJ1l!?K BaR HAl SreJ1.D
Name of Subdivision ?ffl ADO/VI rfr) Wesr}/Ave7U
lot # qO'd, Bldg. Permit II 36SCfJ
No. of Units
I
IIjCO.CQ
<IT CO. 0=
Fee Required
Fee Paid
Owner's sign~ture ~
Inspector's signature
Date
fff34'l.3'
/ !'6lIICJ:3
I
Date
Parks Subdivision
Improvement
Accts. Rec.: 362-041
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DATE_t o\a\ \ Cb PERMIT #~s:>L
'G'(V\l ~lLD~~
GENERAL CONTRACTOR
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MASON. CONTRACTOR
Width of lot
bf'GLl bl~T c::x- .-
-----
--.....
ZONE
(Y/f/9:?'-~S17-36
. ~A:6 -.:J. Nor V'G! r5tvvle0 C{D/
rJ?i.7r 501(..<; OK.
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C:IC-/ ~GS liAs >f74.)::e$ o...u ~g~
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5fdr;cf -lfXY!op - ~~ ~~~A~~
Front of
'5JDbv~~ NOTICE
Tli'S Bt;UtJ)ING SHAlc~Lc NOT BE
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',-. 'Uf'''''' C- C''\\,' :,t .00 r'."" 'It "",',', ~'T'" D"',:~';J,', ;I ~.",i'i ~
f ' , ,~ ~ r.eo,.'! '.' g,o<,,,, :' ii:1 ~ ~>':.~
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""if" Iil t~ ~~: '
;J ~ ti ~1 ~i~' ~
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HAVE BEEN MADE AND THIS CARD
I ~IrIE FOllOWING
, ""-"--~--'~'~'l~ '
:9; ~f . LiTORS
-~
I
CCUPANCY TO ~E ISSUED
THEREOF SHA~L BE OCCUPIED UNTIL SUCH
SUED. NOR SHALL ANY BUILDING BE OCCUPIED
ONFLICTS WITH THE CONDITIONS PUT FORTH
CCUPANCY.
(
/
Code Enforcement Division
Room 205, City Hall
Oshkosh. Wisconsin 54901
,
~--~._----~---~-.---~--_._-----------------._--_.-:.-
INSPECTIONS MAY BE ARRANGED BY CALLING 236-5050.
BUILDING v~f> DATE 0.-I0/"
//1' L
ELECTRICAL ' OATE4~19Y
HEATING .c~ DATE~.j9}'~
PLUMBING lid ~ DATE ~~Jl;?
, .'. ,', ,> "" "..,.,.,.. . , {J" , /
~::,aOUGHPlU.MBING . r. 0 ATE
-'lAPPROVED AND 2 FAMILY DWELLINGS
"1 23'+"SL'
City of DATE '- -,' ~ -OA TE
OSHKOSH INSP / ,
._.,_ ___~-~._.r.:o_.rnn "Itr~UH "" '" e 0"jV~f1 ~ntm the City Health Department.
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