HomeMy WebLinkAbout0004840-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04840
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ADDRESS 13'33 \J A. LNtJ T Sl;
OWNER $-r 0nS-^t>f:.JA( f,\, Cf-{0~C-f4
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DESIGNER ~~W QalJCFpYS
USE/NATURE OF WORK QUuP_cu / Ar:YCd T\....",Al
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PLAN NO. 01 - 7(.,"':187&
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BUILDING CONTRACTOR kr'1 M 6fl:>. ~,~
~oo J..j Size ts',><- S~; Sq. Ft. 4ru # Rooms Z.
l<:.>n~7f'N<;'" 'z..~''>c-"iOI Dlt rv 7~ 0
Foundation Q L~....IC (l/t:7N.. "LeeR - Class of Const.
B~lCf.t::. V +b.J~fO,-
HEATING CONTRACTOR f...Jc tJrt-
# Stories
JJe,
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Height
/4
ta-q>CJ I n.JtO
Occupancy Permit
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
'YT AN 7A-t>VC!I-
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Electric Servo New 0 Change D Temp 0
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
Ah~-
_Sink
Other
_FOr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
_WH
_Sh
_WC
_Ur
_ San. Sewer
_ Storm Sewer
_Lav
_ Eject
_SS
_ Water
ISSUED BY
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Permit Fee Paid $
Date
80
8 - b- c:.~7
FEES: Valuati
SIGNATURa2~, 1~fl
~ AGENT/OWNER
ADDRESs-l3 ~ 3 w~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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ZONING/IANP USE <J01.1PLI1'INCE O!ECI(LIST
t. GENERAL
. Building Pennit #C;t::P6YD Zoning Confonning_Non-Conforming_
Job Iocation i 3> -Z '3 \/JAlr'f LYf S7, ,wt Di:mension
Property Owner 'S-r. J 0 SA PH.AT 04 v te-CCC1- . wt Area
II. . CCN~IOO DATA
Describe W:>r'k: AJrzw S'7c"lfl.A.Coft. Gs~ILA.C:,,L.
<--~ vV'<./t. '-+-&, -:h#l>,I .yf '''<6-rUV Iv(
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NEW CONSTRUCl'ION
ADDITION
ALTERATION
. . Accessorj' Building
Fence
Boathouse
_ Utility Stl:uct.uJ:e
_ other (specify)
OOMPLIANCE CHECKS
Pool
Deck/Patio
_ Sign
Porch C\-\0P...e.{A
_ Single Family
___ Two-Family
_ Multi-Family
X Canmercial
_ Manufacturing
Conl:>lies
2
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f
Y2
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Deficient
Deficiency/Corrments
Use
wt" Width
lot Area
Floodplain .
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
wt Area per Family
Co+ner Iot
other (specify)
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"N ~ REVIEti AlJI'HORITY
The Planning Director, or appropriate designee, must approve all plans, except
the following: {l} Alterations or interior \\Ork when the use is confonning. and
when no change of use is proposed. (2) Maintenance items, e. g., siding, windows,
etc., when the use is confol:!ni.ng and when rx:> change of use is proposed.
Instances where \\Ork carplies with the above criteria, the pe.nnit can l::e revie...:ed
by the Building Inspector without referral to the Planning Director.
. . ~ APProVED . .. . . NOT APPOOVED .
Plan Conmission Action ReqUired
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DATE: 0 /.r /;~7
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OWNER ~.. .JO'SAPHA,lS. C::~lJ~H
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GENERAL CONTRACTOR
~~
ZONE
MASON. CONTRACTOR
Width of lot
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DATE
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ADDRESS .13 ~ 3 ...'vJ'/J. L~(J 7" ~'-! ,
USE \' ~.,j(LL~
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INSPECTIONS
REI-1ARKS
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.MAILING ADDRESS
Front of lot
INSPECTION PROGRESS flIEPORT
Wisconsin Department of Industry, Labor & Human Relations
SAF~TY AND BUILDINGS DIVISION
P.O. Box 7969 Madison, Wisconsin 53707
R E :Chnt"c:h ~'~md$J,Y
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1333~alnut St!"~'t
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FILE NUMBER
E-
PERSON CONTACTED
TO:
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TtHS W. So)~tl1 P~'k A'\"~.
WI 5tj901
DATE OF INSPECTION:
No. 1.
2.
3.
4.
BLDG FI
H&VFINAL
OTHER FINAL
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COMPLIANCE DATE
Os:.y, F,ICE IN1/TRUCTION (Check one)
I25J Voluntary compliance
"0 Process SB-2
O Code violations explained
to' owner
Supervisdr Review
INSP.
Y Order Corrected
X Order Not Corrected
ORDER
NUMBER
FINDINGS OF INSPECTION
2
3
4
Final
Items listed must be corrected before the next inspection or final inspection. If corrections are not
made prosecution by the Attorney Generals Office will result.
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I STATE
REG. NO.
NAME AND ADDRESS OF
CONTRACTOR:
OWNER'SNAME (IF DIFFERENT FROM ABOVE)
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ADDRESS
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CITY
IF YOU HAVE ANY QUESTIONS I WILL BE.INMY OFFI~,QN:k
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01 LHR-SB-224B (R. 4/80)
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TO RESPONSIBLE PARTY
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