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Home My WebLink About0044324-Building , ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD I It) N! 44324 ~.. TYPE: BLD~TG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - . - - - - - - - - - - - - - - - - - - - \~~~\\ A~~~~~~ ADDRESS PLAN NO.'B~ -D~ 3hs~ OWNER DESIGNER USE/NATURE OF WORK WEV.-J S~~l.E "f=Arvtt ~~ ~~~ BUILDING ~ONTRACTOR (f~(,)~ __. l Size -z., n'\ Sqr\~ <11? LJ f5' " Rooms ') - '3~ "Stories ~ I tB.IEL Height ~ Foundation v.JNc...~ Class of Const., :&> Occupancy Permit ~ HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System c~~ Heat Loss BTU'S ELECTRIC CONTRACTOR WMl~S Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH '5\-\-\ _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _ San. Sewer _WC _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water ISSUED BY Permit Fee Paid $ --3f~ t":::;::;;-- Date \ ~\ t qs Park Dedication $ Final/O.P. ,N/4 . In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r i,- (.2J, '""'<>ON'" '-If ItS: ADDRESS TELEPHONE # ~ <" JOB LOCATION: \ C\aq ZONING/LAND USE COMPLIANCE CHECKLIST Av..\~DN,~ ~. ~\)~-\\ ZONING L~ ( PROPERTY OWNER/CONTRACTOR: * New Construction Addition Alteratiol CONSTRUCTION DATA: TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) f\JEL0 S\~lX. ~(V\.\\...~, AND J:?EA R- J::x:;U( .. ( ~Q.f\EE COMPLIANCE CHECKLIST ' \ ~E-e C~~ ~ A~~ 9-\5'5> ~ Lc:S\:) DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off-Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, I designee, must approval all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. ~ APPROVED DENIED Plan Commission Action Required varianc~.'red REVIEWED BY.: _ ..~ DATE: 'lI/lS- Wisconsin Department of Industry, Labor and HU,man Relations Safety and Buildings Division P,O, Box 7969 (See instrudiuns on back of pink copy) Madison, WI 53707 The information you provide may be used.by other government agency Wisconsin Statutes 101.63 101.73 programs [Privacy Law,s. 15.04(1) (m)]. :.!::.!',~~!lJli!::I.il~I~III:~,:~!!~:,!: ~onstr o'tJer's NAme ~ .~ I Mailing Address -;-) .. J[ I ~.AA "?" " :n~D W-Mt;/WYI'V!Co{. . Co~tractor's CJame: D...c~~rmlec 0 HVAC 0 Plbg Lic/Cert # Mailing Address (', AA 1I0^-::T:. . Co/~tractor's NAVJ.: [ Con 0 Elec !B'HVAC 0 Plbg Lic/Cert # QAd. IJ _ Co,gtra,ctor's N,ame: r : cbf, 0 Elec 0 HVAC ~Ibg LiclCert # fllrJu _ J. _ fij-~..) . Contractor's Name: 0 Con 0 Elec 0 HVAC 0 Plbg Lic/Cert # . Building Address J 12 'I (} /' A Zoning District(s) I Zoning Permit No, Setbacks ::18 ft.I}Re~t ft, Left t 3- ft, Ri9hg ft, jjre~QJ:I:~ltrm~:~:r(~i:):::i.i.:(.i..$.t:Q'~UtAN'-Mi~iWe.t.E~MM)n.9!W~IlWAP.e.QUtPMl.tJ.):.r:t1Ifi'NIRGymS.GOt((lliittttm))~))rr.f:~~:~~: [J!I'New . 0 Repair ~ingle Family Entraj()t!rl [B'Forced Air Furnace . Fuel Nat L. pail Elec Solid Solar o Alteration 0 Raze 0 Two Family Size: . amp 0 Radiant Baseboard or Panel Gas * o Addition 0 Move 0 Garage .' Seljoice: 0 Heat Pump Space Htg R;I" 0 0 0 0 0 o Other (print): ~nderground 0 Boiler OOverhead 0 Central Air Conditioning Water Htg [Sl' 0 0 0 0 0 o Other * 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip, Infiltration control option is: 0 Full sealing of joints, 0 Blower door test, 0 EXterior air infiltration barrieL !.::~t~:1~1:.:Rlllt~Q$.$]:(~~i.~~~t.~#j~:~:::t.:, Envelope 1'0:::>. T-Y: I BTU/HR Infiltration s"61c:Q.. BTU/HR ~'4i:::E$i.MI.U.tIQ~iG.:m$1;::t~j::~::::::::~...j::j::tt:::. $ '10.000 ~C:; ) q /; :p:~~j,~~~,w~~~~~~",,:.~,~:, J-c DOther :2~ARiA:JNVOtMEQ: ......,..........,............................... B3-b~ '3\'1s WISCONSIN UNIFORM BUILDING PERMIT APPLICATION R .., . Application No, '-iL\':SdY . Parcel No, , D HVAC DPlbg [31(rosi on D Other: . DElee Mailing Address Telephone No. ( ) Z3/- <J~(i3 Telephone No, ( ) Telephone No. ( ) Telephone No, ( ) Telephone No. ( ) Mailing Address Mailing Address Lot Area Sq. ft N, R E (or) W Block No, Subdivision Name 1/4, Section Lot No, T 1/4, :4{?CONS]iiTYPE:.:U.fOUNQA1l0N [~~en ~~~~~~~~ded g~oa~~~;; :"il.:::::itPM'JN&i.~jj':.I~:.~::r::~~:~::~: o Treated Wood Sewer o Other [Y"IVJunicipal :$FU$~..:,:::tm.~.n:( 0 ~~~~~t No, Unfinished Basement ~5'o Sq. ft :$I:STORJ,ES.m~rrr~r Living Area 101./8 NtA Sq. ft. Sq. ft Garage D 1-Story o 2-5tory ~thl1iluu.J o Seasonal ~ermanent o Other 11.:' WA1E:R : :::,:::>::::~:>:::::,::;;:;::::::,:,.:". lQ1VJunicipal Utility o Private On-Site Well D Plus Basement . The applicant agrees to comply with all applica'ble codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, orytje D}partment or municipality; and certifies that all the above Informa, ion is jtccurate. APPLICANT'S SIGNATURE,.. 0::'- ~A DATE SIGNED 3i So/?)' APPROVAL CONDITIONS This permit is issued pursuanttothe following conditions, Failureto comply may result in suspension or revocation of th is perm it or other pena Ity. l~) I ~~TN-~ ~\.(... ~\.b~ .,f'''EZA'S.0tt.6~ 2.\ ~0PM...r," ~~'S. "\:=t.N"':::>S, ~ - 'J. \'F L~ll.. L~e... \."';> ~ ~f'o.n'~ - l~Me.::>--vs. V""Y\~';>'T '"Ht=: ~\ t:::. ~\~ .... .................... .. .. ................. .................. .......,................... :~J$IU.N(j:,::::.:':::':::.:::.j:.~j:.~ <Jl.)RtSrJIGTION~~:} ::. :::." ";"':: :::: -::: .~:::::;:; :;: \ \i::;:: :;:;}_..~:: .::: ..:..:;.. \:::~r~~) DTown Plan Review $ Inspection $ Wis, Permit Seal $ Other $ LID 30 Total $ 7-0 SBD-5823 (R, 06/94) '36 a;/S r 'P~" .' \LId ~ ,<-\.. (~S'". '. ."... .. ': f'-A.; ( . .,. ...... .. '.. , - o Village ~ty 0 County 0 State of: ()SHJ{o>1:l ~fL - :;;2~_ 1::I::::::i:III~I~:!:I:.'::fI~I~IIII.:IIIII::!I~~II!f,~1'~I:!II:~:!::I~II~j,:,I:lj:!III:!:!!,:,:iji:::lil:,!i~~:!~!i~:!,I.!:I:::I!,i.l:i:::,::i,i,.,iil'i::,:i:':,I:i:!::!li,.lliil:"i:l:i::!!!!'!!'!:l ""'7( Q, A r-..... ^- 'I..f) J A A '" v~\. H )0 3\ ''3\ qS 4tb~ MuniCipality Number of Dwelling LOcation: r.t Construction mHVAC D Electrical ~D lumbing Erosion D Name Date \5~tSq Cert, No, WHITE - ISSUing JUrISdICtion GREEN-Inspector'" ,:."",.._-~,,._,,-- p'INK'::-Ow'ner7Age<n~f-'" YELLOW - DILHR ''0 ,.>~ ~ """,>} Ii \ ~ "-l , --1 IT ~"'~ I ~~ ffl' . t- eD 8' :.,g N (II=. LO ' (f:) N j ;'i J ~- -I ~ ,I ~ ~ I ~! -I I i I ~ I?.' I 55' rt?'0.se..~ LOT i- ~,~~- S USO I V. c:;.d. ...- :ec;.ve- . STREET NO. \C\8.q A'V..\~A, CATE ~\3\ \qs NAt4E ADDRESS 8 LOCK '- T'i AiiD ZONE SS\l S I D2.'1ALK EXI STING YES LOT DIMENSIONS D NoD BUILDING GRADE ELEVATIONS STAKES SET AT SITE , 19 BY FEE. $15.00 ~~ ,. QEPART"ENT OF ?LcL1C "CRKS " the undersigned, owner or agenT of the above described proper~y agree TO have ~he grade eSTabi ished before excavation has commenced. l::;' /i c~ .'.'~~ '-.J _~... ->.} .\.-AI