HomeMy WebLinkAbout0006467-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
06467
~PE~ . . BLDG ~G. D. E~EC. D . ~~BG. D . SI~N [~ . ZONIN~ ~ \ . . FLOOD. PLAIN . ~. HEIGHT ~ ./1
OWNER
(~-~- /L{~~'+~ ~ t- .
... ~d- ~~% ~~~__:t!~
PLAN No.lj..j'7 ?-jr!jb R
ADDRESS
DESIGNER
USE/NATURE OF WORK AJ~ S Fl2.
9v'f r1ff- ,,'57 r-.:s.('. a-~~ IC-~e
I U
BUILDING CONTRACTOR b>cv~JC!..i f
Size:trt-~ Sq. Ft.[eqL
Foundation j?~ :--r
# Rooms 7 +~ Tf~4Stories
Class of Const. ~
(;-: Height ~~~
Occupancy Permit 't<:. .. r
HEA1,ING CONTRACTOR-J}..' ~ -tA_'.t -""--'-4'\...
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
...
ELECTRIC CONTRACTOR ... C1,-~~
Electric Servo New 0 Change 0 Temp Type _ Volts - Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
w~~
_BT _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_SS
_1)torm Sewer
_ Water
_Ur
ee Paid $ ( L aCe
Date 1"'2-- 7 - 8'-7
Park Dedication $ /00
I
Final/O.P. ;;, - 2.3 - 8 ~
ISSUED BY
ADD RES
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(. . >PERMIT:'APPLICATION AND RECORD """'\:",i:';,':,,. .
! DESIG NER' . .... · 0 . .' .' n. ,. ."::::S::~;;:i;~:'" ....
i USE1N~TURE ~; 0;~~'0<e~\S pi wf ilff-:~ 'Sf ? :sf'. 04-o"'<0'e ".,.
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t'CBUILDING CONTRACTOR' OCU~~r
'..,..... ....r......./.'. . Size~.... 'c-\1~~. 'j? t::t/ L
L \~ _~O~ation . .-
. . i
# R~~;5~s~c~7-~ s~s.paJb~7~~1~~
Improvement
Accts. Rec.: 362-041
.,
-~
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTI,ON RECORD
61-
Address
Owners Name
Name of Subdivision
Lot /I 'G(
No. of Units
Fee Required
Fee Paid
/- .
Bldg. Pennit # (P1tJ 7
,
Owner's sigm:ture
Inspector's signature
_1 'z - ]-'Pt?
Parks Subdivision
Improvement
Accts. Rec.: 362-041
DATE
((-241lf-~/
2.. ?4~
NAME ~";"G.L'P'-;+' f( u :s ~,k ADDRESS
LOT Z- 7 , " 8 LOCK
sueolv. j-J 11dcI1r?J:;!<cl1r~se ZONE
STREET NO. //....~5~~.L c6 LOT DIMENSIONS
YES 0 NO~
-----
~J':>~~QV.r-
~--3
~.I ARD
SIDEWALK EXISTING
8UILDING GRADE ELEVATIONS STAKES SET AT SITE
//-30
,19 t)7
8Y 1) c::- V
FEE: $10.00
~
~~
DEPARTMENt 'OF' PUBLIC WORKS
I
I, the undersigned, o~ner or agent of the above described property agree to have the
grade establ1shed before eXCavation hasO~~
03741
j,
3tJ3/17-'-I8
--
, State of Wisconsi n
Department of Industry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707
Wisconsin Statutes 101. 63,101.73
13 ~"'l7 q- II ~& R.
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
See Instructions on back of Dink coov}
APPLICATION NO, ~ {;7
I
PARCEL NO,
..... . ..,...... ....."......................
..................................................................,' .'
PERMITREQUeSTED? "" ",:,;;, ~ D D
:::;:;;:::/",}},;,:,.,,:,,' ,."" )d: ,'.,:"';.,..",":':';:':':}::':':,::;::':::;:;}: ~STRUCTURE HVAC
Owner's Name f Mailing Address r
r __ [ . ,f-- 't?:.- ~ c. "^ G7 b 0 iA Je.... 'l-u~ Co r- .Y2..J
Contractor's Name Mailing Address
6:)U) VL~ r-
................................................................
...................................................................................................................................
...................................................................
II~~~',I~~~~'QI, ."'..",::...,.,,.
ELEC
Tele~ne
~3r-
Telephone
D PLUMBING
(~:.J L"":?
D Other
, __Ii. ~ A.... T
/ ~I r. "L-~~.J-/-?:;;C l'~Sj "Lot No,
" ~7
Lot Area Front I Rear Left Right
'20 j ('3 Sa. ft. Setbacks 'G. S ft, S"2....ft. ~ ft. /0
:I\\I:?~l:X~$' "'" """ .~;:$U;C't"ld~C(t'Y9~eSQUU~MI8t)'nf.,.. a~;$N$fl~Y$QUf'(e$I:}'"
o Addition D Raze ~ingle Family E~trance;.Pl)..D~ KForced Air Furnace Fuel Nat. L.P, Oil Elec, Solid Solar
D Repair D Move 0 Two family Size:" ~ amp 'IT Radiant Baseboard or Panel G s *
q Other ~ryice: 0 Heat Pump Space Htg, D D D D 0
~nderground D Boiler Water Htg, D 0 D D D
D Overhead D Central Air Conditioning
. ".. .,. ,.j):~;mgl)FJ?g:NP.I]'QNr D Other *m~e~~~~:;ed ~1~~t~~I~;::: h~a~:~~:~~i~~
""qo.~tached ~e constructed ~~ncrete1Q)PtUMBING> '" Infiltration control option is: DFul1 sealing
::::;';.., ..., 0 Manufactured 0 ~r~~~~~YWOOd ~~~ni~iP~I""" ~:rj~f~~~tPon ~~~~:r,door test. D Exterior
I::STOllE'S:>: 0 Other D Septicj~;:HIA'tIO$$JGi:l:I~ijj~~~~Jt
Sq. ft. ;:;....:';:;::::-...::.::....:..:...........:::::::.:::::-:.: P "t N
o 1-Storyft;Um;::: ., ". erml 0, Envelope 'Zr 8" (f'~ BTU/HR
Sq, It. J:L20'~:tlShteOrry ft ,L D~eaarmsOannaelnt !2,MIWu.'nAI~,c!rl']paaRI.utt:..I'I:;:I't'y ,::,,:; ,." Infiltration ~ ~ fJl 9' BTU/HR
..:s 7 C; Sq, It, ~O..! ~en ~ 11*i.~$T~IIIfiQQQIt:':t
~(eve 0 Other D Private on-site Well
./ I\.-? $ /- ............,
The applicant agrees to comply Wit:h~he W' onsin U.i.r.t'7~~r"In, g C de and: er Municipal Ordinances and with the Ciio~nditions of this pe rm, it; understands
that the issuance of the permit creates leg~~~X ~ss or' plie he Department or Municipality; and certifies that all t ab, information is
accurate, !~ / ~ '/ /d:...-;
SIGNATUREQFAPPLlC:::.. / , /[1/ Z?-~ DATE ~J/
CONDITIONS OF APPRCf -AL This pe~mit is i,ssued ~ursuant to th'Elfollowing conditions, Failure to comlly may result in'suspension or
r . /' 'V A revocation of thiS permiyor other penalty, . ,
"\ ,~~ ikA r' '1-' V-r- u .:s..:s 'j) /0 &of..s ))v-- ('~e> r- 'tf-.r" ,.. bb r-p. ~Jr:. /
. 1 1 1/
.-
Y-.,
Sub3i~ision Name
AT/_
N,R
Block No,
Elor)W
j~~;r;: ~ ~r~ cf-
Loning District
"Rl
jjMPflQJEClf:n..t
~:ration
ft.
11):fijggg:
~ched
lFIAEA..n
......................... ..
Basements / 0 f 2-
Living Area J Of( G
Garage
, ,', ".
, , . '
,I <
'-
-,
,
;
I
.;,.-C-;,., .,.',.C-:-,
Municipality Number of Dwelling
Location, if different
_1~~i'E&~~~~ITY 0 COUNTY ~~~~~~'l~
',:~'l'li~ I~;,,~II~_~~I~.:. P~RM'[~$$ygg,yf::::::
..~onstruction
o HVAC
-<'0 0 Electrical
~ 0 Plumbing
o Other
"..., ......... ....... ......
...................'............,.,.........,..............,..... .
',","""""" ........................................
..". ,...............,..........",....... "......... .
. ........... ..... ...... ...................
....................'.............,,,.............
....,............. ........"...............
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.................... ............
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.................,.."..,.......
.............. ..
DATE
!lrrr" Va ...oJ iFP
tl.... 2-S-B 7
~:3 ;yO
Plan Review $
Inspection $
Wis, Permit Seal(s) $
Other $
TOTAL $
NAME
[0
~7Scr
CERT. NO,
SBD 5823 (R. 04187) WHITE -Issuing Jurisdiction
4:j-Ooo
YELLOW - DILHR
GREEN -Inspector
PINK - Owner/Agent
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m.
I.
zcmNG/IAND USE CO!-1PI..IANC.E: CHEC!cr.IST
= ~ A.M F",~ ck
Building Petmit i , \ Zorri.rtJkL COnfoI:ItU.n;_ Non-<onfoz:minq_'
Job L:Jeatio~f ~ 7 ' 11 ~ y'~e vJe ~ ~~ Dimension
Property OWner ~/JL ,~l IDt Area' .
OES'1'P!X:'I'ICN IWrA
';1J~ ~ F=k.
II. '
MJ(,M
{ , , '
G-v..r-
~T-77? 71 if
Desc:ri.be ~.
/.
~ m.w~Qf
ADOITICN-
, AI:mP.ATICE
, ~ie' Family,
'l"wo-Famil:
- ,,~:(,
!tilti.. ~FamiJ;
- ,Y
~
_~Ufa~
Acces ~1-i lA-i......
___ sory .................."::f
Fence
Boathouse
Pool
, _ Deck/Patio
--.:. Sign
Porch '
Utility Structure
-
___ Other (specify)
<DMPLIANCE CHEX:KS
Catclies
~
c:
-
S::::::
~'
~
..:::::::::
~
~
~, :l;t,
J''7'
Deficient
Deficiencv /Ca1ments
Use
IDt Width
IDt Area
Floodplain _
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
En; , ding Area.
IDt Area per Family
Comer rot
Other (specify)
"
-
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IV.
REVIEti Atn'HORITY
The Planning Direct:or, or appropriate designee, nust approve all plans, except
the following: (1) Alterations or interior ~rk when the use is confonninq ana.
when no Change of use is proposed. (2) Maintenance items, e..g~i' ~ winciows:l;:'
. etc., when the use is confonning and when ro chanse of.'use is. proposed'..,
Instances where \-JOrk cx:rtplies with the a.l:x::rve crited,a.l tiie, ~t ctln,l::e revi.e-."ed
by the Building I.nspoect'...or without referral to the Planni.ng DirectOr. '
V APProVID NOr APP~
Plan Contnission Action Required
variance (5) Required
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CHRONIS
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FIRST ADDITION TO FOX CHASE SUBDIVISION
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