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Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area lot Area per Family Corner lot Other (specify) ~ IV~ REVIEN AtJI'HORITY The Planning Director, or appropriate designee, must approve all plans, except the following: (1) Alterations or interior'V.'Ork when the use is conforming and when no change of use is proposed. (2) Maintenance items, e.g., siding, winda.vs, etc., when the use is conforming and when no change of use is proposed. Instances where 'V.'Ork carq;>lies with the above criteria, the pennit can be revie...:ed by the Building InspectOr without referral to the Planning Director. ~ APPROVrn NOr APPROVED Plan Comnission Action ReqUired variance (s) Required ~~/~~ .DA~: . , :. " ".' " ,. I i; '.. . '. ...., .... ,," . ,'.. . '.' ,.... '. . , '.., ,.:'. ,.' ,',' ",,," . ': '. ',' .......':.. . "<". ..' ; '.' . '.' " ..' . ", ~.' '..2..;/'> :' -',' ,. , ..." . ..'..... '.,~. . "" . .' ','." .' "./'. .....' 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State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101,63,101,73 WISCONSIN UNIFORM BUILDING PERMIT APPLlCA TION v1ZZ- (See Instruction on back) I.J <f?(, 0 ;;23 3!J / APPLICATION NO, PARCEL NO, ~TRUCTURE ~VAC Mailing Address 3 a~;c/.59-: Mailing Address ELEC DPLUMBING Telephone .;;z3..>- ~.$.r Telephone % %, SECTION t> fA'rCS Rear /,c '-10 ~t ft, ,T Lot No, N, R, E(or)W Block No, Left Living Area Sq, ft, Garage Sq, ft. The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and'other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, press or implied, on the D artment or Municipality; and certifies that all the above information is accu rate, SIGNA TURE OF APPLICANT CONDITIONS OF APPROVAL DATE 6 This permit is ISS pursuant to the following conditions, Failure to comply may result in suspension or revoca- tion of th is permit or other penalty, DCOUNTY Municipality Number -2.t2 d-k- /7 Municipality Number of Dwelling Location, if different Plan Review, , , , $ Inspection, , . , . , , ,$ Wis, Permit Seal(s) . , . $ ~O Other, , , , , , , , , , ,$ TOTAL, , , , , , ,$ DILHR-SBD 5823 (R, 11/84) WHITE - Issuing Jurisdiction onstruction VAC lectrical Plumbing DOther DATE +-2-8(, ~~/04 31?/S- CERT. NO. YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent --:;.,;;;-..... City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /77Y C /177 t)4-C!.W'/I/UJ ~ ... Owners Name &AM-V ()Ge~~' Name of Subdi vi S1 on t:?...ee /./.444 LA;t./G ,'~ rA'~..$ Lot # 4- Bldg. Permit # S< 33:3 ( No. of Units Iw <) Fee Required 4f d. 0 0 Fee Paid '..c20 d Owner's signatu~ Inspector's signature Date Y-Yr- Fi Date t.f-3~t b Parks Subdivision Improvement Accts. Rec.: 362-041 ~ NAME C;;.4~(l-t' fJe~j::.E,L 4~ SUB01V. {)/eI-I/-1/UJ ~~. b~SZONE STREET No./777'-7~t:JtfC,f-{AUJCf, LOT DIMENSIONS '~( /-//0 SIDEWALK EXISTING "," YES 0 , NO ~ BU I LD I NG GRADE ELEVAT IONS STAKES SET AT SITE 4-'2- , 19 ~(:... DATE 4-1-~~ ADDRESS ! 1/.3 {JA.;"c-o;iJ ~..> LOT BLOC K 5r-. .14- BY ~~ FEE: i17:!:O ;1&. G.~/ DEPARTMENT OF PUBLIC WOR~-~ I, the undersigned, owner or agent of the above described property agree to have the grade establ ished before excavation has commenced ?J~Z</ /&1 ~4'31 '" @ .:...~ i I /JU/GI&fter~ Ab~ESS ../'JllJJ::!: r.:1~ ~ ..P~AN#, CONTRACTOR(S) ~ ~::ORK~ ~.~~L DESIGNER ' PLAN EXAMINER LOT SIZE THERMAL RES: WALLS VARIANCE FILE LOC CEILING CLASS_____OCC_____ MFA XL SPR HC FRONT_REAR_LEFT_RIGHT_ ZONE FLOOR FDtM FDTN 1-3 PERIM DATE 4-~ -if''=' , ------------~,~,--...;_...-.-- -....-'-~:---..-..:._-'_....:_...-----....'--....'___.J.._......_..__..__..ll...;._____.....;......_..__.;.______-.;.....___ PERMIT RECORD NUMBER ...;l3>~ / FDTM ~~ FDTM PART COMP FDTN PART CaMP INSPECTION APPROVl:'TI FTG/SLAB BACKFILL STRUCTURE ENERGY OCCUPANCY /d~/(; -tFh * Inspected with State Building Inspector r - - I _\., N"OTI C E c.~"'~,." ! 775'- _{~;:~c//~'f-~'. ADDRESS '} TH IS BU I LD ING SHiALL NOT BE OCCUPIED UNTIL " ", , , ' "I FINAL INSPECTIONS' HAVE BEEN MADE ~ND I THIS CARD SIGNED 'BY THE FOllOWING IN1- INSi=ECTIONS MAY 8E S P E eTO RS. ARRANGE:08Y CALLING a In 236 - 5050. B U I L 0 I N G ~' ~ 0 ATE e L e CT R I e r~ \, ~~~1t 0 A TE H e A TI N G JC! ~ !~l 0 ATE P L U M BIN G .-:/2:{d4~"D ATE , FI R E PERMIT NO. i I . i stcnoN 7-32 ctltnF~cAtt, OF OCCup:W<::!, TO, ,B~ ISS\1E:I> I , , . ,I (A) The Building Inspector,Reating Inspector, PlU11lbing Inspector, and Electrical Inspector shall makE;! a, fili1~+il'l.spection of all new buildings, additions, and alteration~. If no violatio,n of this Chapter or other laws or lawful ord~rs be fOt,lnd, the Chief Building Inspector shall issue a Certifisa~e 0,f9scupancy, stating the purpose for which the bui Iding is to be used ~ also the maximU11l load and maximumnumher of persons that may ace'" omodate on each fl()or the,reof and also, tpae th~building or premise or part thereof and the purposed use thereof are in conformi ty with the provision of Ghapter 30 on Zoning and City Planning, 'as required by Section 30-27 (C) of said Chapter. NO BUILDING OR PART, THEREOF SRALL BE OCCUPtED tJt.tTJ:'I. SUCH CERTtt t CAT! HAS BEEN ISSUED. NOR SHALL ANY BUILDING BE OCCUPiED IN jJfi MANNERWHtGH CONFLICTS WITH THE CpNDITIONS put FoRTti IN THE CERTIFICATE OF OCCUPANCY. . ~ RE SE N T l' H I $ CA R 0 FOR OCCUPANCY PERMIT TO lyt DATE '*" NOT APPLICAELE TO 1 AND Z ~AMI1Y OWELL!NGS 1 b ~~ I~ r n ~) ~b I 0 -6' 16 IcJ/~",~ ~ m' L ",--, ',,','i""', . ," '~1 "'/" . " l / - [/..-;;,':;';'/ ~;~"...,:;.-~ I I NO fluE " I ( ~l~ Ptm1IT N~. SEcnON 1-32 CERTIFICATE OF OCCt11>AflC:Y to BE !S'SU'E1) I I (A) '1'he Suilding Inspector, Heating Inspector, Plumbing Inspector, an4 Electrical tnspector shallm~lte a Jiq.al it1spection of all new buildings, additions, and alteration~. tfno v~olation()f this Ch.apter or other laws or lawful ord~rs be found, the Chief Building tnspector shall issue a Certi fi<ra1:e of Oc:.cupancy, stating the purpose for which the buildi;1g is to be 1,1sed" also the maxitllumload ~nd m~x~mUl1lt1u~9~:r 0; persons that may atc'- omodate on eacb floor thereof Clt1.d ~lso ;~~t theb~~~~Jng or premise or part therE!of and the purposed' use thereof are ,in conformity with the provision of Chapter 30 on Zoning and City Planning, ~s required by Section 30~27 (C) of said Chapter. NO BU!!J)!NC OR PART ,THEREOF SHALl., , BE OCCVPIED UNTIL SUCH CERTIF!CAT:E HAS BEEN ISSUED. }lOR SHA-I,L A*Y BUILDING BE, OCCup~fP IN ANY MANNER walCH CONFLICTS WInt THE CONDITIONS pUT F.oRTH IN tHE CERtIFICATE OF OCCUPANCY. I ' I Cocl.eEnfot'c:ernentDi vision ''Jl.. Room 205, City Hall r Oshkosh, Wisconsin 54901 I BU ILD ING SHALL o CCU P I ED UNTTL , I FI NALINSPECTIONS' HAVE' BEEN MADE AND , ' ", I THIS CARD SIGNED 'BY I THE FOllOWING IN- SPE CTORS BUILDING ELECTRIC H E A-TI N G . PLUMBING FIRE PRESENT T~ISCAAti , . FOA OCCUPANCY PERMIT TO THIS ~J OTBE INSPECTIONS MAY SE ARRANGEO BY CALL..ING 2:56 - 5050. /b-~-}{6 P ~~, ft; /b /-f "f:t ( {O,69~~ , " , ",D, ATE L~~ATE ~:~.D ATE DATE fr;;4~ ~ DATE