The URL can be used to link to this page

Home My WebLink About0017324-Building '" r '" ,. ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 17324 ~~P_E~ _ _ ~L~~ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G _ ~~ _ _F~~~D_ ~L~I~ _ ~~~I~~T ~_ _ OWNER (7~S - /7-17 ()t;-c-tv:...~cP U.c- k-e I cf- PLAN N~{ -0';- 2- 70t:~ ADDRESS (J,-CL ~- (t- ( DESIGNER USE/NATURE OF WORK"v-e....J ~ u 'r (~,c -I I/:ff ~ ",r BUILDING CONTRACTOR ~ (2C<clr.. Siz ~ Foundation 2- Height ;:::. a- t Occupancy Permit ~~ p? HEATING CONTRACTOR C?~ ~~ , Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR C,,~ Electric Servo New D Change D Tem D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR j/04-p _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _WC _FDr _Ur _ Storm Sewer _Sink Other _ L Tub _ Eject _SS _ Water it Fee Paid $ Date / .; ISSUED BY Park Dedication $ ;;:> 0(9 Final/O.P. o perform all work pursuant to rules governing the described construction. SIGNATU~ dL O~ - - ~. AGENT/OW ER.ff.. ADDRESS / //3 u ~ ~/p{) ~30-fo3s-- TELEPHONE # Jf ~-,---0 ADDRESS ~/~2-/9~ { ( (rr73 t:)v~_ HARD ~ .j. " ~~i" ';) 1-1 NAME ('""7U/\ -"-'t ~ LOT ( L BLOCK SUBD I V. f!)~L~ J..,~ _ f9~ ZONE . STREET NO. / 7 '-/ s- - /7 '1-7 0 r <:.-h 6:..;^"'\OT ~ ~ENS IONS SIDEWALK EXISTING YES 0 NO~. BUI LDING GRADE ELEVATIONS STAKES SET AT SITE rtf(.,lk, ~ ~ DATE FEE: $'15~.OO PI ~ BY iX9WJ.-- 0'~ , 19 ~ DEPARTMENT OF PUBLIC WORKS r6, I, the undersigned, owner or agent of the above described property agree to have the grade establ ished before excavation has commenced. 04~085 o~ 4oJf,i ~ ' City of Oshkosh 111/85 ' PARKLAND DEDICATION FEE COLLECTION RECORD Address r/(~-- /7'17 o~cia(/yft c f- Owner's Name &rl'y ~EJ~el ~ rl/Jj ~ Name of Subdivision ~1\cv../4 ^-~ (...J. Lot # Ie. Bldg. Permit # ! 7 32- ~ Fee Required I / ~e> 2-00 Parks Subdivision Improvement Accts. Rec.: 362-041 No. of Units Fee Paid Owner's signature Inspector's signature 'f::/- of-2fot<:- State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63,101.73 ............ .......... ........... ................ .................................................................... .................................................................... .....p.....e....R......M..........J1.......R......E...Q.......u......e....STE............D........... .. .. .... . ... ... ..... ... ,". .. ........ . .. ..... =;:;:-:.;: ..: .:: ::; ;:;:;:.:: .':.'-..: .." .::::. "; '".::::=; .. .. .. WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ink co ~TRUCTURE D HVAC Mailing Address APPLICATION NO. PARCEL NO. .......... .."...".. ............."..... . .......... ......... ................... . ................... .................... .......... ......... .................... ................ . D ELEC D PLUMBING Telephone :3 S- ~ ~-o 35 Telephone c ,'"'- N, R E or W Block No. Ri~ ft. orced Air Furnace o Radiant Baseboard or Panel D Heat Pump D Boiler D Central Air Conditioning ", D Other Fuel olar Basements oncrete D Masonry o Treated Wood ,.,.,.,. D Other ]UQU:t{,,' D Seasonal ermanent D Other Space Htg. D D D D D Water Htg. D D 0 D D * D Dwelling nit 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. Garage Sq. ft. Municipal Utility D Private on-site Well tI$;HEA'tUO$$Y p~)~~I~H~l:lJ? EnvelopeC.<R f' C) e> BTU/HR ;:: Infiltration':3:3 / 2~ BTU/HR 14;:1:311'MA1igqg~F $ Living Area The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legalliab'li ,express or imPli. I, o~partment or Municipality; and certifies that all the above information is ;~~~~TURE OF APPLICANT ~ ;tY~ DATE 0 CONDITIONS OF APPROVAL eev...... ........................................................................................... ~III'II:.:,::":, .. agB'$~~m'IN CITY 0 COUNTY Municipality Number of Inspection Authority 70 - C-~>> {' ~~t,~lIf~II~~~~.~~~Mjf'$$u.iD:Bylt ....... . Municipality Number of Dwelling Location, if different ............................... ............. ............ .............. . ............ ........... ." ............... .... ...................................................,......... ...................,........................ ...., .... ..................................................... ......... ............................ ....................... .. DATE GREEN ::'.Inspecl<>r PINK':' Owner/Agent Plan Review . . . $ Inspection . . . . $ Wis. PermitSeal(s) $ ~ Other . . . . . . $ TOTAL . . . $ onstruction HVAC o Electrical o Plumbing o Other NAME ~/ 7&S- CERT. NO. SBD 5823 (R. 04/87) d ~~ DUing Jurisdiction YELLOW - DILHR Revised: 8/ffi. ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: r71-S:-~ (7-f7 v'rc.lt~c-Jl cY- ZONING: PROPERTY OWNER/CONTRACTOR: (~,</ bec-C-er- CONSTRUCTION DATA: NEW CONSTRUCTION 'ADDITION ALTERATION TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) A}~ ~+[~)<^ ;-, ~-~ it::: \ PARKING LOT COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT Use Lot Width Lot Area Floodplain Front Yard Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per Family Corner Lot Landscaping Transitional Yard Off-Street Loading Vision Clearance L-- Height REVIEW AUTHORITY: ~". ~ 2<90 ~/~L The Director of Community Deveiopment, or designee, must approve all p~ns, except the following: (1) Alterations or interior work when the u~e is conforming and when no change in use is proposed. (2) t4aintenance "items,. e.g. siding, windows, etc., when the use is conforming and when no change is proposed. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Director of Community Development, or designee. ~PPROVED DENIED Plan Commission Action Required Variance(s) Requ"i r , v- L-/'- L----- IV/II- ~ t-- -t.--"- v- ~. L--- v-- ,-- ~_. ;1J1-~. ;' REVIEWED BY: DEFICIENCY/COMMENTS DATE: I " J...~.>' '/./ ~ :'1..1: ' IC? V J II -:=- I to I )N ____ /1P~._.. __. ....... J " " ~. ~ ~ - \' /:<' ~L 3 b I '3G,' ------.---..:.- 17'/S-/7'(7 OR.C-AOt~cI ~-t, \) "' /:1.. '- '::t--- ~ ~ ('-. " " J;;J..' ~ , ~ <l "--"-'---;;"iJ';"'L' .Z'-~r I ~ CJre h ~ rot C1 1\ e.. ;;sfqie.s