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HomeMy WebLinkAbout0020989-Building ;,~ ,~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 20989 (TY?E: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING fZ-3 FLOOD PLAIN HEIGHT ;;.~ DESIGNER /73S----/137 tP~~ if ~~ fl. JJ~--tN S1s?A"Al ,!)~ eu;t ~, PLAN NO.PCf/ (P 011)90 f2- ADDRESS OWNER USE/NATURE OF WORK BUILDING CONTRACTOR Size / ;eGs, Sq. Ft. 01-5'9:;- Foundation ~ Class of Const. # Stories P' 2-- Height ;:;.~ Occupancy Permit ~ HEATING CONTRACTOR ~/~ Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~'v~ , Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~/ ~ _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _LTub _ Eject Other _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _SS _ Water eermit Fee Paid $ . 1"1t?f/ Date / 1'11-. ~() / /b/l9/9t7 , , Park Dedication $ P- 0 (). 0 0 . Final/O.P. cf~:2- - 57 ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATuAo;;r 1/ o~ AGENT/OWNER & ADDREss/II ?, C}~g;-U ,P, .~~ loAEy/9o 23~-lo3~ TELEPHONE # Revised: 8/89 ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: /73:5-/735 {/AA:/(~ ~ M3 ZONING: /23 ,PROPERTY OWNER/CONTRACTOR: ~ ~ ;f'. lJ uk.v CONSTRUCTION DATA: ~EW CONSTRUCTION ___ADDITION ALTERATION PARKING LOT ,TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) }1,L(~ 4-(A~ COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT Use Lot Width Lot Area Floodplain Front Yard Side Street (f~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 DEFICIENCY/COMMENTS ~19~ 20U jJ4f-- The Director of Community Development, or designee, must approve 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 Itemsi e.g. siding, windows, etc., when the use is conforming and when no change is proposed. REVIEW AUTHORITY: 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. ~PROVED DENIED Plan Commission Action Required VarianCe(~~ Re~~// ~~ . REVIEWED ~~ DATE: /OP~ ~ ~uf5 ~o SS ON\ _LOI \3 COUR\ 'SCALE 111-:;: 2.() '-0" I 00,O() ~ ~ <\ "'t" r..: tr- /)..5' /( V. ~ I /0' -- I ~ ~ - ....j (J .M .s . 10' ~ <{' - \n '-1'1' . ~ I 1__- 74 . 00 I ~ 1735-1737 Orchard Ct. J\J t Q o (.) ~ ~ :z- v (i, .;;::j , o State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 P9/G,o lo'lofL WISCONSIN UNIFORM BUILDING PERMIT APPLICATION 'See Instructions on back 01 Dink CODV} APPLICATION NO. ~Rt) PARCEL NO. .................. .................. ...... ............... :.'.:.:.:.:.:.:.::::::::::::::::::::: ....:.:.:.:........................................ .-.X.:: .... :.:.:.:::::.::>:.:.::::::::::: :!III'~'~~~~!llIli:I::::::.::::.::::::::::,:;:,:.::: A;:; At, Contractor'~ame 1) ,J," J"" 1 ... ~ STRUCTURE ~iling Address III 3 jf/A "d......... 4.1-.. MailiD(j Address D HVAC IL- L L A-AA D l.d~ ELEC D PLUMBING Telephone ~35'-Jl[)3S- Telephone .......................... ...........,...... .... : :lllllllilllllll..:.i::.u........:,:.::......:.:.. I~~n~~;?~ 7 (J~ c;/. Zoning District Lot Area te -3 Sn. ft. 1~,U:f:$.aa..: ....... :...... ....u.. ....~~..,$t: ....... ~New D Addition D Raze D Single Family DAlteration D Repair D Move 2! Two family D Other Y.., Y... SECTION suo;~i2 :a;~~. ~fA:'7'p Front Rear ,T Lot No. 13 N,R Block No. E(or)W Left Right D Other Setbacks ft. .. :.n$tl.a_t.{f:$.~:.H'A.::..:Of:MIN1t: Entrance Panel kf Forced Air Furnace Size~-1170 amp D Radiant Baseboard or Panel Service: D Heat Pump ~Underground D Boiler D Overhead D Central Air Conditioning .. ........:........~:~~~l~:f.QQ"QlingII: D Other SSiteconstructed ~Concrete1:Q~:~t.:ul.UNG ::... ... ..... D Manufactured D Masonry ~wer D Treated Wood ~ Municipal . "S:$TORnnlf.:::::: D Other D Septic Sq. ft. ,'.....'"",.....,.,'....'..'...........'"""""""" ]~~::J'-$.$ .... ..::."".......... Permit No. ~ ~ ~ ............. tH~;.SNSRQY:$.QUBQS::r:::: ...... Fuel Nat. L.P. Oil Elec. Solid 30lar Gas * SpaceHtg. Xl D D D D D WaterHtg..K D D D D D * D Dwelling unit will have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: DFull sealing ..... of joints. D Blower door test. D Exterior air infiltration barrier. :l:~;.~Ag~~: fl(Attached D Detached ::am:ARiArm.:r.r. .....:.... .............. '''''''1'1~-~ Basements- ~~t::-- ~ 57(P Garage ~ D 1-Story Sq. ft. ~2-Story D Other Sq. ft. g Seasonal ~ Permanent D Other :1t;:::W4m$..:::r::tt:t M Municipal Utility D Private on-site Well .11~."~A1H4o.$$.:{c~!i1m~~a.ftJ Envelope ,.3?-9oo.*, BTUlHR ..... ..... Infiltration ~SI2-8 ",~?~TU/HR ................... ..........."................................... ."~];llm"IO~O~.Cmnn ..... /at)) ~ $ The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands ~c~ut~a~~~suance of the permit creates no lega~i7ility, express or jmJied:,YT: Dep~ment or Municipality; and certifies that all/: above i~mation is SIGNATURE OF APPLlCAN~k'-1-,"" ~ - d. fY~~/'---. DATE /D /.:( 7/ 19 () This pe I I issued pursuant to the following conditions. Failure to comply may result i6 suspension or revocation of this permit or other penalty. CONDITIONS OF APPROVAL o .. -/ /;-, /.A /?~ #1A F;/A _/7/ . .......................... ........................-... ir.1 DTOWN D STATE OF: D VILLAGE Q CITY D COUNTY Municipality Number of D INDEPENDEN)" Inspection Authority;. / '/7'J,~J,-A" . L tJ _~ V fP ::.:~_.~:::::II::~.ml'~II:!IIII~I_I~~::::::::.:::.:::.::::i:'.::::::::'.. . .....:.:..:,.:"..,.......... f! ~~~~~uction NAME f'.~' f7k4~ D Electrical 9/v, 9 R / J /) I a a D Plumbing DATE I / 0 D Other r:2 S 5tJ CERT. NO. Municipality Number of Dwelling Location, if different Plan Review $ Inspection $ Wis. Permit Seal(s) $ Other $ TOTAL $ SBD 5823 (R. 4/89) lfd, 00 30.,00 70,00 WHITE ~ Issuing Jurisdiction YELLOW - DILHR GREEN -Inspector PINK - Owner/Agent ~4 -:):::r;-"'7-,:-T'-~ '" ,/,- ..:t--, ", DATE 1~/lo/9~ " . NAME A')~ . ADDRESS LOT 13 sueD I V. tJ~j!A~ ~ ~6::z STREET NO. 173 S- -/737 f:2U,ka-<-.f f1/ " 8 LOCK HARD ZONE ,,;; SIDEWALK EXISTING YES LOT D I MENS I m4S o NOfZ] (JJ p;t./I G', ,19 t}<J BY {~ ~ DEPART\.'ENT OF PUBLiC WORKS ~,~, BUILDING GRADE ELEVATIONS STAKES SET AT SITE /:{: ot? FEE:~ I, the unders i gned, owner or agent of the above descr i b,ed graae estaoiished before excavation has~~ 004255 a property agree to have the 1/. Ok~ 1:!f~ .. , City of Oshkosh 1/1(85 'PARKLAND DEDICATION FEE COLLECTION RECORD Address /735'-173-7 &A-dt.~ tf. Owners Name _~. /I.. 1J~ Name of Subdivision IJ.AL'~~~~ /3 " Lot # Bldg. Permit # ~ ;;lo9cf9 No. of Units ~ Fee Requi red 9&0 · 00 Fee Paid ;?OO. CJ 0 Owner's signature ~ ~I/Q~ate Inspector's signature ~ ~ . Date /t>pr/9d I () I~ ?>/9eJ I ' Parks Subdivision Improvement Accts. Rec.: 362-041