HomeMy WebLinkAbout0020989-Building
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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
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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~
~
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COUR\
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1735-1737 Orchard Ct.
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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
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
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. ..........................
........................-...
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 {~
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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
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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 #
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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
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Parks Subdivision
Improvement
Accts. Rec.: 362-041