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HomeMy WebLinkAbout0003477-Building i<' t' ~ CITY OF OSHKOSH N!! PERMIT - APPLICATION AND RECORD 03477 TYPE~ _ _ BLD~~ _ C? _ E~E~ _ 0 _ PLBG _ C? _ SIGN _l:! _ ZONIN~ _ ~_ FLOOD P~'N _ll_ ":' ~ ~~'GHT ~ '! ADDRESS 17 ~O Ore let. or} her, PLAN No.K~-J~-~&-7~. OWNER VedL~r- } G"'""7 USElNATURE OF WORK .qJe u...J s:'6fe tt;; "'" :1.. 1< p ~ ( ctn '" -( ~IfA ~ t. _.-.:,~ 'b~ lG~'L - 'R C{~ tf'Yl'^-- Uh {:l k (.~" e. DESIGNER iUl/ / BUILDING CONTRACTOR ()W~,,-p r "2.-4 ~#o . '1~O Size ~~~ ~~ Sq. Ft. 4?r1 Foundation C C ~ 0- '€ {-e # Room".;:$-j- I b.i-6 # ~O"e5 (5',- {""'III Height ~ Class of Const. ~ Occupancy Permit ~ HEATING CONTRACTOR R ({., "S,FJA r J.:s. SF &-\. Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR CO"" "'- r ~ Electric Servo New D Change D Temp ~ Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR t1 Ja (p r oS _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _ L Tub _ Eject Other _ WSoft _ CBasin _ San. Sewer _DF _Ur _ Storm Sewer _SS _ Water In the performance of this work I agree toVp Park Dedication $ / €Yf) Final/O.P. 1"" B-1....31 FEES: Valuatio ISSUED BY SIGNATU orm all work pursuant to rules governing the described construction. 11< ~ /[17 .:< j "'1--,f(} 3S'"' TELEPHONE # ADDRESS .. '" Ci ty of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 17>-- O. 8rciO--v-;. . J-,,, Owner's Name C-rJl ~ <-kpr- Name of Subdi vi si on ()v~ e< V' "I ~ hpE ~ rf.--'<.-f-.e..J Lot # 2-~ Bldg. Pennit # ~.Jf7 7 No. of Units I Fee Required /00 Fee Paid Owner's signature Inspector's signature Date tf! 0 -?7 Date 4- ZP . 9'7 Parks Subdivision Improvement Accts. Rec.: 362-041 f. ~.~ NAME G4eq ])zcXJQ'L . LOT d- cf , a, , DATE Ot~ /Gj N!7 III OeECSOAJ ~& 1'3 - HARD ADDRESS BLOCK SUBDIV.()2c?IAtZ-O Gv(( r~tAf'K:S ZONE STREET NO. J 7.2 0 () /'c It a...,,1.. c r LOT D I MENS f ONS SIDEWALK EXISTING YES D NO 12l BU I LD I NG GRADE ELEVAT IONS STAKES SET AT SITE 4-[ (,.. , 19 Sf BY kJ,,1 FEE: $10.00 1tr{{/<61 0;.~ ~/ DEPARTMENT OF PUBLIC WORK~o~ I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. o~(). /1!;;:IU dJAJ 7 tf~~ f?;"'7\C'1 .~ " ~L..::,'~" .,,0;..:, l~ r< 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 APPLICATION NO. (See Instruction on back) PARCEL NO. ~UCTURE D HV AC DELEC DPLUMBING Mailing Address l '3 OffCs ON '?T " Mailing Address C! L l t ''3 oeE:&,OAJ <.:::/'C, ~ Telephone \...414 Z "?~-8a3 :i- (4\4) :1.e~02_ 803~-- % %, SECTION ,T Lot No. N, R, E(or)W Block No. ;;L4- Left I;). '- b {/ (, Livi ng Area Garage 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 liabilit , express or implied, on the Department or Municipality; and certifies that all he above information is accu rate. SIGNA TURE OF APPLICANT CONDITIONS OF APPROVAL DCOUNTY Municipality Number Municipality Number of Dwelling Location, if different --:5"0 94/ I~~ Vqk f\.-teY << -1- 2.c:J -8'7 "..,. => 1e" 0 Inspection, Wis. Permit Seal(s) . . . $ Other. . . . . . . . . . . $ TOTAL. . . . . . . $ .:3:0 '70 onstruction H AC D Electrical DPlumbing DOther DATE CERT. NO. DILHR-SBD 5823 (R. 11/84) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent ZONING/IAND tJSE, C()t.'IPLIANCE CHEX::KL!ST IIo . t. .:: Pel:mi.t i . . 'k:Jtrirqll O>nfol1lling'_>bn-<:onfol1lling'~ Job l:J:Jcation / jf20 ~ ~ Lot Dimension Property OWner G/VU1 'k0L- Lot Area =:=;1/4.0 I/=.J'^" I AT-cACkim ~ y. NEW aNsTRucrrON ADDITION ' ALTERATION ~Single Family _ Two-Family _ Mllti-Family Ccmrercial _ Manufacturing ...:.- AccessoJ.:y Building Fence Boathouse _ Utility; Structuxe _. other (specify) III. CPMI?LIAACE aiECKS Pool Deck/Patio --.-.:. Sign Porch Corlplies Deficient t/' L- V c::- e/'" V .d t...-- ...........-~ c...-- ~ -0~= Deficiency jCorrtrents - Use Lot Width Lot Area Floodplain Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area Lot Area per Family Comer Lot other (specify) tJMkj-. ~r-~fd1tfP IV~ RE'lJ'JE1 AtJI'HORITY The Planning birector, or appropriate designee,. must approve all plans, except the following: (I) Alterations or interior WJrk when the use is confonning and when no change of use is proposed. (2) Maintenance items, e..g.,. siding, winCbt'lS, etc., when the use is confonningand when no change of use' is proposed. Instances where work c:x::rrplies with the above criteria, the pennit can be reviewed by the Building Inspector without referral to the Planning Director. V~PFOVFJ) Nor APProVED Plan Conmission Action Required Variance (s) Required -....... - .~~~ REVIEWED BY: ,~-- . . . . ..... .. . .... .... .. -. . ... Mm: /fd7 _H_H /"_, " i..' ..' .,.' ..[, . ....'. ....., .:j;.' . ~: " .L '.. . , , ...~.. f\. l7!\ ~lr~. .. " ,"'!" {YA J4 4y " c~la tEl H HJH.l IJ V a .1llr~rt nr:iTl('" 'I'M3Ll'; ',' cale'ld.1.l L:i.Oll(( J"->J'. ' f~,y:: L (~1l\81 ( riL~ , ,..<'. '}' "~>r' (i:kDei';to r;:~'j~nJ'91 ';' "1:Ci\;}~ rfE"J1,~vaj;\\ (~,l:S P,I.Y "". .,'. ....' " ra , . t>':!~. : '.: ..';' .. J., 11l\1 .'. \ 'l, '", ,.' '." UXX ':n?'e,.~:.' ,< "-, ""1 "t' n 0'1"1' ","". ':;";<"1 ,~'",;, . -,' 'I" U ~ " }:!{? ,,' \:..<.;'(,v.80.., . :' :..,,:,:1: 0/",;:;.'".'. .' 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Gc~# . V~ . \ DATS 1-2-0 - 7. PE.Rt1IT # \~-1 77 ADDRESS" /7,2-6>.",CJ~~h USE ,;5 t= 1<-- GENERAL.' CONTRACTOR MASON' CONTRACroA Width of lot ZONE DATE . INSPECTIONS ',. 'REMAAAS ~/Ifl.............. ~-tt'~ ' ~::r:. t') ~ Db I ..., o .... ..., o .s: .., c.. lD ~ I .s.zz-U)- k~ if~4- l/~ JfJb 7-~/-{S> .7--~ 'of<-,/~ i..;,f.""/-\ . f. Front of lot ~ ...' ;......... ,~ ,HAJ:J.,l.NG A.Ol tss ,>-<./."' i<".-.l ,-<' <i.;'~ ~f . ~~\~t\~~; ~~'\.~,,\\.llD'i'.' 0 TIC E ~()~ ,~\J ~ ~;t )yI(f;-" /~ ~~ o~~ 0 0 . ~p ~F OCCUPANCY TO BE ISSUED ~" S't"ol ~ I ~ \~ / , '\i 0 ~ ~Du1lding Inspector, Heating Inspector, Plumbing Inspector, i\ C\ ~OS ~d Electrical Inspector shall make a final inspection of al ! '\ OSY' /// new buildings, addi tions, and alterations. I f no viola tion 0 " it ~\~ ' ~;~~~~:!;~::~:~:::~~~~~~~~.,:~,~,"~~",~,',~,~!.,!:~f:~~:~~~:;:~; :::f " ,'\ ~,Y7 . / ~~d~~:1:'" .~~, :df~~:r m~~~=t:,4.~1:: ~~~~o~~e t~~h:~g a~~~ \f\,v '~1l,tjI . premise or part thereof and the purposed use thereof are in \J~ ' conformity with the provision of Chapter 30 on Zoning and . Tfl\ .' ~~t~ui~;~n~i ;~~e~~~F b~t~t~~nQ~g;;;i~~ C~~~:r::~~Chap terj;0DJ . i~R~I=E~~~~NC~;;~~TS N~~~H~ .~~~~~i8~~N~tJ~~F6~:1~='l' b ~. IN THE CERTIFICATE OF OCCUPANCY 0, .". ,', ,,' ", -:sc."t~y\i\.~~~ : ~: SoEC'icTu :: ~ ~ yC ~~: U I T T 0 ~~:: ~d~:r~~~;, n~a~tVision~e~, rJv.". ,I'E Oshkosn, Wisconsin 54901 ~~~./l.V, .~ ~ ~ -, J'L.t"I--- S~, I 7 :(~ / jJ I CJ~e- e 'T HIS B U I L 0 JNG S H'A L L ! 'NOT BE OCCUPIED UNTIL FI NAL INSPECTIONS\JGY~ HAVE BEEN MADE AND ~.~~~ THIS CARD SIGNED BY Q~~~.~ THE FOLLOWIN IN INSPEC~~~~ Q:~~: SPECTORS A'~~.t4'.ING 0'" =*-0 / B U I COIN G ~, ~:t7~ E [ E C TR IC A [{,.1 0 A ~<2~;2.?- ,g; H EAT I N GOA TE?/~/gl P [ UMBING 0 ATE ~/?" *FIRE DATE * NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS