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Home My WebLink About0042107-Building ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Iffl Ng-42107 >ill TYPE: BLDG~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING "R- ~ FLOOD PLAIN HEIGHT ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS d~~Y- d'4l\b ~Cl)1<r"T /UaD 'bJt>L~ ; SSVeL'J ~(l/) / ~LAKE 8o~'V\.es , I' CT, J r-x:~ PLAN NO. rd - l sct t ei C(~ OWNER DESIGNER AITA~ &Y2K'-ES... ~RE OF WORK O,;VlXJIICYU BUILDING CONTRACTOR ~URl ry /-PMES I / (I...)C.. '. . I Size IILfb Sq. Ft. ~/5b # Rooms Ia.- L/ BR # Stories d Height Q) Foundation ~~~ Class of Const. ~ Occupancy Permit ?~ HEATING CONTRACTOR ~.g~~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR CUM l t-Jb ~ Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH / :rlmS:. _Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject _SS ISSUED BY Permit Fee Paid $ Date / l1Sd~~O ,/ lO~q4 ~ct2 Park Dedication $ C)c'L...LJ II Final/O.P. ....-.,. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ 50)~ I-i E' ~)Jr- ADDRESS A/ k/t3S" "/~ DATE rU ~ L-/rO( TELEPHONE # AGENT/OWNER r \ ."-. "'"""----_.-.----. - -..-.- .'-'.- 't .')1 GATE ID/rh'i I I NAME ~~ ~~_ LOT . ? . sueo I V .(;...~~~ ~ Alw-ff, ZONE ...2sft# N~. ~. ~ . . C--,f- LOT 0 I MENS IONS YES D NO~ I () Vb , I 9 q 4- ADDRESS 8 LOCK ~.; AE.D SIDEWALK EXISTING 8Y 6/'. 8UILDING GRADE ELEVATIONS STAKES SET AT SITE FEE; $15.00 ~~...... . . OEP ARn,'ENT 0 F PL. Lie ",aRKS I, the undersigned, owner or agenT of the above describec properTy agree iO have ~he grade eSTab; ished before excavation has commenced. t:: 1;" !-~' Q.....g,~"_-.<- (ffi'J~ ~ ~ 1.-lf~7r City Of Oshkosh 1/1/85~ PARKLAND DEDICATION FEE COLLECTION RECORD Address dLJ(jLj- d'lti6 ~J(t: {PCJ/Z.~ Owners Name '9:::cU!2I7-Y I-J:,~es / 1/lJC.. Name of Subdivision C:ho"'TR;f Siob 2:>114TE::. Aht?cm Lot # 9 B1 dg. Penni t # L.j d /0 J Q , ..f{ (}W$1 tP JrafXJ6 e;2-' No. of Units Fee Required Fee Paid ~~ Owner's signature , Date Inspector's signature . ~_..._.. _ _. . Date / ~/r~5 IO/IY/flr Parks Subdivision Improvement Accts. Rec.: 362-041 Fd - \sC\ to1 q<-) y N -/O'L I Wi~consinDepartmentoflndlJstry, WISCONSIN UNIFORM BUILOING Laborand Human Relations. PERMIT APPLICATION Safety and Buildings Division . P.O. Box. 7969 (See instructions on ba(k of pink wpy) Madison, WI 53707 The information you provide may be u~ed by other government agency WisConsin Statutes 101,63 101,73 pr;ograms[PrivacyLaw,s.1504(1)(m)]. ::-:::I~III,:I.~I~~~lgg~.::::~ - -Str 0 HVAC 0 Elec 0 Plbg ~n 0 Other: owner'sNam:5'eCu4-It'l? ~eS IMaill~SeSS ~ ~r;C)t:~ sr- Contractor's Name: {J Con 0 Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Address ~K~-r1-K6' Contractor's Name: 0 Con j1"Elec 0 HVAC 0 Plbg Lic/Cert # c.~UiI"~ Contractor's Name: 0 Con 0 ELecJ;a'1iVAC 0 Plbg Lic/Cert # -O~~~ Contractor's Name: 0 Con 0 Elec...D:HVAC r::IoiSlbg Lic/Cert # '-" / /VI. "S.JC' . . :111~I~n,I~~II,~~.::::::::: Lot Area BU;;~;;t;sS/ ;;<</,/6 8~cr Zoning Distr'ict(sl I Zoning Permit NO.. Front I Rear Left_ Right Setbacks ;;:2:> ft. ,25"'" ft. 9 · S- ft. ~ ; S- ft. :IV:taPJE<tt\":"::://::':'t::':=:::\"'rr\r'r"tt(:Q~(lQPANQ'?:)~lW:'It.lcrm.t.r't<9.~':::SWAe.:e.'QUlPMI"lt'::'::':::JlillfINSkGY"'Su.Okc,Mff:=:::ttttt::=:t:/ttmr I~~w 0 Repair 0 Single Family Entrance Panel l4:Forced Air Furnace-, Fu el Nat L. P Oil Elec Solid Solar o Alteration 0 Raze ~o Family Size: //fD amp g Radiant Baseboard or Panel Gas * o Addition 0 Move 0 Garage Se~e: 0 Heat Pump Space Htg :2 0 0 0 0 0 o Other (print): ~Underground 0 Boiler o Overhead 0 Central Air Conditioning Water Htg ':.0 0 0 0 0 0 4~:CDN.S.TtTYPE:r :n:fOJlNPAllON:: 0 Other * 0 Dwelling unit will have 3 kilowatt or ~te Constructed ~?ncrete :::10t::':Pt.UMPJNG.:ttt::::::'}'::::::::::::t::: ~~~~~~~~~I~~n~:~~~~~~g~~: ~~~~;eeaiiu~~. 1~)'AIAJNVQijVIQ ......... 0 Manufactured 0 Masonry .S.................................... of joints. 0 Blower door test 0 Exterior Unfinished Basemen~afsq ft,:$;::SlORI:i.$f:'ff'j 0 Other ~ p ...............,.......................(Ol....f......o)'.... ~:~:::". ~ :::~!#;:i~:~;. ~~MMM~~ W1us Basement 0 Private On-Site Well $ 9(:? ~ The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; under~ands that the issuance of the permit creates no legal liability, express or implied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE ~ ~ Application No, 'iC)JOi Parcel No. Telephone No: (Yifl t"~-2ocJ I Mailing Address Telephone No. Yi'l)2'$/-I/VSI Telephone No. Wt/i;2J I ~~Y" Telephone No. wVf7l.fr" yr;y Telephone No. 8~ m -:snC/ Mailing Address Mailing Address , Sq. ft. . 1/4, 1/4, Section Lot No. T N, R E (or) W Block No. Subdivision Name ~-- ~ ...- 'J'IK fr!iT-~ ~ ~. 'J' #'77~", 9 o Other DATE SIGNED !-/g -Ys APPROVAL CONDITIONS /.. ') I t0S1ALL. ~tC / .....- 9, ) ~DBI?1 tr { This permit is issued pursuant tothe follQwingconditions, Failure to comply may result in suspension or revocation of this permit or other penalty. €J?cSICI<"::> . /17(:.4'" '}/l~ , ..--.,. - - .}~/ / r~tU.5... '- , /' I ~ ~ ~.4'i A'vt" J__ "'" , 1u.l1'<. v./es; Fc.:,u:- S~ ~r ?,) /} I:?n ~c.. -, J4Z:/IILS ,~ ... Fl24/"Y7 / Afi:,,' . ....... ........................ ...... ........ ........... ..... .. .... .. ..................... .1:1~~"~I'~I~IIII:::I!li.: o Town o Village ~ 0 County 0 State of: 051-1/i~fI ~ 0 - 2-6: h :::::ii:.:::l\\'lil~i!.i.II::_I'lllnl.:IIIII[:::IIIIII~1~111:11~:j.::I::::::::i:::.::..:::ii::.i::i:::I.I:::::1:1::III..1:1:':lllli:1:j'::11:::i::I:::I::::::':::,:'::li,ii'lil~I:I::.II.::i...""" k0t-t SfCu~ t2 // / 0 J / 'II c;t./ L ~tf/LJr<; Municipality Number Qf Dwelling Location: Total $ $ $ '?-:O $ $ tD ~nstruction o HVAC o Electrical o Plumbing ~rosion , Plan .Review Inspection Wis. Permit Seal Other Name /5a3cb Date Cert. No, SBD-5823(R 06/94) WHITE -Issumg JUrISdiction ~/OA( roc ft,l) YELLOW - DILHR GREEN -Inspector PINK - Owner/Agent ': lor~ ~ ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ;:JYvf./ - ;)/1t./6 i?LAJ(E Cr. PROPERTY OWNER/CONTRACTOR: ~U;( I nl /-!CYL(8/ ......./ ' ZONING la, f,~ CONSTRUCTION DATA: X New Construction / Addition Alteration TYPE OF CONSTRUCTION: 1J8U ~ ' I COMPLIANCE CHECKLIST (Le. fence, pool, parking lot, sign, etc.) Arr~ct1GD M24~ f/o~7 c21sb -PI z c;;'A/~-f? S?6 PI C COMMENTS DEFICIENT Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off-Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan - C-t01ld) re;-- REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval 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 items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. t,......--..". APPROVED DENIED Plan Commission Action Required Variance(s) Required ~~ REVIEWED BY: . .,,,, "~'. >~"","~..".,~ /" .. ". . DATE: /6/;' /t:;t/ / / I