HomeMy WebLinkAbout0000036-Building
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CITY OF~OSHKOSH
PERMIT, - APPLICATION AND RECORD
N~
00036
TY~_E~ _ _ BL~G ~ _ HT~ _ 0 _ ~LEC_ E? _ PLB~ _ 0 _ ~'GN [~ _ ZONING _ ~ F~OOD PLAIN _ ~ t' _ H~'G~T 7'?
ADDRESS / '1/ tJ f/u.66A.tl.b 5r: . PLAN NO. e/p: 4t () - to 612.
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OWNER [JeJJlc, Utt-Cf-JT lIDS V/~(.A (llLlG OAt ;;)...3"5 -~ 57b
DESIGNER
USE/NATURE OF WORK .~ $/;U<:D(...E PJILH/L)1 tzes/E:J~C6
u..;/ ,4 r-r4c;....Hr::::LJ C;;A~FF ('347 SF)
lor S"'D~/36 ~zs'_ ~~b7. L-9 , ;f:-j'
BUILDING CONTRACTOR . tJe=~. - J
Size~ Sq. Ft In(~ # Rooms s+i~# StOri~s.
Foundation {1oyt..EfJ Cb/lJG.. - ........ 9y.CAf){t..~ Class of Const. b. Jot'> IJ
Height
is-'
l(~
Occupancy Permit
HEATING CONTRACTOR ThECA
Heat 0 AlC 0 Vent 0 Fuel/System ~S F/A
Heat Loss
BTU'S
ELECTRIC CONTRACTOR (~)..II.M i;J <is S:.
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps b-.D
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR DAUF -fa.AJJ t:-
_BT _WH _Disp
_Lav _Sh _OW
_WC _FOr _SP
_Sink _ L Tub ~ Eject
Other
_ WSoft
_ CBasin
_OF
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
Permit Fee Paid $
Date
J
1/0, QQ. .;'
~ --~ -!J~
Park Dedication $ t--lo
Final/O.P. 9- '1- 8'h
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE 1Y.~/'1~
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AGENT/OWNER
~-?- B(;
DATE
ADDRESS
TELEPHONE #
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HARD
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DATE
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NAME /Je=~;S UTcC!i-f r
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LOT Zz-
SUBOIV.[1,uJeDS ~;5u(tL &/d
STREET NO. '/ f/ J illulf!:,/lM"..57: LOT D I MENS IONS
YE; EZr NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT ,~,.., ,19
ADDRESS
BLOCK
ZONE
SIDEWALK EXISTING
FEE:
6- K~P
DEPARTMENT OF PU8Ll C I/lORKS ?.t!l,
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
BY
$10.00
(,. '71 )II 7' '3
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~INNEBAGOCOTJNTY HEIGHT PERMIT
.- 10-
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CITY OF OSFlKOSH
# q7
OWNER: /JEA// <;
ADDRESS: 17Cl~
(/s#k~ "5"'#
TELEPHONE: :).3 3- t:, s: /h
/J1 L/re.cl/r
I//LLA /34RR ~I
------------------------------------------------------
ADDRESS OF PREMISES AFFECTED: /5'1'61 ;4I4IL?L?/.9A?b
HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: I' ~ I
COUNTY USE ONLY
~;'.,.'i('~h(;~-"'~'-~"';''''','~-';:-f',;';:.
EXISTING GRADE ELEVATION:
7 70 f(}sL
Ray ,/nSL.
NoD
MAXIMUM ELEVATION ALLOWED:
APPROVED: YE~~
COMMENTS:
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A'f'"
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C ITYI N S P E CTO R : G); 1'1 1~t.--!--tA()_1
- -TELEPHONE: d3 b - 5"iJ..5? -4 -,8 .c,
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TELEPHONE:
COUNTY INSPECTOR: ~
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Wh i te copy - County; Yellow
---~-------------------~-----~~~-----------------------
- Town; Pink copy-
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ZONnJG/LANI) USE ro1P~ OIOCKLIST
t~
GENERAL \ . ..
Building Pennit # ZOnmj~CDnfOrmi.rq_ Nori-Confonning_
Job IDcation/f/(', kIotfJ;JAIUJ 9/, U:>t Di.mansion
Property OWner /}:;dJIS /.Jrc;:CI"f 1" IDt Area
II. . a:NSTRIX::TICN DATA
\
Describe ~k: }..JfCLAJkJrJcJS F <r ;/1l1A C~{)
{
'c;t1cS4 (Q E=
~ NEW, CCNSTRucnON
! '.
_ Accesso:r:y Building
Fence
Boathouse
_ Utility Structure
_ Other (specify)
ADDITIal
ALTERATIal
~ingle Family
,,/ . Two-Family
~ -
"
_ Multi-Family
Ccmrercial
M3.nufacturing
Pool
Deck/Patio
--.-:. Sign
Porch
III. OJMl?LIA.."iCE aIECK5
/
Cbmolies Deficient
Deficiency/Comments
v
~
V
-v'
V
--y
~
V'
~ .
~ -
= 111- =
Use
wt Width
wt Area
Floodplain -
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
IDt Area per Family
CDrner IDt
Other (specify)
\
IV. REVIEtV' AtJI'HORITY
The Planning Director, or appropriate designee, nust approve all plans, except
the following: (I) Alterations or interior \\Urk when the use is confonning and
when no change of use is proposed. (2) M3.intenance items, e.g., siding, winoovs,
etc., when the use is confonning and when m change of use is proposed.
Instances where \\Urk cauplies with the above criteria, the permit can l::e reviewed
by the Building Inspector without referral to the Planning Director.
~ APProVED
NOr APProVED
Plan CDrrmission Action Required
Variance (s) Required
=mID ~,~~ /-?~
U.ft#b
1. ~ .
DATE :
State of Wisc()nsin
Department of Industry,
Labor & Human Ffelations c
Division of Safety & Buildings
Box 7969 .
Madison, WI 53707
Wisconsin Statutes 101.63,101.73
WISCONSIN UNIFORM ~/_
BUILDING PERMIT ~
(~~~st~~:~ ~~~~) 4/0 -6ffC, (<..
~D
APPLICATION NO.
PARCEL NO.
OPLUMBING
,T
Lot No.
:?2-
N, R, E(orlW
Block No.
Left
Basements /P/;;L
~/
living Area / 0/;;)-
Garage ~ 9-7
Sq. ft.
The applicant agrees to comply with theWisconsin UnifClrmDwellingCodeandotherMunCipa[ Ordinances and withtl1econditions of this permit; understands
that the issuance of the permit creates no legal liability, e ress or implied, on the Department or Municipality; and certifies that all the above information is
accurate.
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROVAL
DATE
This permit is issued pursuant to the following condition.s. Failure to comply may result in suspension or revoca-
tion of this permit or other penalty.
OVILLAGE
~ITY
OTOWN
OCOUNTY
OSTATE
MUNIC. NO. .2. 6 :2-.'-
Plan Review. . $
Inspection . . . $
Wis. Permit Seal(s) . $
Other. . . . . . . . . $
TOTAL. . .. . $
DILHR-SBD 5823 (R'1/82)
~D
ilonstruction
VAC
Electrical
Plumbing
, OOther
/, -b ... f6
;J,I'O 1-
CERT. NO.
WH ITE - Issuing Jurisdiction
YELLOW - DILHR
GREEN -,-Inspector
PINK ~bwner!Age;'t
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f.\ DUSE. jDl.2.00 S~. Fr.
3.2'-6"
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34-7. 7~ SQ. FT.
STOOP
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ADDRESS I r! () 1!o6ll;AI-tJ ' -57". PLAN#et ~4?O"h$lJ7~ FILE Loe
'CONTRACTOR( S) k~/s (}lCC/.rr. J70S- Vt'-l.A ~t4c t)~ ~3- (;S7k
USE/WORK )J~ <S;F-tLt-~~Ll &A~IOE7
OWNER 0 G-JU'5. 't;>tr;=c:u-+ t-
DESIGNER
.-,...-----....
PLAN EXAMINER CLASS acc MFA XL SPR HC
LOt SIZE ~?z> XI~G FRO~~R~AR07 LEFT. l' RIGHT-Z. . ZONER-r~
THERMAL RES: WALLS CEILING FLOOR FDTM ~DTN 1-3 PERIM
VARIANCE
------------PERMIT-RECORD-----------------~~-------~----~--------------------------------
DATE NU.MBE~1 TYPE ~
~ -~ -$ di2. FDTN PART ~
FDTN PARTCOMP
FDTN PART COMP
INSPECTION
FTG/SLAB
BACKFtLL
STRUCTtJRE
ENERGy
OCCUPANCY
* Inspected with State Building Inspector
,I,
NOTICt
SECTION 7-32 CERTIFICATE OF. OCCUPANCY.TO. BE IS$lJEP
I~/D #Qb~PA/
(A) The Building Inspector, Heating Inspector, Plumbing Inspector,
and Electrice1 Inspector shall make a final inspection of all
new buildings, additions, and alterations. If no violation of
this Chapter or other laws or l~wful ordersbe fO\.lnd, the Chief
Building Inspector shall issue a Certificate of Occupancy,
stating the purpose for which the b\.lilding is to be used, also
the maximum load and maximum number of persons that may acc-
omodate on each floor thereof and also that the building or
premise or part thereof and the purposed use thereof are in
conformity with, the provision of Chapter 30 on Zoning and
City Planning, as required by Section 30-27 (C) of said Chapter.
NO BUILDINCOR PART THEREOF SHALL BE QCCUPIED UNTIL SVCH
CERTIFICATE BAS BEEN ISSUED. NQR SHALL ANY .BUILDING BE OCCUPIED
IN AN1 MANNER WHICH CONFLICTS WITH TRECONDITIONS PUT FQRTH
IN THE CERTIFICATE OF OCCUPANCY.
PRE S E N r r H I'$~C AFrb
FOR 0 C CUP AN C Y PER M I T
TO
Code Enforcement Di'l1isi.()~
Room 205, City Hall
Oshkosh, Wisconsin 54901
TH IS B U I L DIN G S HAL L
'NOTSE OCCUPIED UNTIL
FI NAL INSPECTIONS
HAVE BEEN MADE AND
THIS CARD SIGNED BY
THE FOllOWING IN
SPE CTOR'S
B UI L DI.NG
EL E C TR I C A LV
HE A, T IN G-Jtfl c5l
Rt
'It
eit)
OSH~
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d_.......J~gJ'litfElE
API
City of
OSHKOSH
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-;.~"'''i"'<;f..;;i:,;j!:;011;k1::J:.~
INSPECTIONS MAY 8E
ARRANGED BY CALLING
256 - 5050.
DATE
DATE
DATE
9:--,f'.!t
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