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HomeMy WebLinkAbout0036129-Building .~~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 //Q 36129 TYPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT OWNER '30 1-<;: S~Cft-sE \-6 t'-J\'E:\/-S. Gv5 TOo1 7U~'Lt . HOM5~ INC~. I PLAN NO. n- } ~6 - Y J:i3 f, ADDRESS DESIGNER USE/NATURE OF WORK NatJ 5;(N6.-LE ,~ i rn r/TAC).lcD C/J/7.;I!6..:3 BUILDING CONTRACTOR , rJJ '2'< Size Sq. Ft. CX-#:.)-..J Foundation (1AJCA'J::f'T:?:: S'HO(.A)(AS.6 CD$7C);1/t J-I fY'/f ES # / # Rooms b ~ 313A-# Stories g IIJ[ ,- 6) Height 2!-I ;I YES Class of Const. Occupancy Permit HEATING CONTRACTOR B:k38fiJtE:R Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR S'~Ho-l"'r1/V} ER Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR (j/+ S _BT _WH _Sh _Disp _ WSoft _DF _ CBasin _Lav _WC _FDr _ L Tub _DW _SP _ San. Sewer _Ur _ Storm Sewer _ Water _Sink Other _ Eject _SS FEES: Valuation $ go, Cf.X:.> ISSUED BY ~v\ S~S~\ ~ Permit Fee Paid $ Date j Q 3:):; ~ / q }(j..7- )q3 If Park Dedication $ Final/O.P. ICD"~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. .....,slGNATURE ':1.LJ.~, ADDRESS rA 9Zl-93 DATE TELEPHONE # .150 fT""'J . "="5 --7 ----=,. - --- 24'-11.5(/ (,.I UJ I .... .... ~ 1'8>.....9< f3 .. I o ~ 65'-d' ~ I UI ~ ~ "'"- 24'-11.5<1' 114'-11.2S- Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division P.O. Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) 11!li.I:lill:~:I~I:illll~:~III.!I!li.!:iii.! p-<'constr 0 HVAC . 0 Elec 0 Plbg. ~_~_.._.._g~~~~r: . __ O. wner's Name I" . f , I Mailing ~d~ess /){" Telephone No. ~include area code) :11rJJ'//lCP ( f. C+""" H7Jf\1C~ _The 215::, -/Hc,c.>{'V'1{J'l (''':X val ,(J)"L 't}.:Ss:-g,: (0 >.9ntractor's Nam~ _.1 , I Mailing Add~ . J! Telephone No. (include area code) s..,vyy..Y'rA(P ( t..f ~~M 1..-to/YIeS" T(l(:'_ 27)~~ 1.1-.,_,,: VA (-SlV6'f, 6~ h. ~s--~\t (0 :i:~'I:::~.llllii!.III.lil:il.i LotAr~a Sa. ft. U7 %1/4, 1/4,Section T N,R E(or)W 307t5dmAj'rk~5 Pfa ce Ph~~ Nia,^~"Oreef~ (Ofr/" Lot No. Block No, Zoning District(s) I Zoning Permit No. Front (f Rear ~ Left - /r Ri~tu (( Setbacks 35- ft. 5'~ - ft. ;lCf ft. f7-. T - ft. f1M:Rjt5.jEmt::::::::ttt:f~~:::t:m~:~ffmmmttt:{mlJMili.b.tdUpANdY:tj6.(]JjEetmCAt:ttHWjnHVj(d::E(r[npMERjttmm:::1:2b:~ENER(&M:1b.b.Rtfr:f:m:m:mm:mm:m:m:m~ttttmr:t ~New. 0 Repair ~ingle Family Entrance Panel ~orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar iC]}.,lteration 0 Raze '0 iwo Family Size: "200 amp 0 Radiant Baseboard or Panel Gas * o Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg ~ 0 0 0 0 0 o Other (print): ~nderground 0 Boiler o Overhead ;.t:il<entra I Air Condition ing Water Htg - ~ 0 0 0 0 0 ~u'.~n;;f:mltnhl:S'hreA:d':~lB.8a:'Ms"::eQm.:te:Vn'::'t;~~d~stq::t.mftmt.1 !_~r:.':.:.'.,~.;:::..:.mu.:.:~.M:.':.'::.t:.:.h.~.:.~:.;:.e:.:.:.d:r.~:.:.:y.::.e:.:w:.l4!:.::.':.:.':.':.':.o.':n:;:.:.:.o.;;:.:.:.:.~:.:.:..':':.:.'.'::..N:.:.:.:.'::.:.:..:~:.::'.'.~:to:!s;e~p(t:;I:c;.:~I_; ~:f~~:~~~~flf2~:~~~~~;' -lLl-f- :::::::{{:~aw::af.l*1t::t.Q$I:J~ijJt.mjt,"I~::::mm: Living Area ;Z( 33 Sq. ft. ~-:t::::~'~~:::~:';:'::'::'::'::':":::':':':': :@1~;:;;~~~g:{m:f:::m:f::{m:f:{m~ff/ ~n~~I:~~~:n ~::;;;~ 4><' :;~::: ( D b bOther jKpermanent ........................................ Garage b. Sq. ft. ~Plus Basement 0 Other ~~v:i;~P~~~S~~:~ell:)~~~~~~6~Je.Q$t:::mmtffff;::m{m:: The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of thiS permit; understands that the issuance of the permit creates no legal liability, express or implied, on the ~ent or municipality~ and certifies that all the above information is accurate. APPLICANT'S SIGNATURE ~ ~ ~. DATESIGNED <g(-e.o(Q3 Th-rsPermit is issued pursuant to the following conditions. Failure to comply may result in .suspenslon or revocation ofthis permit or other penalty. rt.i ;.J~~ F'I-- 15b 1 jqg R WISCONSIN UNIFORM. BUILDING PERMIT APPLICATION Application No. /\' 3b;ay I '... ~ Parcel No. APPROVAL CONDITIONS . I,. ) S\J8rn rr -mUSS I _' ,q.~ i ~'lltF:tO^-j (eJ!07lZr:::L /lI!l;=:lKUfl...t:::.> I ~ DDC~ BI" )/;)'5 . I ~ ~ ( NS17;ou..eD :.:.:.:.:.;.;.:.:.:.;.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.:.: ~ l!ill!I.I"~I?I~II:il!illilll 0 Town 0 Village . L r (~~#unty 0 State of: :::::::::,:::,:':::'::::',:::::,':',:::::::::,'::'::'::":::::'::::,::::::::::::::::::::::::::::::: (!J;n T\f::J1, l,/7) CO ~ f{o $ ....,c.". ~?nstruction (J ~~~O-~ $ 0 HVAC Name L 1tA.,i,-_ ..:..;;::;r\ I.- $ '3'0- 01.. 0 Electrical 9 ) f) "7' ) ('"I, Q. $ 0 Plumbing Date 0;.. r '-il~-" $ -?D, Qf). ~rosion ) 39511 Cert. No. Y~cy;f / . MuniciPalitY?,bO D_W:R batb Plan Review Inspection WIS. Permit Seal Other Total SBD-5B23 (R..07/92) WHITE -ISSUing JUrISdiction YELLOW - DILHR I GREEN -Inspector PINK - Owner/Agent Revisa:i: aJ89 , .~ " ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: '?:Of'S-. HuI01ElZ3 ~LE ZONING: /21 PROPERTY OWNER/CONTRACTOR: S!b:oCAS~ GC:SfO;t1 HWES CONSTRUCTION DATA: ~EW CONSTRUa:<N ___ADDITION ALTERATION ---pARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. e~c.) o IN .LE ;<1./l/Jf L Go I. T1/ ~~. z COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT Use Lot Width Lot Area Floodplain Front Yard Side Stree~ (fratt yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per. Fami.1y Corner Lot Landscaping Transitional Yard . Off-Street Loading Vision Clearance Height ~ REVIEw- AUTHORITY: ~. ~9tb The Director OT Community Development. or signee. must approve all plans. excep~ the following: (1) Al tera~ions or interior work when the use. is conTonning and when no change in use is proposed. (2) r~airrtenance items,. e.g. sid,ing, windows. etc., when the use is conforming and when no change is proposed. Instances where wor!< complies with the above criteria. the permit can be reviewed by the Building Inspector without ref~rral to the Direc~or of Community Developmen~, or designee. ~PPROVED DENIED Plan Commission Action Required Varlance(s) R~~~ REVIE"lIED BY: ~~ / . I' DEFICIENCY/COMMENTS fi(4? DATE: -----.---^----.-.-'--..-.-.. . _._,-,..-~-'-~- .------.----.--- II '!, _'!I'"'... ~ .'!If ~ NAME ~OtDCA:eaS'DM lbNe5 LOT /'() SU80IV.11<6'~~U} GfEEP' ~. .Ir Pc . STREET NO. ~t;- l-b;.Jre~s . fACe SIOEWALK EXISTING BUILDING GRADE ELEVATIONS STAKES SET ~T SITE / FEE; $15.00 aAT~' 9,!Jtf If?, I AOORESS ~ % f!op76/2S PCAcE BLOCK '..lARD ZONE YES LOT DIMENSIONS ~ NOW 1/ ~1 , 19Cf .1 8Y Kt-I i i ~~ ~.J~~ . OEPARn.1ENT OF ?U8LIC WORKS \ I, the undersigned, owner or agenT of the above described properl"'f agree 1"0 have the grade estabi ished before excavation has commenced. 01'\ t".8. .tj) C)l - .J'~~' J~~ AtJ &.&1/(,1 jl~ ,jLej ~ A o/'Q 1 City Of Oshkosh 1/1/85 Jr.... J'>.. ,'!l PARKLAND DEDICATION FEE COLLECTION RECORD Address ~t-5tioN-cB~ ryl..~ I OwnerJs Name S~~.K'J\c..:E C-.s::;. 'D.lV\\4.::,f\ACS I l ft'Jc . Name of Subdivision 'HtE:4Sfil.I'T (liEF/< 6P/7/f Lot /I 81 dg. Penn; t /I 36 k)fJ No. of Units I Fee Requi red floo;) ~ Fee Paid Il;oo..l ~ Owner's Signcture~~ Inspector's signature .~ <~ Date Date 9)<9rlC?3 Parks Subdivision Improvement Accts. Rec.: 362-041