HomeMy WebLinkAbout0036129-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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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
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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.
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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
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:.:.:.:.:.;.;.:.:.:.;.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.:.: ~
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/ ~~.
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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:
-----.---^----.-.-'--..-.-.. .
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II '!, _'!I'"'...
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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
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jl~ ,jLej ~ A o/'Q 1
City Of Oshkosh 1/1/85
Jr.... J'>..
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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