HomeMy WebLinkAbout0040829-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
I
110
_..-
Ng-40829
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TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~3i')' I-JuAJrtdR's. f~AL{~ PLAN No.F-2 -III 7-f:;t..Jk
OWNER i;;; us.e;H (~~772aff1oJ '
DESIGNER
USE/NATURE OF WORK
~
7..4/1-11'_,-
A!~/-A{/I~
'" t of ,/'1 -rr. -
BUILDING CONTRACTOR :;;:GS C H
Size l m:b S'JJt. I ?!1iil If Rooms '8- 3tS'v.
Foundation L,OtJ Cv--81C' Class of Const.
# Stories 9
<6
Occupancy Permit
Height
;;)'4 j
\~~"-
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
<-B~&~~~
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
C0/V\ lN~S
Electric Servo New 0 Change 0 Temp 0
Type
Volts
Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
g, \-\
_Sink
Other
_ Eject
_SS
_ CBasin ,
_ San. Sewer
_ Storm Sewer
_ Water
_WC
_WH
_Sh
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_BT
_Lav
_Ur
FEES: Valua .
ISSUED BY
Permit Fee Paid $
Date
Park Dedication $
Final/O.P.
In the performance of this work I ee to perform all work pursuant to rules governing the described construction.
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SIGNATURE
AGENT/OWNER
ADDRESS
TELEPHONE #
WisconSin Department of Industry,
Labor and Human Relations
Safety and Build ings Division
P.O Box 7969
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) .-
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Contractor s Name Mailing Address
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WISCONSIN UNIFORM
BUILDING PERMIT
APPLlCATIQN
APPlictatiion/ NSO..
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')odl.
Parcel No'
t:.~ '?J()lo-3
o other:
I2L
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Telephone No. (include area code)
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Telephone No. (include area code)
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1/4, 1/4, Section T N,R E(or)W
Subdlr;~~m~_ 11M h ~ ---J Lot N~ Block No.
Front Rear Left Right
Setbacks 35' ft 95 ~ ft. I t.p ft. I ~ I ft.
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.... ~ew 0 Repair -~ingle Family Entrance Panel lQ.Iorced Air Furnace Fuel Nat. L. P. Oil. Elec. Solid Solar
'" 0 Alteration 0 Raze 0 Two Family Size: '2.0C) amp 0 Radiant Baseboard or Panel Gas *
o Addition 0 Move 0 Garage . Ser~ce: 0 Heat Pump Space Htg H' ~ 0 0 0 0
.. 0 Other (print): ~nderground 0 Boiler....~
o Overhead 0 Central Air Conditioning Water Htg IV 0 0 0 0 0
o Other e~~~~:r ':~~~~Ano.N:: :::~;;;'~Mm'G.:;::;:;::m:'::::;;~::::::; ,. ~~t~~~~~;~~d:i:~~~i~~~v~: 3~~~~;:ai~0~
:::~::'\#JmA?U\lY;OtVetr:::):::):::{::)( 0 Manufactured 0 Masonry Se? of joints 0 Blower door test. 0 Exterior
':'. x.:-:.... .....:.. ': .': ..: : .': . .':.:';':':':.:':':':':-:':':':':':':':' 0 Treated Wood lll1\iIu air infiltration barrier.
Unfinished Basement 11/P Sq. ft. :::I;:::'~rQltlE$.IIIIIII ,:,~,:,~t~r::,::::::::::::::::::::,:::::::::::,:::::::: 0 se~~~~iPal:::::::1a~::fn;#.1t:tn$$:l~~~f.m*"t,gF:({
. . ,~ D~S ory :.:.8x.:JJSE:.:.:.:-:.:,:.:.:.:.:.:.:.:.:.:.:.;.:,:,:.:.:.:. Permit No. Envelope ;:.1/, (;,1,:") f-. '< BTU/HR
living Area /71J11Q!1. Sq. ft. . -Story Du ~sonal .......,.................................,',.,',.................,.........................,.,......... :-:.f~!i '~ J, / U
~er ...,~..'tW#TER."'.....,......."..,..". I fit t 'I'V.K" ~; h .-L. BTU/HR
Garage L/ IfCJ Sq. ft. 0 o,er 0 o:~:;nent :::~~~I~;~~t~:~:i:I:I~~){:):(:)))( jn4~:i-$~~ijUlt~;NG.:(jis.!e::m::: ...............
~Ius Basement 0 Private On-Site Well $ ~. ~
... .. ......... ........ ......... .... .... . . .... .... ....... '...... ..........."......".,"" .
The applica'nt agrees to comply with all applicable codes, statuEre nd ordinances and with the conditio'ns of this permit; un,dersta.ndS thatthe issu.ance of
the permit creates no legalliability,.e.'pce~ 0< "'"';':: oot"" ,,'P ,mef 0' m,,'dp,"'y; oed "rtif""h,,,,, ,h"bo" "fo'm''j" '''J"''':
APPLlCANT"S SIGNATURI: ~ J..-.. ~ DATE SIGNED 7/Zb /64
APPROVAL CON DITIONS This p~rmitl~issuedPursuClnttoi"hefonowingc:onai1:iOrls. Failure to corn ply ma~result in sus~ensiOn .or
......, revocation ofthls permit or other penalty.
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B~?:c}!l5esH UAA '1=. ~ P1 n,. 6
Zoning District(s} Zoning Permit No.
SQ. ft.
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;;:::::issiiNG:':::::{r::::::(:'t:::::::;:. 0 Town 0 Village ~ity 0 County 0 State of: Municipalitpi?mber of Dwelling L6ocati/
r::~tJRI~~~~If,)~.:':'::;::' USHKoSf/- 7CO_ - 51 ~ ~
Plan Review $ '-/() ~onstruction \ '2 . ~< r\ Q
Inspection $ 2- 0 HVAC Name .t::~~ ,~ ..~ ---
WIS. Permit Seal $ >.::;>U 0 Electrical -=}-} .~") ) q '-\
Other $' ~Iumblng 1 {\ a D. ..1.",:, "\, Date .. ....
Total $ -:-b tjrosion _ "'1.-J IQcl Cert.No. \-lbb&
SBD-5823 (R. 07/92)
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WHITE-lssuingJuriSClictlorl
YELLOW -DILHR'
GREEN -Inspec~or
PINK -Owner"/Agent ~
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ZONING
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CONSTRUCTION DATA:
t>< New Construction
Addition
Alteration
OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.)
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COMMENTS
COMPLIANCE CHECKLIST
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
~U~r;dJ rr--
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.
~PROVED
DENIED
Plan Commission Action Required
Variance(s)" Required
REVIEWED/~;Y~~-
DATE: 02f AY/
. __m' ___..____.. _ ..,.-.-----.------:-------.
-,,------" -- -------------------".- -- --------....-.---
if?o~d;
6
SUBDI'!. PIICMW-~
STREET NO.3o,-38 D)J~ j,{.,
.
NAME
LOT
SIDEWALK EXISTING
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
FEE, $15.00 .
DATE
+/;;J!?/ ftj
1
. ADDRESS
8 LOC K
l,.fA~D
ZONE
YES
LOT DIMENSIONS
D NOEl-
~~3
I 19
9.f BY ~
~~
, DEPART~ENT OF ?LaL!C WC~K~
I, the undersigned, owner or agen~ of the above described prcper~y agree TO have the
grade estabi ished before excavation has commenced.
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OOt-:nra
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4f/(pt
Address
Owners Name
.,..
City Of Oshkosh 1/1/85 ......
~
PARKLAN~~EDICATIONJtE COLLECTION RECORQ.~...
?r121"': - 'i }"1'7l}?~ AC'~
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LJ_SCIl S'172ct:.:.nCl~
HE454MI UZE8< ~'2JYl
LjO:P()Y
Name of Subdivision
6
Lot II
Bldg. Permit II
/
$/m
2f;CO
No. of Units
Fee Required
Fee Paid
Owner's sign~ture
Inspector's signature
Date
Date
Parks Subdivision
Improvement
Accts. Rec.: 362-041