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HomeMy WebLinkAbout0040829-Building ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD I 110 _..- Ng-40829 ~. TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - ,- - - - - - - - - - - - - - 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. rz.c1 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) .- ::.::~~:RM~J;:::RiIQI.$m~I:::::::::::::: ~nstr 0 HVAC 0 Elec 0 Plbg r-t.t;osion ....:~::::=:::.:::}::::::: ::::;:;:;:;:::-:;:::::;:::;:::;::;::;:;::::;:;:;:;:;=;:~:::::::::::::::::::::::::::::: M c< ~t:rj :.'.:.'.:.:.;.:.:.;.:-:.:-:.:-: ..................... :.;.;.;.;.:.:-:.:.:.;.:.:.:.:.:-:.;.:.;.:.;.:-;.;.:.:.:.:-:.; op;~s;aml r hYl/Jt: . c17 ~~ . Maltl ~~;'H" ,,~^\ Contractor s Name Mailing Address Fd. - \ \ \ ''1-\4 '-\ ~ WISCONSIN UNIFORM BUILDING PERMIT APPLlCATIQN APPlictatiion/ NSO.. ' '" (""'\~ f""\ G ')odl. Parcel No' t:.~ '?J()lo-3 o other: I2L "-<)AJ\J\.~ Telephone No. (include area code) o?3'!-<?7"? Telephone No. (include area code) ... 1/4, 1/4, Section T N,R E(or)W Subdlr;~~m~_ 11M h ~ ---J Lot N~ Block No. Front Rear Left Right Setbacks 35' ft 95 ~ ft. I t.p ft. I ~ I ft. ::jj,:::ftdJE:ct:::::/::w::,:::,:::,:::::::///:::,::::::w:/::::q:aD:btteo.P~':::>6.h:EtE:OtmGA.t::::::WtU:HVA(fEtithPMEN]j:::,:::tl2bENERtt~HiOjjR(te:::'/':::':::':::':::'::::)'/://:):W:): .... ~ew 0 Repair -~ingle Family Entrance Panel lQ.Iorced Air Furnace Fuel Nat. L. P. Oil. Elec. Solid Solar '" 0 Alteration 0 Raze 0 Two Family Size: '2.0C) amp 0 Radiant Baseboard or Panel Gas * o Addition 0 Move 0 Garage . Ser~ce: 0 Heat Pump Space Htg H' ~ 0 0 0 0 .. 0 Other (print): ~nderground 0 Boiler....~ o Overhead 0 Central Air Conditioning Water Htg IV 0 0 0 0 0 o Other e~~~~:r ':~~~~Ano.N:: :::~;;;'~Mm'G.:;::;:;::m:'::::;;~::::::; ,. ~~t~~~~~;~~d:i:~~~i~~~v~: 3~~~~;:ai~0~ :::~::'\#JmA?U\lY;OtVetr:::):::):::{::)( 0 Manufactured 0 Masonry Se? of joints 0 Blower door test. 0 Exterior ':'. x.:-:.... .....:.. ': .': ..: : .': . .':.:';':':':.:':':':':-:':':':':':':':' 0 Treated Wood lll1\iIu air infiltration barrier. Unfinished Basement 11/P Sq. ft. :::I;:::'~rQltlE$.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. j) Jl'vsfAr.J.. ~((,. Gl1:::;SlCt!J McASv42J5 - ~~ ILJltC.-:;II" I ,;)t!{. e;- ~ -1--bS'7"' '/'16..:/:::,$ ~~f4ic.s O/..J"0~ A'r rrV/lZ e-F K6hO-t .- /N JAJ;S.iJe:077-w ~\ "-";i..')9r',/\'{;{: C~~ c\",~~{^.0!~' -1, I.' J ..,. ,..... .........,............. .....................................;. I :ili:I:\:lll:I~!IIII.li~II:li:::i ~o.riq() B~?:c}!l5esH UAA '1=. ~ P1 n,. 6 Zoning District(s} Zoning Permit No. SQ. ft. . .... . I' . '. I ..... ....... 1. . ...'. . "..' ...... .'. I :. ,. . .'. ":'.. .' ~ . . . ... . . ........ . ..... . . 1 . . .' . '''.... .. . I -;- , . . . . -.,- ... .. . . .. I I . I I .. . ........ , "...............,';:c..CI.,.. '.' .'. i......... ;;:::::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) /](),nf)tJ WHITE-lssuingJuriSClictlorl YELLOW -DILHR' GREEN -Inspec~or PINK -Owner"/Agent ~ ~ .. .. & 1'-/' .. \"'1 - - f \00 '72' v ~ Ok ~ ~' .. ~ (\t) ~ ~ .. ~ - 'kt#bP~~ L0T6 - /4IG<1SruJI ~ .,. ., ZONING if ( CONSTRUCTION DATA: t>< New Construction Addition Alteration OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.) c-: ~ ::>i I\.X;LG r-;. MIL /!f77<icJil!;J) f/oo~-? /7-l/:J -R z.. GAnA.Ce~ Llt./O-P/' 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. i"-'. OOt-:nra j J"'dVIJ.l . 4f/(pt Address Owners Name .,.. City Of Oshkosh 1/1/85 ...... ~ PARKLAN~~EDICATIONJtE COLLECTION RECORQ.~... ?r121"': - 'i }"1'7l}?~ AC'~ ~ _~"J.....J f..../ ; t:: IL~ / --C 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