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HomeMy WebLinkAbout0040830-Building ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD /!Q ....::..---" N~-40830 -e .; ,..,. TYPE: BLDG ~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN .. HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - '. - - - - - - - - - - - - - - - - - - - - - - - - - ~5D '~~~...3 ~A~ R0~~C.\-\ ~~"'S~_~ (C:;.\~ ADDRESS PLAN NO. f;?~ J /:l -1/1L;//l . OWNER DESIGNER 1 " c-- USE/NATURE OF WORK l~jE2.J..._~ ~ ~~~ ~l~) ~).-Af.--.E:'.. ~~B_ M~\::si:"~ C~~? E.R ~tL ~\ A ."pp...D~ s... -- l~ ~ A'T\~~~ Foundation _.~ Sq. Ft. \ q \ Ci # Rooms C ^" ~7?r;JE ,j''J . G-] ~ (\ y J~ BUILDING CONTRACTOR Size ; f2..-E"b Height Occupancy Permit HEATING CONTRACTOR . < ~"PE\Ju~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Cu(v\ t t0~ Electric Servo New 0 Change 0 Temp 0 Type Volts_ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR ~+* _BT _WH _Sh _FOr _ L Tub _Disp _DW _SP _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _ Water _Lav _Sink Other _ Eject _SS ISSUED BY Permit Fee Paid $ Date Park Dedication $ Final/O.P. FEES: Valuatio In the performance of this work C"'\ ~ 'r~ SIGNATURE ree to perform all work pursuant to rules governing the described construction. 4~Lq<l AGENT/OWNER ADDRESS TELEPHONE # 5o(p/ ~d- - \ ld. ~ q,L\. If<. WISCONSINUNIFORM ' BUILDING PERMIT APPLICATION. Application No. ~ L\O~~ Parcel No. ,~ 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 Constr (See instructions on back of pink copy) DHVAC DElee Dplbg gfusion ~71n~:d~s ~AlfU Mailing Address / :~..p~RN!Jm:Bi.lg~$,mgg:~:~::~:: .............,.......................".............................. .............,...........................................................................~..................................... ..... ....:.... ..................:.:.:.:.:::::::;::::;::.:;::;.:.::.::::::::::::::;;::;;::;::::;::::::::::::::::::::::;::::::::::::::;:; ......... ..........................................................................................,............ D Other: Owner~ame V.,.II.- A_ -, Contractor s Name f'.6tIlA :I- r:J.7'tJ TelephoneNo. (include area code) 2.~ j--.tr2 c.7 Telephone No. (include area code) .,,:.:.... ..:::"':. ............ ......... .:.:.:.:. Lot Area !~I'.::II~!II(.:~t:lII!.I~.:I:.. L';;. 10" SQ. ft. .~.~in.gAddressl .....L..... p~ J' . -"\ ):::D' L I~, 7r"\ '1_ ~ D Zoning District(s) Zoning Permit No. 1/4. 1/4, Section T N.R E(or)W SU15r~o~ ~a:e -I- a.An h J Lot S Block No. Front Rear Left Right Setbacks 3~ i ft. '-#11 ft.'Z. 'i 1 ft Z '-/ ' ft :~:in~:~djEctttmrrr:~:r:::tmm)":r:t:t)q:at:tl:(GOpANbYtWWEtEctfdG(t:~::~:9.F.Ac:E.M1PMENT:~~::td::2n:ENER(;*SOU:Rttr::rrr~:tt):r~tmrmtt::~' ~ew 0 Repair ~ingle Family Entrance Panel 8I'orced Air Furnace Nat. L P. Oil Elec. Solid Solar o Alteration 0 Raze 0 Two Family Size: '2.tJO amp 0 Radiant Baseboard or Panel Fuel Gas * o Addition 0 Move 0 Garage Seryice: 0 Heat Pump Space Htg Ii!iI" 'n 0 0 0 o Other (print): ~nderground 0 Boiler o Overhead 0 Central Air Conditioning Water Htg IQI 0 0 0 0 0 o Other ,:4B~~Ns.TnfVPE{ltFQUNDAnON) 0 Other ~)?re~~s~~;~egd ue7~~:~ ~;:cee 3h~~~~~~qO~iP : '::::' ::...,'.. :.:':':': ..... '.':: .:"... '.. .:::::::::::::::::::: 15~:en ~~~~~~~ded ~oans~~~; ~ni;~:'''~UMIijNG:m~::::~':~~:m:::::~ft~~@ ~/ji~r:t~ oD~7~~~ ~~~~; ti~~p b ~ :::r'i~( Jh4~~:mEA1Nv:OtYett}}:,,:,:,',:,,:,:,}},,: 0 Treated Wood ~ Unfinished Basement ilz.. Sq. ft. :'s.;m~~f~~~lE"trr:'tt::: "',.O,:~:th~r"",,',:,"',},,:,,:,"',:: 0 ~~~:~iPal ,ili:I~;'1;1~~tili;a~*b~:tO.'~R~~Jtmij~"9.g::mt L' A I '! 1'1 0 S Y :.:.S..:JJSe::.::.:.:.:.:.:.:.:.:.:.:.:.:.::.:.:.:.:.:,'. Permit No. Envelope /1." h./-/~ "'" I BTU/HR ~:~::e'~::: :~'~me/ ~:::~"t ~=!~=~~~@~~i~ The applicant agrees to comply with all applic~ble cocles. statutesa~'(ro~a,nances'a'~(fwri:hthec9ndIfionsotthTspermit;'U~derstands that the issuance of the permit creates no legallia., bility. express or~he~~ent or municipality; and certifies that all the above inform~t/n is aturat~. APPLICANT'S SIGNATURE I tt-....J .Ut DATE SIGNED 7/2.51,,&./ .. A PPROV Al CONDITIONS This permit is issued p~rs~antt';thefollo~"ingcondltlons. Failuretocomplymay result in sus6ens,~nor ~\" .....:.-:-7' revocation ofthls permltor other penalty. _ Ij !tl..XS-rJAU- ~:XL e720_rt40 /?,A'E;i(Sv\tte.S" --7/' /(jl< 2i,,/L~. "Zl --.. .., :..?/ (f-UeJJ/Stl 'V/4.).S$ jA:?/.4tGS' T)d:..) ~.t3~/~ Ar l/ /~C Or- Idf-. ut:-';..;.i" - .. / AI j t.J -},oe-~'.0. : ' ............,.. o - . .... r' -c-. ." . i .. .. .. . . " .. ,.... I .'. .. .. ---0- -;-; . :,:. . ' I . .. -;- . . .. .. . . .. . . I.. , ~:!!,:"$$~"N'G:~:':::~:~':::~~:':~:::::::'::::::::'::' 0 Town 0 Village . ~.D County 0 State of: ::::~~!~:!~~!;~~I:J,,:.:~ CEH KE;>SJl ~ $ V (/J llAConstruction '., / Q: . -~_.\"\. n $ (;.--, DHVAC Name f7\( #\./ . ')\~ .2V ~ : ~ ~:~~~~ l~n Gb3 :::e No ~~ q '-1 ,- ----:- :'-., - . . .. .. . ......... .--: ,I... -::..... '.. . . - Municipality Number of Dwelling Location: ~_ OZ6€-~ Plan Review Inspection WIS. Permit Seal Other Total SBD-5823 (R. 07/92) 7 t), {J{)CJ .....wHlfE:!ss.ulngJU risd iCtTon--~-~"~'Y'IrLO'Wc.~[5rcr.:rR"".' ".C:' GRErt\1".:f'nspettbi PINK - 6;;imer/Agenf"'~ Lb'\ 5 - S?\f\Q.t\ SCJJ1~ C't'<Q-Q1c t_;~ ZON~NG/LAND USE COMPLIANCE CHECKLIST . '3oS() ~ ~6:: ZONING PROPERTY OWNER/CONTRACTOR: 'R\.JSQ. ~ :":s,.~ ..? CONSTRUCTION DATA: ~... New Construction Addition JOB LOCATION: Alteration TYPE OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.) F- 1TAej{6[) ~ Ho0S~-r GAi2.~E-T /93C)-!2+'L fi};/b-(2j2- 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 REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, 01 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. ~APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: f1.b } DATE:0;j9h~ ,. I I ;~ ~ ~ 0' 1 1 5.001 \ 0' ()) G ~ '0' 0 ~ Q 'J -> ---l ()l '0' Q -> ~ cI '0 Q ~I &'0 i~ru :lO rs ( ~/ 1~? pcycos addx 1 :360 19/ 6/95 ~LA~ICAT~ON ~E COLLECT~ON RE~ . ~":().~ f-b~~~ )--(~ -- ) ~ ~U~'Jtl\ ,CQ:~0~\:l2oGl~ "L...J\~i'...<:::::::::- ~'~I "\ t-\'c:"f~A~'-,~~~~ Bldg. Penuit # L'CJ2~~ , 1$' {CO ' ~cO Address Owners Name Name of Subdivision r ~~ Lot # City Of Oshkosh 1/1/85~. . No. of Units Fee Required Fee Paid Owner1s signcture Inspector1s signature Date Date Parks Subdivision Improvement Accts. Rec.: 362-041 ,'""'~, LOT CATE ADDRESS SLOCK 7L1J1f / r;; -,...~ #Usoh 5 SU8DIV. f-JHEYtrS~ OZee;( STREET NO..3 tJ5 tJ fIu,{.)~-f R" NAME 1../ MiD ZONE SIDEWALK EXISTING YES LOT D I MENS IONS D NO c:r- ~3 BUILDING GRADE ELEVATIONS STAKES SET AT SITE , 19 94 aY~ FEE~ $15.00 ~~ , .... DEPARTr-1ENT OF ?UaLfC WCRK~ I, the unders i gned, owner or agent' of the above descr i bed properTy agree 1"0 have 7'he grade eSTaei ished before excavation has commenced. ~ O..0:-:0~2 'J_-:..i1 '-...r; 41/ Cp8' 't ".';"'''''''''''-;