HomeMy WebLinkAbout0029071-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
29071
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OWNER ~~r E. Ot4~~/
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PLAN No.A 2- 3:3 010 9 Z-/{
DESIGNER
USE/NATURE OF WORK
}ff;:?--tY. .4~tte aA)7. .4~ '
BUILDING CONTRACTOR
Size .9...-t4-- Sq Ft
o . .
Foundation ~
Class of Const;
Stories
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JA-l~
Height
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Occupancy Permit
HEATING CONTRACTOR L/3n ~!ftl--rL-r
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
kUvl
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Electric Servo New 0 Change 0 Temp 0
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR /(tfCA 6/LO.
_BT _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
FEES: Valuation $ 52Jt:!OO.O'V Permit Fee Paid $ 1'0.0'0
ISSUED BY ~~,.,'k ~UA~r-- Date ~ / [/7l..........- .
Park Dedication $ /00. Of)
Final/O.P. (!J/;;9/9,:j
In the performance of this work I agree to perform all work pursuant to rules go~erning the described construction.
SIGNATURE _~t.uG\rJ t: cPw.QQAJl'\.lV\ b - fJ - '1~
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
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Revisa:l: 8/00
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB. LOCATION: 1& ~fo /ivc/r$lv:t--~~r/ ZONING:
I
~ROPERTY OWNER/CONTRACTOR: / tz;i;uf/r z.. (!/~'L .
CONSTRUCTION DATA: ~dONSTRUcrKN ___ADDITION---AL~ERATION
TYPE OF PROPOSED CONSTRUCTION: (i. e. fence, poo 1, sign, deck, etc.)
)1~/_J~ ad: ,&i. reLY ~~,#.
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PARKING LOT
. COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
J Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (f~y~)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
REVIEW AUTHORIT'f: L-/ ~.vD ~ .
The Director of Corrmunity Development, or desi~e,{m~t approve all plans, except the
following: (1) Alterations or interior work when the use i~ conforming and when no change
in use is proposed. (2) t~aintenance items,. e.g. sid.ing, windows, etc., when the use is
conforming and when no change is proposed.
DEFICIENCY/COMMENTS
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector without refe!ral to the Director of Community Development, or designee.
~OVED
Plan Corrmission Action Required
varianCe(:~.R~. .
REVIE~ED /'w. ~7~
DENIED
DATE:
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WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
See Instructions on back of ink co
v..,
Subdivision Name
J~c~
Front
30 ft, ~ lp
9. HVAC EQUIPMENT : . . 000
State of Wisconsin
Department of Industry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707
Wisconsin Statutes 101, 63,101,73
......................... ...........
.................................................. .................
.......... ...................... ........ ...............
::~II~'I::lqlll~~:::
CONSTRUCTION D HV AC
Mailing Address
ew
Alteration
OAddition
o Repair
o Raze
o Move
Single Family
wo family
o Garage
o Other
o Other
Entrance Panel
Size: ,:)00
~vice:
nderground
Overhead
~;::IQE';:~ :t~:'IQglllt'QII
aJM$A;INVo.tWo.JJf:: N'.
o Site constructed Concrete
\, 0 Manufactured Masonry
o Treated Wood
'."""" 0 Other
Unfinished Basemend;tJ...k Sq. ft.$'i$1t~I.s.$
wrU$$.::JJfJ::::Ji
Living Area 139 ~ Sq, ft. DO 21-SsttOry
Garage " 2. <f Sq. ft. ~
o Plus basement
~O' Seasonal
Permanent
Other
APPLICATION NO, 2907
PARCEL NO.
D ELEC, D PLUMBING D OTHER:
Telephone
'2~3 - 30 vo
Telephone
)t'
Z- 33-
v.., SECTION
N, R E or W
Block No,
Rear
olar
ft,
It.
Forced Air Furnace
Radiant Balleboard or Panel
o Heat Pump
o Boiler
Central Air Conditioning
Other
o 0 ODD
o 0 ODD
* 0 Delling unit will have 3 kilowatt or
more installed electric space heating equip.
Infiltration control option is: 0 Full sealing
.. of joints. 0 Blower door test. D Exterior
air infiltration barrier,
...................
.... ..............
....................................
$
,00
,
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the qonditions of this permit; understands that the issuance of the
permit creates no legal liability, express or imp!" , on the Department or Municipality; and certifies that all the above information is accurate,
SIGNATURE OF APPLICANT - a e, e DATE b - (~ - Cf ~
CON ITIONS OF APPROVAL This pe:mit is i,ssued ~ursuant to the following donditions, Failure to comply may result in suspension or
revocation of thiS permit or other penalty,
CITY 0 COUNTY Municipality Number of Municipality Number of Dwelling
1...- 'ns2tiD ~utrt~ ~ Location, if different
'::::'llt:.III.I'~~~:::i!III,'..II~.::::::::,i:,:,,::::,:','::::::." .'::::,..",::':':r\':/'.'.'..
/09;53 :::~~/-f~
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Plan Review . .
Inspection . . .
Wis, Permit Seal.
Other . . . . .
TOTAL. .
SBD 5823 (R. 8/90)
. $lfO,Oa
. $
$30.00
. $
. $ 70.00
Construction
VAC
o Electrical
o Plumbing
o Other
WHITE -Issuing Jurisdiction
~
CERT, NO,
YELLOW - DILHR
, GREEN::lnspector
"PINK:': OwneriAgent'
DATE
'0/g-/9~
1 <
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NAME ~t:zL~C. C~/~
57
SUSD I V . ./8-/t- {!A-~-
STREET NO. /eo ~<P ,ih~ lu4 ; 4J~
ADDRESS
LOT
SLOCK
HARD
ZONE
SIDEWALK EXISTING
YES
LOT DIMENSIONS
o NOqJ
(,/, ,19 e"fz..-
,
BY ~,/
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
FEE: $10.00
<fj I ~ct:/
DEPARTMENT OF PUBLiC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade estabi ished before excavation has commenced.
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City Of O~hkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address / b 50 ~A./7't trh4-- g/Mt/
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Owner's Name /~ E, ehdt1-~
Name of Subdivision ~~ (?~~
Lot #
.07
Bldg. Pennit # ;2 90 7/
Fee Required
/
/hJ,tJ-t)
No. of Units
Fee Paid / H ,00
Owner's signcture .J:t.aAt g ~^
Inspector's signature ~~~
Date b -I;) _. q~
Date &/Cf/t;u
I I
Parks Subdivision
Improvement
Accts. Rec.: 362-041