HomeMy WebLinkAbout0032268-Building
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
110
32268
, TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING jt:- / FLOOD PLAIN HEIGHT
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OWNER
DESIGNER
USE/NATURE OF WORK )ffU{} /<1 ~~ ~~ ~ 1- ~ [)--t/~
BUILDING CONTRACTOR ~
S;ze ~ Sq. Ft. l/'fl'
Foundati ~ .
6-rt~/ht"~
# Rooms [?- 3~~ # Stories z.- Height :1 ,S ;
Class of Const. ~ Occupancy Permit ~ ..
HEATING CONTRACTOR K f I<-
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR g~4?t f/ r-
Electric Servo New 0 Change 0 Temp 0
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
kf-K
_Sink
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_BT
_WH
_Sh
_Lav
_WC
_Ur
_ Eject
_SS
Other
FEES: Valuation
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Permit Fee Paid $ 18'&. of) /
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Date "/ I l, I L-"
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Park Dedication $ / ()tJ cO"
Final/O.P. f"-l.j-93
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
11i9/9~
DATE
ADDRESS
TELEPHONE #
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CONSTRUCTION INC.
General Contracting & Remodelin
t. 1, Box 11 0
eshkoro, VVI 54960
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Office & Fax
Ph. (414) 293-4755
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LCGEND
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SiRAW 8.ALl:~
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FiL TE:; F:NCE
PROFERTY LINE
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Revisej: 8/89
ZONING:
;2-;
ZONING/LAND USE COMPLIANCE CHECKLIST
J'OB LOCATION: /l,57 IIA~~4/~ !)A. "
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I3ROPERTY OWNER/CONTRACTOR: ~~~ fbth~
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CONSTRUCTION DATA: ~EW CDNSTRUcr.KN ___ADDITION ALTERATION
PARKING LOT
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TYPE OF PROPOSED CONSTRUCTION: (Le. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEF!CIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fratt yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Panting Spaces
Building Area
Lot Area Per. F ami.! y
Corner Lot
Landscaping
Transitional Yard
.
Off-Street Loading
Vision Clearance
Height
R IEW AUTHORITY: ~ ~/u; du./4-<-- .
The Director of Conmunity Development, or des-!9nee-, ~t approve all plans, except the
following: (1) Alterations or interior work when the use is conforming and when no change
in use is proposed. (2) ~~aintenance items,. e.g. sid.ing, windows, etc., when the use is
conforming and when no change is proposed.
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector without referral to the Director of Community Development, or designee.
~PROVED' . DENIED.
plan Commission Action Required
Variance{s) Required
REVIEWED BY: Ah~~~- OATE: j/t/f7- I
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DEFICIENCY/COMMENTS
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
1.../( ~ 0 10 I 93 Fe.-
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
(See instructions on back of pink copy)
Application No.
3Z.2b~
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Parcel No.
::'::'>PEIUWITRE^UeSTErf::":'::
ii.i:::i:~!::::::m::'H::::H::::!:~:'i:::i:!i~:h:w:'.:.1U:ii::m:i:~t:i..(::~i.:::~;:~:!~:.:ii:li.:.ii'
Constr 0 HVAC 0 Elec
o Plbg ~Erosion
o Other:
,-.-------------
Telephone No. (include area code)
Owner's Name
Mailing Address
C99tractor's Name A' . Mailin\l, Address \/1 " 'fi 'frelephone No. (include area code)
I5L~ ~ f~ ~ At7"J ..L .JI R/f-I f1.Y0 1/1'1 f UAA/ A ,:/L/A" S"qqtJ tJ .;.q,"3 -lt7 r::;-
ill'ii.~I::illlill,II:llllllli:il.i:i: Lot Area SQ. ft. 1/~, 1/4, Section T
Building Addre}S __ /1 ~. f) Subdivision Nam~ / LoyNO~.
I/b~7 -Uu_A/J!.IA- L}/)'A<." iA... ~~ ~ 4.-.#_ (p--./
Zoning District(s) I Zoning Permit No. Front I R~ar Left ( Ri..2b.t I
Ie - ( Setbacks 3D ft. 10 () ft. C; ft. '7 ' ft.
knm:.U'fjEdlt:::::::~:m::~::::::::::m::m:::m:tt~?::?:::tt:L::in:o.ceu.pXNel::::::ififmEtEetm&tn:?~::]!U:::M'j(tl:IOUlPMENTtt::::d~ID::ENERG:\(ldUlmrmt::t?t::::t:::t::tt::t:?:::t:
~~ew 0 Repair ~ingle Family Entrance Panel IlXforced Air Furnace F I Nat. L. P. Oil Elec. Solid Solar
o Alteration 0 Raze 'Dlwo Family Size: ~ amp VEi Radiant Baseboard or Panel ue Gas *
o Addition 0 Move 0 Garage ;mserv:ice: 0 Heat pump. Space Htg ~ 0 0 0 0 0
o Other (print): Underground ~oiler _
" 0 verhead ~entral Air Conditioning Water Htg ~ 0 0 0 0 0
OOthe, ~~ln_=--lfil ~~;:~f~:~~~:)i~E~if:3~~~~E~~~
:.:.....:.:.:.:...:.....:..:....:.:.....,...,:.......:....:.........:.:.:.:.:.:.:.:.:.:.:.:.:.:.:':.>:.:.: 0 Manufactured ~Oasonry of joints 0 Blower door test 0 Exterior
Jk::AREA4NV:OtV~o.:::~~:~:~:~:~:::::::?:: :::S:::::::lt=OiiEl.:::::::::::::::::::::::::::: B ~t~ated Wood ';:niciPal air infilt;ation barrier. .
Unfinished BasLe:eln; : Sq. ft. :::~:~~ ~~~.;~....:..:::::::::::::::::::::::::::: t8W:U.S~::tt~~ttt:~tmttt:~ 0 ~~~~~t No. ~~~~~:!:~~~~:al~!~O~~~~J~ij~=~~;~:~:
Living Area 4 T 6 Sq. ft. ~2-Story 0 Seasonal ...........,............................................................. . . /7 71/ 3 r
Garage 91 Y' Sq. ft. . 0 Other ~:~:;nent ~~~~~~~~:;;:I:I:;:~ttt~~~ttttttt :jl4~~,ij~iQJ.:NI:~O$.t:!~:::::~!::::t;:;i(:~i~~1:::m
o Plus Basement 0 Private On-Site Well $~.1 Vt'>'O 'DO
N, R E (or) W
Block No.
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions ofthis permit; understands that the issuance of
the permit creates no legal liability, express ~Iied, ~ T rtment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE L;t'-'/ 1'- M/i".-/'\ DATE SIGNED
This permit is issued pJ;"suantto the following conditions. Failure to comply may result in suspension or
revocation of th is perm it or other penalty.
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APPROVAL CONDITIONS
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Illiil~I"~If.I~llllillllllll o TOWA A ~v~a~e_ t<City o County DState of:
:::.:.:.:.:.:,:,;.:.;.:::.:,:.:.:.;.:.;,:.;.:.:.:.; ::::;:::::;:::::,:::::.;,:.:;:.;.:.::::: C/;~~
Plan Review $ ~ .() a l)((onstruction (}..L.i f) ,,~_"
Inspection $ TI"HVAC Name7~''''' _An'./ ./.- "
Wis. Permit Seal $ ~. cO 0 0 Electrical II II U ~ iL f ,.., / , -z..... t..."Z-
Other $ D.Plumblng ..,- T T Date _~&.o- N
Total $ '70.0 0 ~Erosion Cert. No. ~ 5'a
Municipality Number of Dwelling Location:
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SBD-5823 (R:i07/92) I.
cOOk
WHITE -Issuing Jurisdiction
YELLOW - DILHR
GREEN -Inspector
PINK -Owner/Agent
PARKLAND DEDICATION FEE COLLECTION RECORD
Address liaS? #~1h.A-.4~ DA '
Owners Name tC~ ~ tA..~
Name of Subdivision ~~ ~
Lot #
103
Bldg. Pennit #
No. of Units (
Fee Required 100. 0 '0
Fee Paid loo.C)Q
Owner's signature 0- t~
Inspector's signature ~ ~
(j t
City Of Oshkosh 1/1/85
3LL-~f
Date
Date I/t.//?v
.
Parks Subdivision
Improvement
Accts. Rec.: 362-041
NAME ,~A71f~ ~.~
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sueolv. ~~~
STREET NO. /65 ~A
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CATE 12/Z-~~'/9"'L---
ADDRESS
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LOT
~'I ARD
/3
8 LOCK
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ZONE
SIDEWALK EXISTING
YES
LOT DIMENSIONS
o NO EJ
~/Z-q ,1992:-
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
8Y ~^'
FEE; $15. 00
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OEPARTr-1ENT OF ?U8LIC '/lORKS
I, the unders i gned, owner or agenT of the above descr i bed proper~'I agree 1"0 have the
grade eSTaeiished before excavation has commenced.
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Lfl/J~rk Q(VG63
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