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Home My WebLink About0025818-Building "~, ,~ . CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 25818 iI ~P_E~ _ _ ~L~~ rr _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ _ r:-. ~< _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER It:, 7 0 II~ Ift;~ >4~ x:Y~~ ~. C~ PLAN No..:L3 lID J0111L ADDRESS DESIGNER USE/NATURE OF WORK J-t.L..-t4J ,J~/C ad'. /~A · BUILDING CONTRACTOR tJ /.-tJ-nI..A Size - ~ J Sq. Ft. Foundation ~. # Rooms 7 3/.34 # Stories Class of Const. ? / (/"l-- Height:2 3 .; Occupancy Permit /Z?g HEATING CONTRACTOR /3~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 6.4/J?'t.Utr Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR P-y ;P~ _Sink Other _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _Ur _ CBasin _Lav _WH _Sh _ San. Sewer _BT _WC _ Storm Sewer _ Eject _SS _ Water FEES: Valuation $ fot)) OOV . 0 0 Permit Fee Paid $ ISSUED BY ~ (~ Date I<f'o ,00 lo;~/q I Park Dedication $ 100.00 Final/o.p5-c2Cf -q J.- In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /'~ ~ j() 7~-? J AGENT/OWNER DATE ADDRESS TELEPHONE # " Revised: 8/89 ~ ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ~~~ ~ ZONING: ~- ( PROPERTY OWNER/CONTRACTOR: . ~~.~ ~~ CONSTRUCTION DATA: ~ONSTRUcrKN ---ADDITION ---ALTERATION PARKING LOT sign, deck, etc.) ~ 30 72 t!) .::rr- COMPLIANCE CHECKLIST (Check only those applicable) COMFLIES DEFICIENT The Director of Community Development, or de ignee, must 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) t~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 refe!ral to the Director of Community Development, or designee. t REVIEW AUTHORITY: Use Lot Width Let Area Floodplain Front Yard Side Street (frcnt yard) Rear Yard Side Yard (R) Side Yard (L) ParKing Spaces Building Area Let Area Per Family Corner Lot Landscaping Transitional Yard Off-Street Leading Vision Clearance :;lg~11O ~APPROVED Plan Commission Action Required Variance(s) Requi ed REVIE1,.lED BY: DEFICIENCY/COMMENTS DENIED DATE: /t}/;6/f! / f l.- ~ ( 156 ( ) e rn r rn < m f- In < m r In < ~I < ,..... lJ'\ (/) ~ ~0' ;0 .( ) In -.> ""- rn / r ~ '71 ( I ,..... & ..... '-'" ~ '-" ~ m ----i1 rn r 7f r rn rn < lbO' S~T. r v, );- tJj CJ (/) 0 G); :1 m ..... t::1 c ):> ..... VI :tJ' (j) ~ t::1 -< -i ~ :r. lJj };o In ;0 rn r'1 rn ^ tt1: r rn 0 ~, };o (/) -u (/) 1-3 t::1 (/) G) r :r t:l I1J };o .. R<> ;0 N tJ 2: rn -.J (Il m :::E: ::0 (/) m 11 ..... c:: (/) 0 rt (/) (I) () n :e "'" 0 ~ z (Il 2: " 0 Ul ::0 ., I. (/) n, ;.:0 rt ~ 2: ..... 0 -l '?1 !:l Ul .\ 0 2: !2: ::c 0 () ~ (I) " 0 ;:r If , 1-3 ~ 11 ~ ::0 () 0 c:: ~ l~ 0 () ~ ::s (/) 1-3 Ul () H ," rt I };o 0 ,11 , r !2: 0 I. rn Ul ;:r X' 0 Ul u;:r .1:-" o:e .t>H State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63,101.73 ;::J:::: "3 11 0 } 0'1 I K...r WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ink co , . . . . , . . . . . . . . . . . . .. ........ .. ........ .......,... Owner's Name o HVAC 0 ELEC 0 PLUMBING 0 OTHER: Mailing Address Telephone ~ ~ ~ \\j~;$N$$.$.Y$QUfi(e.$J..................... Fuel Nat. L.P. Oil Elec. Solid lar Gas * Space Htg. 0 0 0 0 0 Water Htg. 0 0 0 0 0 * 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip. ......... ....:::;:;:;:;:::;:;:;:;:::<::;:;:::::::;. Infiltration control option is: 0 Full sealing ..... of joints. 0 Blower door test. 0 Exterior air infiltration barrier. ........................ ..... ....' '.'.'.'.'.'...'..................,...,........ .'.'.....' .. ",. ::PER_~.:Reql~smQ:::.:. Sq. ft. v.., SECTION o Zoning District(s) (6-/ 1;:~. ..ROJSC'!t@)) , ,.",.,.....',....................., Rear ..............'............................,.....,.",',', ,......,..................... ...........,..,.,..........., ..................."........ .........,................. .,...."......,.......... Setbacks .:..I~:$t..CltR~ New Alteration OAddition o Repair o Raze o Move Forced Air Furnace Radiant Baseboard or Panel D Heat Pump o Boi ler o Central Air Conditioning o Other o Other :Z:I..JNVQtY$.Q. .. Unfinished BasementM/'sq. ft. Living Area .I fl.f I Garage '1Z-e ............................... "..."...""."".,,"... . .......".............. "..."....."....... APPLICATION NO..;2 5~/!? PARCEL NO. Telephone ,T Lot No. S Left N, R E or W Block No. Right $ The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legalliabilily, express or implied, on the Dep ent or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT CONDITIONS OF APPROVAL /0 - 18-'1) This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. DATE o VILLAGE . CITY 0 COUNTY Municipality Number of o INDEPEND T Inspection Authority 20_2-& b ... Vf.~~.II~~~~:~~II'~~'~91~~~~............:::......... 07tp23NA~E~~ DATE 10 /1 t.f fer I :.2S""SO ........ ........... ....~yaL~'llmN:.:.:..:... Plan Review . . . sfLfo. 0 0 Inspection . . . . $ Wis. Permit Seal. $.30.00 Other . . . . . . $ TOTAL . . . $ ."f) .().c SBD 5823 (R. 8/9~~ 0 Construction HVAC o Electrical o Plumbing o Other CERT. NO. WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN -Inspector Municipality Number of Dwelling Location, if different ..........".. ."" .""..."......"...".. ."".. .............................,............,....,. .... ......".........."................".. . ....".. ."" ..u"" .""..."...".".. ..........................."....... .. .............,..............."... . .........."................... ...."..... ..." ."" ."".. ....,.,................... ..........,..,......... .. .. ......"".. PINK - Owner/Agent >( 1> DATE I 0 .f l.( /9 I NAME ~~ r:. ~t!A.- ADDRESS LOT "~t:, BLOCK ~';ARD /3 SU80IV. :t:o-y ~..cU_ ZONE STREET NO. Ira 70 /V~~g~ LOT DlMENS IONS SIDEWALK EXISTING . ~ YES 0 NO.QSJ BUILDING GRADE ELEVATIONS STAKES SET AT SITE ()J~ /0 ,19 Cf/ BY ~ -" FEE:'$~O I:}I f); ~ ~~.... - DEPARTMENT OF PUBLiC WORKS I, the undersigned, owner or agenT of the above described property agl"'ee to have the gl"'ade estabi ished betol"'e excavation has commenced. OO..'1.L1,~,O .\. ~,~':~', "jcI% t City of Oshkosh ,1/1/85 .. PARKLAND DEDICATION FEE COLLECTION RECORD Address It, 7tJ #~ d~ . Owner's Name rLl~1 ~ ~ Name of Subdivision ~V;C ~ . .. Lot # S-'=' B1 dg. Permit # d ~ fi I g Fee Required I I !1J-t).00 I 00 . 0 ~ I a;:: k7t' Date /0-/1.-9) 10 Jlft; /q I I I No. of Units Fee Paid Owner's signature Inspector's signature ~{~~ Date Parks Subdivision Improvement Accts. Rec.: 362-041