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Home My WebLink About0018456-Building ~.~.\ . ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 18456 TYPE, BLD~TG 0 ELEG 0 PLBG 0 SIGN 0 ZONING l'i-- FLOOD PLAI~EIG~ .. --- ---... - - - - - -... - -- -... --.. -..... --...... -....... --'" --'" --... --.. --.............-.. --- --... -- --..... DESIGNER PLAN NciJ.4 c.hr"'~?~1< ADDRESS OWNER USE/NATURE OF WORK /lP~ , ~t> ~/ ;If{- f a"./o,. - BUILDI / # RoomsYf) ~ Stories Class of Const. fi!=- / HeightfE' f ~ Occupancy Permit '~-tJ HEATING CONTRACTOR j/j.a:J~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S Electric Servo Type _ Volts _ Amps_ ELECTRIC CONTRACTOR Fixtures New 0 Change 0 Switches Receptacles Circuits PLUMBING CONTRACTOR Waz~.' _Sink Other _FDr _ L Tub _DW _SP _ WSoft _DF _ CBasin _Lav _WH _Sh _Disp _BT _ San. Sewer _WC _Ur _ Storm Sewer _ Eject _SS _ Water ISSUED BY Date ,.,...- Park Dedication $ . /0"0 Final/O.P.. SIGNATURE II work pursuant to rules governing the described construction. ~~~ ADDRESS TELEPHONE # Q:.. APPLICATION NO. State of Wisconsin Department of Industry, Labor I;) Human Relations Division of Safety & Buildings ,Ej.DX 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION 'See Instructions on back of ink co ~TRUCTURE D HVAC Mailing Address PARCEL NO. BIINUJfBlglgs.~'::".:,.:m: D ELEC D PLUMBING Telephone Mailing Address Telephone ........................................................................'................................. .HU.................. ........... ............ . ........ ....... . ..n' . ..... RS<>JEGttEQOAl]oNi:: ....................................... .................. .. ............ ....... ................. .. ............ ....... .......... .......... ............ ....... ......... .......... ............ ....... ................... . y." SECTION ,T Lot No. ~ Left IL ft. (L U:l~;/ENEA$Y$QQ$O'$:U Fuel Nat. L.P. Oil Elec. Solid lar s * N,R Block No. E or W .................................. ....................... ....................... .................. .. ............................................. .......~..................................... ............................................................................... .......................... .. ................. Right It. ft. ed Air Furnace adiant Baseboard or Panel o Heat Pump o Boiler o Central Air Conditioning o Other jQ;pijpMP~NG/r: Space Htg. 0 0 0 0 0 Water Htg. 0 0 0 0 0 * 0 Dwellin 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. Basements Sq. ft. Living Area ~ Sq. ft. Garage ~ Sq. ft. j:,l;Qt;A1t'tQ$$G~@)'M~4} Envelope ~3c:;.r BTU/HR Infiltration ~ ~DO BTU/HR 11;g~jj~.j\eQ~QQ~T.:/: $ The a.pplica.nt a.greestocorTIply with the Wisconsin that the issuance of the permit creates no legal Ii accurate. SIGNATURE OFAPPLlCA~T CONDITIONS OF APPROVAL his permit is issued p rsuant to the following conditions. revocation of this permit or other penalty. ................................................... .................................................... ..................................................., ~'~~~'ilili!........ ................................................... . ..............~..........................,......... ... ........................................... ..... o COUNTY Municipality Number of Inspection Authority O-?::.-k ,~,. ~W~rUNIPORM:~PI$RMIT:. .:.:.:.:...:.::.:.:.~~~:.:..1S':...:6.:.:.:.:.:.:-:.:.:.:':':':':':':"':':':':':':':':':"':':':':':':':':':':':':':':':':':':':':':':':':':':':': ::::$SAtHOF:ij~R~~~(;W;P.X~::/ Municipality Number of Dwelling Location, if different .,.". .".,.,..,.......................... ............................................ .. ..... ."..... ...... ......... . ...................,...".... . .........""......... .. .............. ... DATE Plan Review . . . $ Inspection . . . . $ Wis. Permit Seal(s) $ ~ Other . . . . . . $ TOTAL . . . $ SBD 5823 (R. 04/87) Construction D HVAC D Electrical D Plumbing D Other NAME WHITE -Issuing Jurisdiction ~ CERT. NO. YELLOW - DILHR GREEN - Inspector PINK - Ownerl Agent City of Oshkosh 1/1/85 ,~ v Address PARKLAND DEDICATION FEE COLLECTION RECORD ~f=/;"e Owner's Name _ ~ Name of Subdi vi si on .fr:crL:{" ~ ~ Lot # k ~ Bldg. Permit # (- /O/fY Cl2 Cl... 1/ / I ~~~~ , No. of Units Fee Required Fee Paid Date Owner's signature Inspector's signature Date Parks Subdivision Improvement Accts. Rec.: 362-041 ~-~---..-'- " DATE 4('24 he; t ( Nl~ME ~tA/l-l2 -.J-~e..4 (p "'I. BLOCK Y:-o:vSw:/",1E-~ W~ONE STREET NO. I~ 7/ . 1I:b~. H- . . . LOT DIMENS IONS {; \.J.:..;.;J.I -~ I I}<., 0 ~ SIDEWALK EXISTING ---"'<"T. ~ . r YES t~O ~ ADDRESS LOT HARD SUBDIV. , 19 BY BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE, ~ &~P 4Vft t 04140 DEPARTMENT OF PUBLIC WORKS . /<:::" ~ , ee to have the I, the undersigned, owner or agent of the abov desc grade establ ished before excavation has comm ced H'<1' :::0 (!I \ UJ '\ Z ....J H ..I 0 <C +J H U Ul .rd I E-l U) s:: u 0 0::;. ::> 0 u p:; l- II H E-l .c 0 U) I- u 0 :-.c Z z 0 ~ Ul Jj I- 0 ...... z ::J cr: 'e) (I) ~t p:; Ul C> .. Z 'I Q) Z ~ 0 ~ ::: e) u U) (I) +J 0 U) ::> H \0 U) p:; 3: UJ Q) r-- w z ..Q N 0:: i~ .. <C (1j Q , :c ....J (!} (f) Q E-l U) CL U) <C 'p:; 0 UJ 4~s r:<1 ~ tiJ w W 0:: UJ ~ :c l- I- >- Q I- .~ cn ...... <1: ::J Q !(!} 0 (I) 0 ~ -:{ (f) ,~ /0..5/ > UJ UJ ,. ....J ....J LU UJ .f\. .'-' '-... .--... ~~ , > "- UJ ~ ....J ~ w --' '-'" l~ ( /~/ ) ~~ ~~ \ ~ ~ ---' I~ > W ....J W t /t?5/) ~ > UJ .-l 1.1.1