HomeMy WebLinkAbout0033741-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
11 ()
33741
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TYPE: BLDG % HTG D ELEC D PLBG D SIGN D ZONING tZ -/ FLOOD PLAIN
HEIGHT
ADDRESS
/fpJ>o /I~ ~ AlA .
PLAN NO.e/ ,~"'()~e:;.3~
OWNER
DESIGNER
USE/NATURE OF WORK Y1-UA.J~~ ~ ~~ .
BUILDING CONTRACTOR ~1-~~ ~
S;ze ~ Sq. Ft..;1.1 ~tJ # Rooms -.i' - 3&d Stones ~""...; He;ght
Foundation (?~. Class of Const. ~ Occupancy Permit
Z~I
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HEATING CONTRACTOR
.k3A.tA ~
. ~
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR &c~~~
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
~~f#
_WC
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_San. Sewer
_Lav
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
, "0
{f. 000, 0..::>
FEES: Valuation $ ~~~~r......Cl R Permit Fee Paid $
ISSUED BY ~:~.I~~ Date
I;,~O ,00
...pl't} . -- 0
s;j'/'73
Park Dedication $ It) () , t.? 0
Final/O.P. J).../ 1'1/93
(
In the performance of this work I a ree to perform all work pursuant to rules governing the described construction.
AGENT/OWNER
Sh I / ~
f rATE
SIGNATURE
ADDRESS
TELEPHONE #
#:S~ h ~
ZONING/LAND USE COMPLIANCE CHECKLIST
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PROPERTY OWNER/CONTRACTOR: .Atfj'~1 ~/..-/-
CONSTRUCTION DATA: ~EW CONSTRU~ ___ADOIT!ON
Jds LOCA T! ON :
Revised: 8/89
ZONING:
;2-/
.
ALTERATION
-!ARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. pool. sign. deck. e~c.)
h1MJ ~ ~~ d/l5?/.. Lt.u, ~ I" "7"l/ A1J - H.
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES OErICI~~T
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Stree~ (fralt yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per ,Fami.1y
Corner Lot
Landscaping
Transitional Yard
.
Off-Street Loading
Vision Clearance
Height
REVIEW AUTHORITY: V ~(V ~ ~" ".
The Director of Community Development. or des~n~. ~~ appro~ all plans. except the
following: (1) Altera~ions 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.
In~ances where work complies with the above criteria. the permit can be reviewed by the
Building Inspector without ref~rral to the Director of Community Development. or designee.
~PPROVED DENIED
Plan Commission Action Required
Variance{s) Required
REVIEWED B~ 4? ~7
I
OEFICIENCY/COMMENTS
S-/)/~7
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DATE:
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PAOFEFlTY LINE
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E I , ~t) S-93,;e
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
(See instructions on back of pink copy)
ApplICation 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
337Y/
Parcel No,
I:!.II:,I'I~IIII~I!:IIIII~I~.II'.I:IIIII,:II
Owner's Name
Mailing Address
o Plbg1roSio~___D~:_~~r:
Telephone No. (include area code)
onstr 0 HVAC 0 Elec
Co~n!ra/.ctor:s Nam.:,- L::J At L 4 _ _ L.. Mailing Addqm /7 .J
"'- .., ~ ~ CoP- ~ -z..-7" () h.J, "'/:::.::...- /CA /Y AJ ~A .,L /
I'I:,:I:!I"III,I!III'II.IIIII~II!:I! LotArea SQ. h. 1/4, 1/4. Section
Building Addr~ss Subdivision ~ame Lot No.
1'17J .//.-r: A N'/.. LJA.. ~~~ ~ '$~
Zoning District(s} I Zoning Permit No. Front Rear Leh . Right
12-1 Setbacks ~o h. (PI h. 9 h. 9 h.
ifO;]m.JEnt:::::r:tmi:imi::tt::m:(:r:tt:rfH'l@:o.e(to.p~i:H~6.rrEtEetm..tttH:9.kHfiA.ttEMJ.pMENt:r:m;;d:2UtINERtiiiHiUjjRterittt::mm:m:::r:::t:m:t~~tt~::
iX'New 0 Repair 1XSingle Family Entrance Panel ]{Forced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
TIAlteration 0 Raze /[i1-wo Family Size: /(1,0 amp IDl{adiant Baseboard or Panel Gas "
o Addition 0 Move 0 Garage . ~serv~ice: 0 Heat Pump Space Htg ~ 0 0 0 0 0
o Other (print): nderground 0 Boiler
o Overhead 0 Central Air Conditioning Water Htg . ~ 0 0 0 0 0
~::::mf:m=:1s.@::a~#.1t::~a$$.I:t(l~dtijt\\U,p.H:r:::~f
o Private On-Site Well $
Telephone No. (include area co~e)
T
N, R E (or) W
Block No.
o Other
Living Area ;;"'/'10
~7~
01- Story
Sq. h. D2-Story
Sq.h. ~~~
R(Plus Basement
Garage
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 legal liability, express or i~ied. on the Dep~en}or municipality; and certifies that all the above informa~i~n is o/furate.
APPLICANT'S SIGNATURE ff'-..... 1/ J/f DATE SIGNED <~/ 11 /93
This permit is issu~d pursuant to the following conditions. Failure to comply may resultin suspension or
revocation ofthis perm it or other penalty.
APPROVAL CONDITIONS
...-,.................. .............
r~::ils.UfN:G:::::))::;::::::::::~:::)::::::~::: 0 Town 0 Village ~ity 0 County 0 State of: Municipality Number of Dwelling Location:
111:i!~i~~~I~~i~111'lliillill ~ ~ ~ ~ ~ 2- Q - Z- ~ k
Plan Review $ yo. ll-:) ~onstruction ~" ./ p
Inspection $~ 0 HVAC Name:;___ J~-'-:.I4""- ~- ../
WIS. Permit Seal 3~. 0 .~ 0 Electrical /2,11- (P 00 r- .
Other 0 Plumbing Date
~D rosion .."r; V"t""-:O.
Total $ ,0. O'() Cert, No. .;--,:) ~
SBD-5823 (R. 07/92)
WHITE -Issuing Jurisdiction
YELLOW - DILHR
GREEN -Inspector
PINK - Owner/Agent
BUILDING GRADE ELEVATIONS STAKES SET AT SITE ~/~
C:
NAME ~f~
- -
LOT S 5>
SUSOIV. ~ ~
STREET NO. --~ P;; d:.-f
SIDEWALK EXISTING YES
FEE; $15.00
"!.. ~
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CATE
ADDRESS
BLOCK
s-/d9 3
----
/-=l
T..iARD
ZONE
LOT DIMENSIONS
o NO [11
'7
?3
BY ~__
(l
,19
~~
~ '0 PARTf.'ENT OF PUBLIC WORK,
I, the undersigned, owner or agenT of the above described proper~y agree ~o have the
grade eSTabi ished before excavation has commenced.
0..0 ,t;. .., :.1.....4
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1~1
City Of Oshkosh 1/1/85 ~
PARKLAND DEDICATION FEE COLLECTION RECORD
Address IhPb 4~~ C
Owners Name ~u-t{ Jeu ~
Name of Subdivision .5o--y ~
Lot #
56
Bldg. Permit # 337~/
Fee Requi red
I
/00 -0 ()
No. of Units
10D. ()~n I
Owner's signature -Y L- - ~
Inspector's signature ~~
Fee Paid
Date
~~I /ct5
I '
--S/(p 193
Date
Parks Subdivision
Improvement
Accts. Rec.: 362-041