HomeMy WebLinkAbout0034753-Building
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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110
34753
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ADDRESS /"9 I }/A.b?t~,~ JJ4 .
OWNER 9~ ~
DESIGNER
USE/NATURE OF WORK J1h.J A1Jt:- ce~ ~ -
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PLAN NO.']) I I' 0 t) 7q 3K.-
BUILDING CONTRACTOR ~ -8&#~ ~
Size <y.~. Sq. Ft.";; I Sl( # Rooms 9' 315d # Stories
Foundation ~. Class of Const. R
-7 ..,. L /
<--- Height <::--6
Occupancy Permit 7,
HEATING CONTRACTOR {2~ 6.u..4.-1cfij
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR C!t44?'f ~
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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_BT _WH _Disp
_Lav _Sh _OW
_WC _FOr _SP
_Sink _ L Tub _ Eject
Other
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
FEES: Valuation $ J It}; OnD. 0 0 Permit Fee Paid $
ISSUED BY ~ 1~.LA.I"'3~ Date
..
/
30~.00/
7/0/93
Park Dedication $ / dO · () 0
Final/O.P. I~? /13
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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1'-9-93
SIGNATURE
DATE
ADDRESS
TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: /h 9/ 4A'<?'1 U~ /-ib--n 4A <
PROPERTY OWNER/CONTRACTOR: ~..#'~ 4fd;LLL~~
CONSTRUCTION DATA: ~EW CONSTRUcr.KN ADDITION ALTERATION
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Revisai: 8/89
ZONING:
(lr(
~ARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (frcnt yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per F ami.l y
Corner Lot
Landscaping
T~nsitional Yard
Off~Street Loading
Vision Clearance
Height
~ ~ 'ItA)
The Director of Community Development, or designee, must prove all plans, except the
following: (1) Alterations or interior work when he use is conforming and when no change
in use is proposed. . (Z) t-1aintenance items,. e.g. sid.ing, windows, etc., when the use is
conforming and when no change is proposed.
Instances where wor\{ 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.
t ApPROVED DENIED
Plan Commission Action Required
Variance(s) R.eqUired ~
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REVIe... AUTHORITY:
DEF1Cl~~CY/COMMENTS
1/8/n
DATE:
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JACK GRIFFIN BUILDERS, INC.
10 Hilltop Court · Appleton, Wisconsin 54915 . Phone 414[130-2988
PloT PLA N
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L oT # 66
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JACK GRIFFIN BUILDERS, INC.
10 Hilltop Court · Appleton, Wisconsin 54915 . Phone 414/730-2988
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Wisconsin Department of Industry, WISCON SIN UN IFORM Application No~ .
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Labor and Human Relations BU ILDING PERM IT .3
Safety and Buildings Division
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statutes 101 .63, 101 .73 (See instructions on back of pink copy)
...............................,........................................ l2!constr
......IEINtI1n\SlmSsr:&tr.......... 0 0 0 bg~OSiOn 0 Other:
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~ner's Name If? ffi 1 Mailing Address Telephone No. (include area code)
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C'?!a~t~'s N;q: ./~ ,~. #"/~,1/A. Mailing Address . t'_'J /I~- ~ /.~ Telephone No. (include area code)
- oAld~ k!A' :>'#1( ~ /' 73tJ.-7_QgP
.:.:::IIII!II~:II.III!~:I..!!! Lot Area 7 , ,
Sa. ft. 1/4, 1/4, Section T N, R E (or) W
ibd9iA~SS U/. .nA SUbdi;r;;a~ Loth' Block No.
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Zoning District(s) I Zoning Permit No. Front Rea~ Left l~ If Right ( , fr
,€ I ::2- ~,..-- I 7 7 ~
- Setbacks ft. ft. ft. ft.
%,m::Iln:JE'ltmmmmrrrrmf::f:::rrrrrm:m:m: tfl.ili:mt1leuPAf.iW::: WNmEtECTmGAt:mt:: t!!Ui$YACf!1l iUlPMIN1i:tt:::,: ,:lilifENERG:f::MjXJ]tatr::m:t::m::'f::m:mmff:f:t:f:m
~~w 0 Repair ~~ngle Family Entrance Panel ~~rced Air Furnace Fuel Nat. L. P Oil Elec. Solid Solar
Iteration 0 Raze wo Family Size: ::a.Dt> amp adiant Baseboard or Panel Gas *
0 Addition 0 Move o Garage Service: 0 Heat Pump Space Htg 'Si 0 0 0 0 0
0 Other (print): ~underground 0 Boiler lsr 0 0 0 0 0
o Overhead 0 Central Air Conditioning Water Htg
0 Other 0 Other * 0 Dwelli g unit will have 3 kilowatt or
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::.....;::::;........' .:.::.it:::::::.::.::. ':::::: more installed electric space heating equip.
~ite Constructed ~ncrete ::~jP.4:~:::itylmNI.:::::::::~:::~:::~:~:::::::~::::~I:~:~::: Infiltration control option is: 0 Full sealing
:::!~>ArmAtlNV:OtVltit//t/:>:/// o Manufactured asonry Sewer of joints. 0 Blower door test. 0 Exterior
0 Treated Wood air infiltration barrier.
Unfinished Basement /f~3Sq. ft. '::$WIS.f.URll$.}:::::~::}}@} 0 Other ~uniciPal ::tt::t:'1a~:::,al*m::t.I"'}:tq~Jf.ijhU~k:::'~::::t
o 1-Story H8V:USet,t:::J:tttt:t:rr eptlc
;)../ 5Y Permit No. Envelope .:l U nt:J I BTU/H R
Living Area Sq. ft. ~,Story 0 Seasonal :::~:n:::W#.iJgt:I:m:m::::I:m:::::m:::::m:}}:II '3 .., ~A
5"71.../ ~ermanent Infiltration c::J BTU/HR
Garage Sq. ft. o Other ji%:i$ta.'i.bJ)jNJ;:IO$'~:::::::::::r:::rrm::::::~:::::I::
o Other ~unicipal Utility
I~us Basement o rivate On-Site Well $ I ~I). OrJn i"J1)
The applicant agrees to comply w.th all applicable codes, statutes and ordinances and with the conditions of this perm it; understandsthat the issuance of
the permit creates no legal liability, express oJ!~d7te D7J:71~n~cipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED 7- Cf- '75
APPROVAL CON OITIONS This permit is issued pu rsua nt to the following conditions. Failure to comply may resu It in suspension or
revocation ofth is permit or other penalty.
....................,................................................. Town 0 Village ~ City
. ....... ................... 0 0 County 0 State of: Municipality Number of Dwelling Location:
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Plan Review $'f./.c;, {'} 0 gonstruction ~J~~
Inspection $ VAC ?J.f(p 7Jf Name
Wis. Permit Seal $ 3D, 0 0 0 Electrical I 1!7!rJ
Other $ o Plumbing Date
Total $ 70 , 00 ~rosion Cert. No. ~ ~ S"""e>
'D f \10 C>793 R.
SBD-5823 (R. 07/92) Il 0
WHITE -Issuing Jurisdiction
YELLOW - DILHR
GREEN -Inspector
PINK - Owner/Agent
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LOT 0 " .
SUBDly~q'dL?J~ . .
STREET NO. if/?/ ~
SIDEWALK EXISTING ' YES
NAME
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
FEE: $15.00
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LOT DIMENSIONS
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ADDRESS
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ZONE
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DEPARn.~ENT OF ?Ua Lie WCKKS
I, the undersigned, owner or agen~ of the above described proper~y agree TO have the
grade eS~aDi ished before excavation has commenced.
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City Of O~hkosh 1/1/85
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PARKLAND DEDICATION FEE COLLECTION RECORD
Address I~ql )/~~ LJ.Luv Dt-.
.
Owners Name ~<.. _~~ ~~A~
Name of Subdivision ~~ ~
Lot # Iora Bldg. Pennit # 34-7S""3
No. of Units
,
Fee Required
100.0<:)
Fee Paid /00 ~
Owner's signtture ~- .2, .
Inspector's signature ~~//~
Oate
Oate 1/ t/13
Parks Subdivision
Improvement
Accts. Rec.: 362-041