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Home My WebLink About0028263-Building "'; :3 CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECOR,D 28263 ~ ~PE~ _ _ BL~G ~_ ~T~ 0 _ ~~EC _ 0 _ PLBG _ 0 _ SI~~ _0 _ ZO_NIN~_ t!~ ~ _ FLO~D ~LAIN _ _ _ _ _ _ H~'~~T_ _ _ _ _ ADDRESS /7 0) ;{~~.h~ OWNER Ed i ~ ..J-~ DESIGNER USE/NATURE OF WORK 51...MA) ,J ~~ ~ ,!tdA.. . , PLAN No.A/sJ'Iq~~ ; ., BUILDING CONTRACTOR ..<:Y. m.. ~~ ~ Size \~ Sq. Ft. ~I '1'1 # Rooms Cf.-3/3...u1 Foundation ~. Class of Const. # Stories ~ 2-- Height;2 ~ Occupancy Permit I&.g . HEATING CONTRACTOR L3~ Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 8~- Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR r _BT _WH _Disp _Sink _FOr _ L Tub _DW _SP _ WSoft _DF _ CBasin _Lav _Sh _ San. Sewer _ Eject _SS _ Storm Sewer _ Water _WC _Ur Other FEES: Valuation $ '1 C{{) Ce. 0 q Permit Fee Paid $ ISSUED BY ~ ~-'.l./~ Date ~l() r:5: 0 c '1/1-i'J-v Park Dedication $ /00. 0 D Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE;:1f~ ~. . </-d%:~9cf- AGENT ER DATE ADDRESS TELEPHONE # JOB'LOCATION: 170 I ~ROPERTY OWNER/CONTRACTOR: ZONING/LAND USE COMPLIANCE CHECKLIST #~ tzlv1- Eh//t- <-- LI>n.-p~ Revisa:1: 8/~ ZONING: 12 ---f fT CONSTRUCTION DATA: ~EW CONSTRUcrKN ADDITION ALTERATION ___P~RKING LOT TYPE OF PROPOSED CONSTRUCTION: (i. e. fence, poo 1, sign, deck, etc.) J?~,rA) ~~/L ad. ~. 0io~,;k-, . COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY/COMMENTS 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 Family Corner Lot Landscaping Transitional Yard Off-Street Loading Vision Clearance Height *' I _ ~. /. / /j / L 'l."f} REVIlEW AUTHORITY: _- =~, vv The Director of Corranunity Development, or desi ee, mus approve all plans, excep(the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) t4aintenance items,. e.g. sid.ing, windows, etc., when the use is conforming and when no change is proposed. . J^.......... Instances where worK complies with the above criteria, the permit can be reviewed by the Building Inspector w~efe.rral to the Director of Corranunity Development, or designee. . APPROVED' DENIED Plan Corranission Action Required Variance(s) Requir. d REVIE1AED BY: L---- " ~ ., ~ 1 I I I ! I I 1 ~ 1 ~! , L ~l ()., .J! V1 1 I "t. State of Wisconsin Department of Industry, labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63, 101.73 AI 58' Y92-K WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ink co APPLlCA TI~'N No.N 2.. ~ PARCEL NO. ............................ ............................ . . ...........,.............. ... ... ....................... ... !!!~~~!~lqll.Q' D HVAC D ELEC D PLUMBING D OTHER: Telephone ,T lot No. N, R E or W Block No. left ft. Right y? ft. ~ :l~_r:];N$AIY:~$QQ:RC$~j:j ~<):<~:::/:::::::::.:.: Fuel Nat. loP, Oil Elec. Solid lar Gas * Space Htg. D D D D D D Water Htg.gJ D D D D D * D Dwelling unit will have 3 kilowatt or . more installed electric space heating equip, : Infiltration control option is: D Full sealing of joints, D Blower door test. D Exterior air infiltration barrier, ft. ;g) New D Alteration DAddition D Repair D Raze D Move Entrance PalJ~1 Size: ~6o amp Service:. DQ Underground D Overhead 4. CONst. TYPE 1:. Fa"MCAllON ;gJ Site constructed 81 Concrete , D Manufactured D Masonry . D Treated Wood , D Other ~ Single Family D Two family D Garage D Other ~ Forced Air Furnace D Radiant Baseboard or Panel D Heat Pump D Boiler D Central Air Conditioning ~ D Other D Other Unfinished Basement~ Sq. ft.$.~$t(U{.~$II 9',/dd S ft D 1-Story Living Area ~ il q. . ~ 2-Story Garage 6"?O Sq. ft. D Other ..s............us.........e.................... . .... ........ . ..... .. ...... . .... ......... ::.. ..~::::;::........ .....: :::::::=:::=::::: 1[Q;:R'QMQ~"QH ...... Sewer "g] Municipal D Septic Permit No. .................... ..................... .................... ..................... . . . . . . . . . . . . . . . . . . . . ~:Z~:AReA...iI\totWb'!:.......... D Seasonal 18l Permanent D Other 1'1;W.1'EIt,.:>>:..."..."", ~ Municipal Utility D Private on-site Well $ 'gf Plus basement 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 implied, on the Department or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT CONDITIONS OF APPROVAL DATE ?:d/ /for Failure to comply may result in suspension or 77-- ....................... .... !1~'MIT~ii~.~i:: D COUNTY Municipality Number of Inspection Authority 2f2-L0~ ,,~~~_~_~~I~;~~.~~~~~!~:~~f: .... .. Municipality Number of Dwelling Location, if different ................................... .. ................................ ............................ . ........................... ......................... ..................... .................. ..................... ....................... ..................... ...... '". ...... '," ....~. ..... Plan Review . . , $ Inspection . . . , $ Wis. Permit Seal, , $ Other . . , . . , $ TOTAL . . . $ 0 ,0 SBD 5823 (R. 8/90) q <f/<:' WHITE -Issuing Jurisdiction 'D 1 ~r NAME ~~-';:~ ;2 $""~O DATE CERT, NO, YELLOW - DILHR GREEN -Inspector PINK -Owner/Agent "'-. .".. ~ DATE tf!2, f/c; Z- LOT . I-/;)n,. ,(i,~ to? YMc ADDRESS NAME S LOC K ~.IARD /3 ~ ZONE . ,& STREET No./7ol AI~~~ ~OT DIMENSIONS SIDEWALK EXISTING YES 0 NO (2 BUILDING GRADE ELEVATIONS STAKES SET AT SITE ~/7-A-l; 2a,19 92- FEE: $'tO':-e{) $1S:d' ~~ 4u~ . DEPARTMENT OF PUSLiC WORKS sueDIV. BY~ I, the undersigned, owner or agenT of The above described properTy agree to have the grade eSTabiished before excavaTion has commenced. _\ oo.a. ~29 ''''''''' .,~ '-'!'.WJ F_ 1;hi City Of O~hkosh 1/1/85 ~~ . ~.., \ Owner's signcture Inspector's signature Date Date t./lu-;h-z-- Parks Subdivision Improvement Accts. Rec.: 362-041