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Home My WebLink About0022393-Building ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 22'393 TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING jt!.- / FLOOD PLAIN HEIGHT :1- r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /752-#~4~ ~ /rr odv~ fI PLAN No.a,/01e:IIV91? ADDRESS DESIGNER USE/NATURE OF WORK 5t~ /;/Z ~ ~~A- BUILDING CONTRACTOR - ~~~ ~ Size. ~ 1 Sq. Ft. ;;2 '391/ # Rooms f?' # Slorle~ 2.-- Helght:J- '1 Foundation &rr Class of Const. ? Occupancy Permit ~ HEATING CONTRACTOR &U~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR /j(;.A~ Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR PI; _WC _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _ CBasin _BT _Lav _OF _ San. Sewer _Sink Other _ Eject _SS _ Storm Sewer _ Water _Ur FEES, Valuat;oJl1$7 v r;-I[)~lt Fee Paid $ .,;J. 1"2. . 5"0 ISSUED BY ~/. _~ ~~ Date Z/IR/91 f/' ' , Park Dedication $ J P tJ t ro Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE_~ 3/Sl1r AGENT/OINNER DATE ADDRESS TELEPHONE # ZONING/LAND USE COMPLIANCE CHECKLIST " I JOB LOCATION: /75L-- #~~ff~ /;?r!-S-O ZONING: I I PROPERTY~CONTRACTOR: 9~ b ~ CONSTRUCTION DATA: ~ CONSTRUCTIrn ADDITION Revised: 8/00 ~/( , ) ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) f1-Ud ~~/C cz;c;T~. 'f57')~4t r /~ COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT Use Lot Width Lot Area Floodplain Front Yard Side Street (f~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 . . Heigh~ // A'~' . REV'IEW AUTHORITY: Y ~cD ifhtI- ~tf' . The Director of Community Development, or de~g~e~: ~Jft 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) Maintenance Itemsi e.g. siding, 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 referral to'the Director of Community Development, or designee. ~PPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DEFICIENCY/COMMENTS DATE: Gr 1'0 ? Z-r Cf 91' /G-- State of Wisconsin Dcpartr,nent flf Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ink co . APPLICATION NO, 22 393 PARCEL NO. .. ... ....,...... ...... ... .......... .. ..... .. ......... ::ps8111l]leIIEsllII::: '."" .' ....... .- ........ ........ ............ ................... ...... ............ .................... .......... ......... 1Zl STRUCTURE Mailing Address o HVAC o ELEC 0 PLUMBING Telephone Mailing Address 1'0. 13 ?'I'f {}~& ;"3S-~ 5't If} :;;PS; f t1 ~ . ........... ',...... .... ............. . ........... .. . .. ..... ....... :'III~,lelllll'gl::" ,..... BU/7g;~~ ~ Zoning District Lot Area ;e.-I .1iJ::~laJ.C't " ,::, Rear ,T Lot No, 5D Left Z. 7 Ri9h~ 7 ~ ~ ~ :'J.;'}$N$I$M$aURCE::}}} ........... Fuel Nat. L.P. Oil Elec. Solid lar Gas * Space Htg. D D D D D Water Htg. D D D 0 D * D Dwelling unit will have 3 kilowatt or ". more installed electric space heating equip. :tt Infiltration control option is: 0 Full sealing of joints. 0 Blower door test D Exterior air infiltration barrier. N,R Block No. E orW o Other ...'.... .... ...' -... ~ Sq. ft. ;<39:;" Sq. ft. t'f52 _ _ Sq. ft. Living Area D 1-Story [it 2-Story D Other o Seasonal 129 Permanent o Other j1:;']I*j;~}:t .., ... ~ Municipal Utility o Private on-site Well Envelope BTU/HR , ",::, Infiltration BTU/HR 1:4@:g$mi.:'I,~gmlgolltI:I .... p r/tJ;OOO.O 0 $ Garage The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Munici rdinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express . lied, on t rtment or Municipality; and certifies that all the above information is accurate. DATE This permit is issued pursuant to the following conditions, Failure to comply may result in suspension or revocation of this permit or other penalty. ~ ............................. ............................. ............................. :1~'1I~"1,": o COUNTY Municipality Number of Inspection Authority :2~- v~ k ':""""""'PERMlTrSl""""':"': WISfUNIFORM"PERMIT' II'!'$$USf)::I::{J"ti::f$t!AIi:NOL':t:':: Municipality Number of Dwelling Location, if different Plan Review . . . $ Inspection . . . . $ Wis. Permit Seal(s) $ 30, 0 0 Other . . . . . . $ TOTAL. . . $ 70.DD SBD 5823 (R. 4/89) f)"7} 0 ~Hf@OSUing Jurisdiction Construction o HVAC o Electrical o Plumbing o Other 9/s-!tJ NAME DATE CERT. NO. YELLOIN - DILHR GREEN - Inspector PINK - Ownerl Agent <- , City of Oshkosh 1/1/85 " PARKLAND DEDICATION FEE COLLECTION RECORD Address /7 52- #~4 ~~ Owner's Name !l~ ~adt~ . Name of SUbdiv~sion ..I~~'. Lot. # 5"0 Bldg. Permit # 2-- 1- 3 q 3 J /tH>.{)-1) / frb . C)-t) No. of Units Fee Required I ,~ DATE 2-/! '1/9 f I , NAME 9~~~ LOT 'S 0 ~-:n,< t:2.~/!4 SUBDIV. ~Th eIr-,~' ZONE , I STREET NO. /7 ~2- 1I~'1iu- Lf ~ LOT D I MENS IONS SIDEWALK EXISTING '~~ES 0 ~O 14] 'I BUILDING GRADE ELEVATIONS STAKES SET AT SITE ~'l lIP ,19 ql ADDRESS BLOCK HARD /4 8Y IL ,j FEE:$10.00 ~~ DEPARTMENT OF PU8LiCWORKS I, the undersigned, owner or agent of the above described property agree to have the grade estabi ished before excavation has commenced. 004288 431/7 (l~X&;;;~) , ". .' ',. , .... i'. ,,... " ~ ~ WjEf~ ~!27 3~ I . to;;:2 !-tkVl-k-rs hie/.--. Dv. Lor 50 ~ ]I ~ ~J . . :~ :N :l::i ,.... ~~rJr.Q ~. :YYifJ.1. '0.01 $. B9"-<>f'-lZ"E. ,0. 00 to. 00 to. 00 1 o III " 110 " 109 . . IOS 501.01' . ClI;)'_ - _ _ to.ClI;):" rJfl.58 .--M.(t)~_ __. , ....:i~ a l ~ .. HI.' l~I.~ ~ ~ 8 '.. 't ~. ~' ! X, x ~' j'~ ,~. ~ g I ~ ; ~ ; I ~ ~d ~ : t ~~.~ : I' ~ ~ , ~ I ~ : I 8, ~ I r a, , , v I,ltt 0.'. It 't, 110.0" IIia..'S7 i~ i~ ''''I !~ R 8, 8 ~ ~ J? 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H!,(: 774.U'.;~.?Q.~p', .~y~@; ----~--------- :t- :lo. i~ ,iii UNPLArrED LANDS ~ ~ ~ A ~ ~ ...... ~ A t) tJ ....... ~ ~ V) "- I ~ .