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HomeMy WebLinkAbout0018454-Building ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION A~D RECORD 18454 TYPE: BLD~~TG D ELEC D PLBG D SIGN D ZONING (? , FLOOD PLAIN ~.HEIGHTIlj# - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -, - - - - - - - - - - - - - - - - - - - - - - - - - I i OWNER I 7 ~ -4 /1)~ ',N..I, .J.c, '( <:;r e o-J~ ! ~~ h9i PLAN No.tJ--i"'7/- A./pok ADDRESS DESIGNER USE/NATURE OF WORK A 9~A!^-" , - ~~~7 #~ 6-c.r-, --- Size ('f-~ # Stories Class of Const.; (f' '2- Height ?:? ~~.~ Foundation Occupancy Permit HEATING CONTRACTOR /Ll~/ , Heat D NC D Vent D Fuel/System Heat Loss BTU'S Q " ELECTRIC CONTRACTOR-V-.~ Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR d/l.;; ~ - _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _ CBasin _BT _WH _Sh _OF _ San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water it Fee Paid $ Park Dedication $ Final/O.P. /0(5) , ISSUED BY SIGNATURE 0" pu",u.nt 10 cu'es governing Ihe desc"Oed constCU"4 h Lf~ / ATE ADDRESS TELEPHONE # Address PARKLAND DEDICATION FEE COLLECTION RECORD w&tk Owner's Name City of Oshkosh 1/1/85 Fco,c f~--e -- 1-' Bldg. Permit # I fl-lf~-r Name of Subdivision Lot # -<17 No. of Units ;I Fee Required Fee Paid Owner's signature Inspector's signature Parks Subdivision Improvement Accts. Rec.: 362-041 6.y -? -A(9ol?- .................... ........ ............ ......................................... .................... ..................... .................... ..................... .................... ..................... ................... . ..................... .. .-................ ..... ................ .................... ..... ................ WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ~TRUCTURE 0 HVAC Mailing Address APPLICATION NO. State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 PARCEL NO. o ELEC 0 PLUMBING Telephone { ~se Contractor's Name Mailing Address Telephone ...........................................................-....... ................... ..................................................................................................................-................... .................. ................................................................... .111~.I~lllllrn'IN,;"",.:.:.{ %, SECTION I ,T Lot No. N, R E or W Block No. Rear Left ft. Oil Elec. Solid olar * D D D D D D D D D D Basements ..............,.,...............,.,. ...:cl!iI#ijl~~~l:'lS.). 00 BTU/HR BTU/HR Living Area Garage SIGNATURE OF APPLICANT CONDITIONS OF APPRQVAL DATE Failure to comply may result in suspension or '~4 ..,............................. ................................ .. ............................. ~!lrill~iBi: o COUNTY Municipality Number of I nspection Authority Municipality Number of Dwelling Location, if different ..,......,.,....,..,...........,................,.........,....,.,..,.,..,.,."......,.,.......d.............,.".,.,..,.,.. .d.............,................................................................,...'.........'.,..,.,..,........................... ~E~Mj.SSUtiOBYf}r})...:..,:.........,. .......,...... . .'.............'..........,.,....'..".......,...............,........-..........,..................................,... ......d....._.... Plan Review . . . $ Inspection . . . . $ Wis. Permit Seal(s) $ ~ Other . . . . . . $ TOT AL . . . $ 7'0 SBD 5823 (R. 04/87) /Df). Construction HVAC o Electrical D Plumbing D Other NAME /!-I!r,.. bo<"l {'(: rJ../ -~~- ?,O ~~,y'O DATE CERT. NO. WH.ITE ':".Issuing Jurisdiction YELLOW - DILHR GREEN - fnspector PINK - Owner/Agent ". 4h-<lff) ~ DATE ~. f2 voSe' { NAME 7 <P~ ADDRESS LOT 47 BLOCK HARD SUBDIV. ~.,:~ ZONE "- STREET NO. /7(.,1 tJ~lJc.15{:'(..rf!'P tUvL-OT DIMENS !Ot:JS SIDEWALK EXISTING yfs 0 NoB BUILDING GRADE ELEVATIONS STAKES SET AT SITE ~!~S, 19qO . l BY 'y<'t,J FEE: $I~ G~ ~~.v DEPARTMENT OF PUBLl C WORK~. &.. 04\143 p.rope.r~. e to have .,he r;'~ , . t/~ --1 t I, the undersigned, owner or agent of the above ~escrib grade establ lshed before excavation has comme ced. 4z"t-1 I t..j -t ~4? ~. ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: (7(..,"; ?Val. ~".t~r<:rf" r-t;b/ PROPERTY OWNER/CONTRACTOR: ~~ CONSTRUCTI ON DATA: ~EW CONSTRUCTI~ Revised: 8/00 ZONING: ADDITION AL TERA TI ON PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. pool~~n. deck. etc.) . AJ~. ~~. ~ .;#/-~_ . 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 V-' Height ~ REVIEW AUTHORITY: ~ . ~hflC) ~1e The Director of Community Development. or designee, must 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) t4aintenance Items.. 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. ~ APPROVED DENIED Plan Commission Action Required Variance(s) Required J-----. . ~. l--- /I..P / JI- t..-- ~/I- , e..---' L--? 1..---' ~~ .~ L- /U i/[I- REVIEWED BY: DEFICIENCY/COMMENTS DATE: ~ rn r rn < L ~ I < ( /3~/ ) m r m < m r m < ~ I; (d~/ ) r --- \n ~ ~ ~ m ~, r ~ m "- ~ < '--'" '-, ~ '{ ~. 0~ m rn "\. r ~I r m rn < /:JS / siWT. CJ? ):.- tJj 0 (/) 0 G1i ...... t:1 c ~ ...... (fJ ~: ~ t:1 -< -l ~ :r. 01' m ::u m fT1 m 7' tx:J. m 0 ~. ):> (/) -0 (/) t-3 t:1 (/) G1 r :r. t:1 PI ):> .. Rei ::u N tJ' z m -...) CD m ::E: ~. (f) 0'\ 11 d (f) 0 rt (/) Ul () 0 ~ Re 0 ::r1 z CD z " C> Ul ~ '. I. (/) OJ ;u ~ ~ z ..... 0 -l Ul .~ 0 z Z. ::r.:: 0 () ~ Ul 0 ::r If , t-3 11 ~ ~ 0 0 d lp 0 0 ::l (/) t-3 Ul () H I" rt ):> 0 \~ r z :0 m Ul ::r X' 0 Ul ::r ~.. o~ ~H