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Home My WebLink About0018761-Building ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 18761 ~~P_E~ _ _ B:~~~~T~ _ C? _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~ ?:~ (_ _ _ _F~~~D_ ~L~I~ _ ~~~I~~ ~ _ OWNER ! 7& s;- {;J~h tU CL L /-e<L v.:s ee aJb, v C~le~ ~ ~l!)S:~~ CD~~d'IE'H PLAN NO. (Y:S -f??'~f ADDRESS DESIGNER USE/NATURE OF WORK A.J~ S f= t:.... tA..T1 .#I' &"''''-...1''' ( BUILDING CONTRACTOR 8;,e #il:::.~ ,'1. Ft Foundation .;z& a 2 Height '~ Occupancy Permit fr'-er/ HEATING CONTRACTOR J-I~ / Heat 0 NC 0 Vent 0 Fuel/System Heat Loss .BTU'S ELECTRIC CONTRACTOR C. U<A-< '~ Electric Servo New 0 Change Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR pcY~ _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _ L Tub _ Eject Other _ WSoft _DF _ CBasin _ San. Sewer ~Ur _ Storm Sewer _SS _ Water ISSUED BY ermit Fee Paid $ Date Co Park Dedication $ ./ t!1/ oJ Final/O.P. //-C:, ,- 9(3 ADDRESS City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /7~~~hJfI/S~f)y( Owner's N;me . , ~v..::s' t Name of Subdi vi si on J::,?C (oL~ ? 7( Lot # Bldg. .Permit # 1~?G:>f No. of Units /' , Fee Requi red iB-O I Parks Subdivision Improvement Accts. Rec.: 362-041 Fee Paid Owner's signature Inspector's signature JOB LOCATION: , Revised: 8/00 ZONING/LAND USE COMPLIANCE CHECKLIST 17 & !;: 1r2{r rp &L ~ f;V '5;r:> ~ PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: ~EW CONSTRUCTIOO ZONING: ALTERATION ADDITION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) j. J~ s;::[~ . 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 Height REVIEW AUTHORITY: ~~ . ~. /dJ )PJ r 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) Maintenance ltemsi e.g. siding, windows, etc., when the use is conforming and when no change is proposed. I ____,c L---." ~. AVt/f- L--- L-- l ...__-. t.-- tf__ L-- l-- /1}(4- L----- DEFICIENCY/COMMENTS 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 Plan Commission Action Required Variance(s) Required REVIEWED BY: DENIED (/.QJ/ ) m m r r ~I m < < ~I < ,- ( "S" / ) ...... r ,- '--" ~ " "--" ~- m ~, m r r " m rn < I ~/;I si1fr (J) ):.> to 0 (f) 0 (j)i t-< t:1 c ):;> l-f (f) ~- -i t:1 -< -I -i :r. tp m ;0 m 1"'1 m ^ txj. m 0 ::0: )> (f) -0 (f) t-3 t:1 (f) (j) r :c t:1 III )> .. Ro ;0 N t1 2: m -J (I) m :::E ::0 (f) 0'\ Ii l-f c:: ([) 0 rt (f) (J) () 0 :El Ro 0 ~ Z (I) 2: " (:) Ul ::0 -, I. (f) Oi :::0 rt ~ 2: l-f 0 -I- a Ul ... 0 2: !Z ::c . 0 () -i (J) , ; 0 ;Y " . t-3 Ii -i ::0 0 0 c:: I~ 0 0 ~ ([) t-3 Ul () H I" ., rt )> 0 \~ r !Z ,0 m Ul ;Y ~ 0 Ul ;Y .p... o:El .p.H e - ~7~ --S'70 State of Wisconsin Department oflndustry, 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. PARCEL NO. :..BIIIII:.'8.IIYI~q:::..:.'iili::..,.:: .......................... ::::::::::::::::::::::::;::::::::::::::::::: ..................... ..................................... ii.:';::: ~TRUCTURE Mailing Address D HVAC D ELEC D PLUMBING Telephone .... .. ...................................... .......................... ................................................... Mailing Address Telephone ........................ ".. ...................................................... ... ......... .. ................................ H~Il~~.!!~,!mrA~I~H.H. :H HH .H' . %, SECTION ,T lot No. '7 left . ~ Right ft. ( ft. { ~ 11;:$N$R~Y$QU..eJ;::}.t ..... Fuel Nat. L.P. Oil Elec. Solid lar s * N,R Block No. E orW ft. o Addition o Repair amp Forced Ai r Furnace o Radiant Baseboard or Panel o Heat Pump o Boiler o Central Air Conditioning o Other Space Htg. Water Htg. o 0 ODD o 0 ODD ....................... .:.:.:.:.:.;.:-:.:.:.:.:.:.:.:.:.:.:.:....... * 0 Dwelli g unit will have 3 kilowatt or more installed electric space heating equip. Infiltration control option is: 0 Full sealing of joints. 0 Blower door test. 0 Exterior air infiltration barrier. o Detached ......... .......... Basements 13g-y Sq. ft. Living Area zsoe Garage 19l- Envelope BTUlHR . Infiltration ~ BTU/HR ....................................................................... jl;';.l1tl.gl~IJ..'~llltrr .. ..... $/~ SIGNATURE OF APPLICANT CONDITIONS OF APPROVAL DATE Failure to comply may result in suspension or a,' ...................... .... I~ll o VILLAGE ITY 8~h~~~~ il."'::.::.':. ~J3. o COUNTY Municipality Number of Ins~tion Authority t' O_~ Le1 '_II;:.:il.I.:~I_~I~::::..::::::::.:.: ..... ..... ...... ....... .. 4p<~_.~({' ~~oLz.C? J{,~J:{O ( Municipality Number of Dwelling Location, if different Plan Review . . . $ Inspection . . . . $ Wis. Permit Seal(s) $ :3tO Other . . . . . . $ TOTAL . . . $ 7 V SBD 5823 (R. 4/89) 8oQ:Jo Construction HVAC o Electrical o Plumbing o Other NAME DATE gsC-&~ CERT. NO. WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent DATE ~j:/€<J ~. .. ~ .~ NAME ~~~ 7( I SUBDIV. ~KCb~ ~J ZONE STREET NO. /71,,<; ~~ LOT DIMENSIONS SIDEWALK EXISTING . YES 0 NO ~ SUI LDI NG GRAOE ELEVATIONS STAKES SET AT S ITE~ ~ 4 ,19 FEE: ADDRESS LOT BLOCK HARD I ~ BY ~."_ $15.00 ~~b h.~~ DEPARTMENT OF PUBLIC WORKS 04<1.60 41;4 ~'"o '. '-<''''"'-'~--~'T''-' c; 1\- Ih j ~\ , C>_ ! 0 ,of; i C'_ f \ I~, ! ! I I " I ! j I I I . I .' '",,*~--,"'~---"-'--,:- I 110-,1:'1 .. ! .. I I )f , , ~~ 1. 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