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Home My WebLink About0020755-Building ~. CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 20755 TYPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING 12-1 FLOOD PLAIN HEIGHT ADDRESS /7 fiR 7dJ Wd-A. ~ ;;/7 OWNER ~~ j~ DESIGNER PLAN NO. P9/S7/09() /Z.. USE/NATURE OF WORK ~./A.I .s F /C ad' 4~. e BUILDING CONTRACTOR ~ ~ 1> ' 3B~ Size /12 G, Sq. Ft. ")..Q iff # Rooms ~ 9 # Stories J> / Height Occupancy Permit ~t Foundation Class of Const.. HEATING CONTRACTOR ~~ /?? Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ Electric Serv. New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits / /.'/ r PLUMBING CONTRACTOR ?~ urv _BT _WH _Disp _Lav _Sh _DW _SP _ WSoft _DF _ CBasin _WC _FDr _ L Tub _Ur _ San. Sewer _ Storm Sewer _ Water _Sink Other _ Eject _SS ~37- So j ol/~/9o Park Dedication $ /0'. PO Final/O.P. ISSUED BY Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE /o-/f- eta DATE ADDRESS TELEPHONE # ,w k;r f\J Vi 8 \...r 6' -b>b . C/) 0 J 17 iif' NM -w'd ~ nJi Jcr;c ~ )/J-t-t/' ~, 7J-L/7 Revised: 8/00 ZONING/LAND USE COMPLIANCE CHECKLIST JOB LO~ATION': /71 S- lrJd &Ja-d ~ m.f tlhZ?- lONING: 1--1 PROPERTY OWNER/CONTRACTOR: .it ~ II.:zA.~ CONSTRUCTION DATA: ~EW CONSTRUCTION ___ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) S ~ t<. C2A5?I- ~-<- \ COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT Use Lot Width Lot Area Floodplain Front Yard Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area h'.~ ~. ~ .J2.X zz... G~A- Lot Area Per Family Corner Lot Landscaping Transitional Yard Off-Street Loading Vision Clearance . Height~.j( REVIEW AUTHORITY: V t-JMl.Il{ 7~ rL-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. 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 ./7 REVIEWED ~_ ~/;/,..- DEFICIENCY/COMMENTS -- ~t/~~ DATE: State of Wisconsi n Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63, 101.73 P9;S'7/0<7C'If WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ink co ....................... ............... .......................... ............ ...................................... .......................... ............ ..................................... . ...................... ............ .... .. :,:,AEINUI::t:U!QU!SlEO'." ::;;;. ;:;;;..... ;;. .:. .....;. ;;.. :;::~: ~:. .;.. ~.~:~.;.;:)~:~:)~{:t~::::~tf::::)::~::::~ri~ .. hhh... Q$1 STRUCTURE 0 HV AC ~c;a~~ ~A. Mailing Address o ELEC 0 PLUMBING Telephone Z-33-- ~ Telephone ........................ ................ .. ...............,....... ............... ... ........................................ .. ::~Bllllm:u.III.'::II " %, SECTION D Other t:::tr::t::~~:1lMP$t ........... D Addition D Raze kSingle Family D Repair D Move D Two family D Other Setbacks ':I~r$t:aC1R~ au Front ___ Rear ~5 3(0 ft. :t:~M..YAeaQQ.IM.Nt.:.......... ~ Forced Air Furnace amp D' Radiant Baseboard or Panel D Heat Pump D Boiler D Central Air Conditioning ". D Other }UW:GARAGE: .................................. .................................. Entrance Panel Size: :;J-PO Service: l')fUnderground tJ Overhead {{:I.1.~$fi~l~::f.Qy..ql>>~" D '5(Site constructed Concrete Attached Detached .hh DManufactured D Masonry :~{:~U,,:$A:'h h hhhhh. h"hh' D Treated Wood Basements ~ Yy? Sq. ft.$iIIOatesm D Other Living Area ;:;..0 tftf Sq. ft. ~~~~~~~t~:~;lhh hhh 2 0,'7 D Other !XI Permanent Garage _ L_ Sq. ft. 1]' Other :1Q;'Ie~QM.."(i{I S wer Municipal D Septic Permit No. ............................ ............................ ............................ ............................ ............................ ............................ .................. .......... ............................ .................. ................... .................. ................... Municipal Utility D Private on-si.te Well APPLICATION N6. ;;'07 SS-- PARCEL NO. ,T N,R Lot NOff? Block No. Left I Right ft. 0 ft. /2- ft. :r a.~$N$AtJM$bQ". ::1':: Fuel Nat. L.P. Oil Elec. Solid lar Gas * Space Htg. D D D D D Water Htg. 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. E orW $ The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no Ie liability, expre or 'mplied, on thez:e artment or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLlCA T DATE /0 -~r-9o CONDITIONS OF APPROVAL Failure to comply may result in suspension or ............................. .:.:.:.:.:.;.:.:.:.:.:.;.;.;.; .. :I$$DINBL. ..!iil~ll!il"I!t.:...:.:,:. D COUNTY Municipality Number of Inspection Authority ~tJ_2-~~ WlSt:UNIFORMPERMIT, :ttttt::$QifN<kt:i'....... Municipality Number of Dwelling Location, if different fl.o91 ? ~Lb~ .. IO/IS-/9o ~ 'S-5O W Construction tl HVAC D Electrical D Plumbing o Other Plan Review . . . $ #b. (){) Inspection . . . . $ Wis. Permit Seal(s) $ .3() t t) " Other . . . . . . $ TOTAL. . . $ .')0. 6'b SBD 5823 (R. 4/89)/ 0:;. ~ / yYHITE -Issuing Jurisdiction '-r II crv v Co f(:' () O. q-o t.I-~J €f <I"', "", NAME DATE , i CEFlT. NO. I YELLOW - DILHR GREEN -Inspector PINK - Owner/Agent "....~...."c;."".....,.,,_~.~ DATE ~!t~ , . ;Il!. .... 0AR~AENa::~ " 1'($ , I, the undersigned, owner or agent of the above described property agree TO have the grade estabi ished before excavation has commenced. NAME t"r-~~.l.~ f"-e...Pko LOT ~7 ! . BLOCK SUeDl V. ~(( C?I.tt-:'i'e. Z J ilA ZONE STREET rfo? 88 t<J1141~1:..v ::See. 7' LOT D I MENS IONS SIDEWALK EXISTING ( . ES 0 1. NO ~ BUILDING GRADE ELEVATIONS STAKES SET AT SITE ~.;2e) ,19 FEE: $J.,5':'oo ~ c%Diif~ ADDRESS 1..JARD 90 BY~ 00424<1:; 4:2- fo/ 171 City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /7i'J? Id~ ~d !.~Wur Owner's Name J~, p~ Name of Subdivision ..;tJ-1C ~ ?-~ ~ Lot # ~7 Bldg. Permit # t?07 f:{"" No. of Units / Fee Required -I/t/O, t)-O I Fee P aid 11 I () CJ . () () Owner's signature. · \""'A!JL Date /O-/P-9o Jo /1.1 /90 , , Inspector's signature Date Parks Subdivision Improvement Accts. Rec.: 362-041