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0000230-Building
~, CITY OF OStiKOSH PERMIT - APPLICATION AND RECORD N2 00230 ".t/o :4- ~P_E: _ _:L{~~, H~G.~LE~~~_~ _ZON~N~_tf/J_ FL~ODP~IN_ovr: .~EIGHTr~S_ ADDRESS! ~ f} fdv/!J/d/JtUJ "5f:. PLAN No.tJ9-Sbo -6&~;e OWNER )1; CJ.I/<9EL- &/4<;'DJ-J 430 Lv. I o'1b. ~ DESIGNER f{Et9/S7CI1&LJ HoUES tlb1 LJ. 1-6- k Z~,.. 1GB I USE/NATURE OF WORK )...)f34-J Si jLJ~ LE P/9/-4/L.Y A'Esr()EA..A:::E"" LV/ .4--rrg?~lJ cPA t2A~G"" (24-~4-). LoG-Ut:=~ ( ~ UpJP/#ISHlF{J JDCAJ~t2- L.:t::?VE.t_ AJOr So/Of&Le -(0/2- ~1U/LG= J}G~#-I~ /1-5 1JC7J~ dftlJl!F 7D lAa::. CJ/ CG~<; U/tU/JtJt;</s. BUILDING CONTRACTOR ~R/5~ --.JIJ#Skc.. ;:z.1&7 tv" % ~- Zgy/Of/ size;I&,Jc42- Sq. Ft. d/t4- . # Rooms 1/ 1-. ~brt-1I/t1ories j!z1L.~( Height 2// Foundation ,/btl(J..C t:.oPC~ tBy Class of Const. OJooO Occupancy Permit ~~(4t:;JJ J,,~ 5 ~'TC:f<:..<f;; HEATING CONTRACTOR APLE(LIeA.tJ ~+r-~ _ Heat 0 AlC 0 Vent 0 Fuel/System (2,,14~/ ~A- Heat Loss BTU'S ELECTRIC CONTRACTOR r!o~ clJG.S Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps 1'0-0 "ffIiiiiF- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR Les S j-{ c rf-( _BT _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _WC _FOr _ L Tub _Ur _ San. Sewer _ Storm Sewer _Lav _Sink Other _ Eject _SS _ Water .... FEES: Valuation $ ~~'- > ..~ OL')() Permit Fee Paid $ I Lo v'/ ISSUED B& ~ ~~ Date b - ZS:- -8'~ Park Dedication $ .A/'.4:-- Final/O.P. II-tl..{-8f.p In the perlonnan<:e ot~ ~r~ agree to perfonn all SIGNATURE ~ pursuant to rules governing the described construction. . 6-'?-$ --~ DATE ADDRESS TELEPHONE # :A~;~t~. LOT 2..( SUBDIV. yi~~~ 4 DATE ~:O~J~)6~ (4, 3 ~'IARD' 4- ADDRESS BLOCK STREET NO. ~. /~/6 SIDEWALK EXISTING 7M rfi-4 ADD. ZONE 1/(/66 ~rj! sf LOT 0 I MENS IONS YES I vi NO 0 So + \3b BUILDING GRADE ELEVAT10NS STAKES SET AT SITE , 19 BY FEE: $10.00 I' '-,~ ~ ..,.:;2-0-8 6 G. ~~pl DEPARTMErls~UBL f C WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has c~ence~~, ~ C3~8J 1 ~ >:~'" WIMNEBAGO COUNTY HEIGHT PERMIT ~ CITY OF OSHKOSH C' # OWNER: !1t~kI.4e:L 6l1S5C:.:A./ ii .-- ADDRESS: JCf/$./-luI36PfU) ::5+- Cot>rA<?-r ~~.V[ Llt!-~r~LA TELEPHONE: -z., '3/-lvb I ------------------------------------------------------ ADDRESS OF PREM I SES AFfECTED: 11'6 14vMAIIJ:J J./-r HE I GHT OF PROPOSED STRUCTURE ABOVE GRADE: Zl ( COUNTY USE ONLY 170 1;/ EX I ST I NGGRADE ELEVATION: MAXIMUM ELEVATION ALLOWED: APPROVED: YES \Zl NO CJ COMMENTS: / ~ CITY INSPECTOR: ~lt,y J::JALLMAJ COUNT:E~:::::::R:~#'.~Z3...~ TELEPHONE ::;-55--J-57J?l . . ~TE :.k2X:t't . . ,//. '. ;. V~" .... ,.:.," ,I ----------------~------~-------~-------~-----~-------~ Wh i te copy.. County ~ Yellow copy - Town; Pi nk copy - Own~rc ,'. ...,,,;.."""'-:,...,,c,, _,_ .' " . .; . " _,,-,,_. ...... ,c" .' . ~ '':i -'-",' ',' 'k ... . i ,""' -.'''-'- :: , , "" ,';,'-"..irlJJj"':.' """ I. ~,;" II. c ~/9 ,'- )3-!f:, zctm:rc;/UIND USE <.'C>>1PLIANcE CHEOttJ:ST TNm~ . Accesso~' Fmlding' . .....--. -~ Fence Boathouse _ t1ti1i.ty Structure _ Other (specify) III. ro.~UA.."1CE CEtCKS ~~"L Pool Deck/Patio ~ Sign Porch 'GENERAL , . (,) ..- \() Building Pennit i Zoninq ~ Confonni.n3' Non-ConfoI1t1ing Job Location I~L~ (~MA.t.8' ,~r-.- !J:>t Dilrension - Property Owner tdl.e.i+~ b/6~~ !J:>t Area , c:x::NS'rnu:TICN DATA Describe fm'k: ,v~ , Com::>lies Deficient 32? .x /" ~, ~ ~ ;;/ ADDITICN ALTERATION ~ingle Family _ ~Family _ Multi-Family Carm;rcial _ Manufacturing Use lot Width tot Area Floodplain _ Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area !J:>t Area per Family Comer !J:>t other (specify) Deficiencv/~ts J~-Ji~'i"t:e,;::j l~;;~R-\ 6 IV. REVIEW AUl'HORITY The Planning Director, or appropriate designee, ItDJSt approve all plans, except the following: (1) Alterations or interior w::>rk when the use is confonning and when no change of use is proposed. (2) Mai..,tenance items, e.g., siding, win~vs, etc., when t.~e use is conforming and when 00 change of use is proposed. Instances where ...~rk o::nplies with the a1:::ove criteria, the penni.t can be reviev.'ed by the Building~, or without referral. to the Planning Director. ~ APPROVED NOT APPIDVED Plan Cornnission Action Required Varlm ~ =~BY -. ~~'A DATE : 6/J-3/if ~ ! - , ,..'1...--1.."............... ;!~j; << .~,' .:. i, ,:..t' :' ':, j;. , .., ".' ~ .. ': ,~ ':'.: , ;,. .; ", '~'.' i. ;.:' . '. . " "S"I c: ,~ . ..' (. .. ; .' . if;, ,:( :>;~ '.: .. ~ ." ),., :< ~. :" v~ '..:, " , . '" ',.".\ ,'; :CJ:, ::. /,?;,:;> . . :,:>;; i" -t -.';-',.,'.'..' ~: 1" " i.': ,'i: f.,. .;" '.',...., ':". '. ;':..... "f;" ,::;,c, .,.::</. :"r,;:' ,'" !:;~f.);:;. ". .:,.),:,.: :' j j: ~1~*~: ,.-7' " !::{f)~;~.: ;/) ":"H.' ',::: ,/,,;:,4 ,...,J'T .) '/ji 1)// t; ,/'.' j; ~. .(, /' I. 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'," .:." :;: :, ,',; ,: . ::..'" ,,". i ii'. " >'(.';.:,. ,,:" . >:, .>,~).::,)\"j "",(:<.'..-'.' ,,: " ,,:, .', ..:; :,: ',:.,: .; . '.;,,' ;,' <'o'{;\ .;'. Le::( :r'!.' "lJ~ :,' ; ; ~::, ,,:":'~ ;:V.: Of< . I. .:;~i:. :'~ 't::,;, \" :';1 .. . Ie::. ';" . <1: : i .:~1J: 'J ';,,-S , : {\ . \.<"r:;" '.".,: .:.'.....'.:.:.:..,,'.: ~ ;/''',..,;;:.,:} :,'i;: .ct .,i;";\/;': : J/ i:'r~' " .' ",.'<.::.:..:, ;i; _ e" ,':;: '. .,' ...:;?1;':, I ',:,E,;" '.' .' :: :.\ ,,:( . ~';~::h "::':~i:~ ,'." :~1;/),;,: , , >,';::<,',,; ;,,,,:::;':!;;:'::: ... :':;~;( .,;~:.~{. :"':,'i): .. :;:.:: ',,' , ";'. . ., ;i:~~i': f;1;~;:' ~,;: . ::~,'~'(t,}i ~?::;) . " ";:'!" ' ',' ,,,,,. ..,....':., ?'.' 'J"':;:" '",j,:':;;,' ..,~>:.:. '. ,?:' :;: _ l,. .. ,'.. .;-,."'7' ,., '~:. . i' . ',,- "'" .., .;' ,: .' ',: . .... '.,',: . .. ,,: .. . .,..: "., " ,:-'':'' . ",'.' . ,,' ','.: '.':'" ..:',.,", '{,', :'.,: .' . "J" ,,:';'; .:,:, . :,: 1<:5/6 . A.D.DBfsS '" t ~ 4~7 ~ · _PLAN#{! '1- 0tpO -';;'St;/?"'FILE LOC_ o CONTRACTOR(S) _tij!~ - .- ~6'k3 'd/&7 Cu_ 9t:!1, du-c.. := USE/WORK~~~...-- ~ ~ _ OWNER_~____ <1-300. /ot:1- ~ DESIGNER ::: PLAN ~INER - CLASS OCC MFA XL SPR HC LOT SIZE._ FRONT_ -::. REAR --=LEFT~ RIGHT_ ZONE_ TIlERMAr. RES, WALLs_ _CEILING nOOR_ _FDTN_ _FDTN 1-3 _PERI,,- VARIANCE_ ------------~ERMIT-RECORD------------____________________________________________________ DATE NUMBER - . TYPE ~.t:.S-'F(:. >3." FDTN PAR~J FDTN PART COMP =: = FDTN PART COMP INSPECTION R 0 FTG/SLAB BACKFILL STRUCTURE ENERGY OCCUPANCY ---.""~~~ . * Inspected with State BUilding Inspector State of WIsconsin, Department' of I ndust"", Labor & Hum:m Relations Division of Safety'& S'uildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63,101.73 (See Instruction on back) er $JtJ -(PU I!-- -230 APPLICATION NO. WISCONSIN UNIFORM BUILDING PERMIT APPLlCA TION PARCEL NO. ~HVAC ~LEC DPLUMBING Telephone Telephone z.. 35- 0# /08, I ,T Lot No. ~ Left N, R, E(or)W Block No. ~, Basements ;f/tJ//e Living Are~/~ 4- 5'$ '" Garage Sq. ft. The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, the partment or Municipality; and certifies that all the above information is accu rate. SIGNA TURE OF APPLlC CONDITIONS OF APPROVAL ~ DATE c, LS,--~ This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca- tion of this permit or other penalty. (J7;) CJ/'L A, '; t;, DVILLAGE DTOWN DCOUNTY DSTATE Plan Review. . . $ Inspection. . . . $ " Wis. Permit Seal(s) . $' 'f'O Other. . . . . . . . . . . $ TOTAL...... .$ ,")ILHR-SBD 5823 (R-1/82) .onstruction VAC Electrical lumbing DOther 4;,fOI ( t- -- zs--tJ? CERT. NO. C;Z/ (:) ~ WH ITE - Issuing Jurisdiction YELLOW- DILHR GREEN -Inspector PINK - Owner/Agent