The URL can be used to link to this page

Home My WebLink About0012668-Building ~ ~ 'T-'~..t- CITY OF OSHKO'SH PERMIT - APPLICATION AND RECORD N2 12668 TYPE: BLDG~(HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING ~( FLOOD PLAIN ~HEIGHT fi.J 11- ... ... ... ... .. .. ... ... .. ... ... ... ... OM ... ... ... ... ... ... ... .. ... ... ... ... ... ... ... .. ... ... ... ... .. ... ... .. ... ... ... ...: .. ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... ... ... ... ... ... ... .. .. ... ... OWNER /9 oS- Itf\~ko~\1 L,1. Do. u l rQ h Q -I.I-~) VI, PLAN No!/-3 --C.O - 8? lC-. ADDRESS DESIGNER USE/NATURE OF WORK ML~U -3~e 7i1if- G-OL~--u- ~ ~ BUILDING CONTRACTOR <!)o ku 9SJ~C'Y. Gl~ Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. I HEATINQ CONTRACTOR U/,'.';:$ c;:.. dp "S' " I Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR L~fk Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR -!. ~"'S' ~ h/L f I J-/.. _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _BT _WH _Sh _San. Sewer _Lav _WC _Ur _ Storm Sewer _ Eject _SS _ Water ISSUED BY r. it Fee Paid $ ::S-?5D Date . 'i~- <~ - ?; '1 Park Dedication $ /00 Final/O.P. 9 - 7 S - B 9 SIGNATURE In the performance of this work I agree to perform all work pursuant to rules governing the described construction. }~ 'N ~~' ~ l 1111 . U';6 {'~;;h, ~33-.5C'!) TELEPHONE # ADDRESS II -20- ..... . .... ............. .. ............................ ......................... ...................... WISCONSIN UNIFORM BUILDING PERMIT APPLICATION See Instructions on back of ~RUCTURE D HVAC Mailing Address ." t .;# State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63,101.73 APPLICATION NO. Ccb .:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.: R~8:M~m:B:liiiiQ;Q: PARCEL NO. .......................... ............. .......... .................... .... .. ...... D ELEC D PLUMBING Telephone Telephone 2:iJ- ................. ....... ... .... ........... ....... .. ::~.DJ!$tr:U()CjrnION'I::: ...,................................................................................... . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............................. . .. ......................... .. .. ..... .......... ........................ ....................... ............................................... ...,..................... %, SECTION ,T Lot No. 'G Left N,R Block No. E orW .................. .................. .................. .................. Space Htg. Water Htg. * 0 Dwellin . more installe electric space heating equip. :: Infiltration control option is:DFull sealing of joints. 0 Blower door test 0 Exterior air infiltration barrier. ft. ft. /11; o Addition o Repai r . ............ .....................,....... ..... ................. ...................... .................... ttached 0 Detached ~:I~~]Hl(ReIJ}nL.::::::::::::::::::~:~:::~:::::::::::::t::;: Basements Z3 ~ Sq. ft. - Living Area :::f &2-.5 Sq. ft. Garage 7~ Sq. ft. ...... ................................ Envelop '::::::::::::::::::::::::,:::::::::::::,,:::,::/:}}}}:,: I nfi Itra ti 0 n $ The applicant agrees to comply with the Wisconsin U, iform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no leg iability, express or implied, on the Department or Municipality; and certifies that all the above information is ;:~~~TURE OF APPLlCANT~~' DATE CONDITIONS OF APPROVAL .............................. .............................. .............................. ISSUINI:..::.: :30RI8111118:: ... o COUNTY Municipality Number of Municipality Number of Dwelling Inspection Authority Location, if different 2o-zlR ~ ........................................................ ::::::::::::i~QMiT.$$ui:b;$yf:; :.;. :.;.:.:.: :.:.:;:.;. :;::::;::: :::: ::=::: :::: ::::-:::::::::::::~::::::::::::.:.:.;................. .......... '.' . '.' . . ..........,................,.,....,.,................. ......................................,................... ........................... .,........................ ........................................................ ..................................,.".,.,............ ...................................................... .......................... .................. . ............................................ ......................................... ........................................ ........................... ........ ......................... .. . ................ .................... .... ......................... .. ...................,. ..................... Plan Review . . . $ Inspection . . . . $ Wis. Permit Seal(s) $ Other . . . . . . $ TOTAL . . . $ SBD 5823 (R 04/87) 1-<10 000 ~ (0 Construction VAC D Electrical D Plumbing D Other NAME ~?~O DATE 0"?"3~ CERT. NO. WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner! Agent ZONn:G/l:.AND USE COl-1PLIANCEc:HE:CKUST I . r I. GI:m:RAL Buildinq Pemit. i Zoning ~\ Job Location/90S- ;;;'~Lo--v .J:.c(~ '(' Prcperty Owner ~ u r' cf ~ i ~o VI ConfoJ:Illing_ ~or:mi.nq_ ' ~ Dinension t-ft-1~ Lot: Area n. =~/ZJe.-';J ~r::-/~ kJ/ Iltt 0-r<r2-(Y"I1 / .x NEW ~CN ADDrrIc:N AUI!:RAT.I~ _ ~'SO~ Buildinq Fence Boathouse _ ut:i1it.y ,Structure _ Other (specify) IIJ:. <DMPLI.ANCE ~ Pool _ Dec:k/Patio _ Sign Porch $ihrtJ.e' FamU _' ':I. ~ _ ~Family _ M.1lti.-Family ~ -~, Carclies ;,.-- Deficiencv/Cam1ents ~ -::;.- ~ /' ...- ~ - ~' --- ~ -:::::--- ~ 4'r IV. REVmi AtmiORITY The Plann.inq Director, or appmpriat:e designee, must approve all plans, ~t: the fb1lowinq: (1) Alterations or int:eri.or ',t,Qrk when the use is ccnfotmi.nq am when no c:hange of use is p1:OpOsed. (2) Maintenance items, e:.q~,-f' ~# windcws;;- etc., 'Nhen the use is c::onfo%:ming and when no chan<Je of -use is. p:cpaaecl:.. Instances whe1:e ~ c:x:nplies with the al::ove cri~, tl'ie penm.t can, bia rEM.e'h'ed by the '811; ld-mq Inspector without referral to' the Plann.inq Director. , ~ NOT APPRJVED Plan Corrmission Action Required L DA~: 3&/09 ( , REVIE'I'JED BY: -f- ~, .. NfI.ME. uCLk W (!;>(9J CO CA-.:s1 ~ LOT ~ 7 :, A SUBDIV. 9t-" ~ AJorfibtr)!~f r ' STREET NO. /70:5"' f/r(VJ kv'r-'( LOAr SIDEWALK EXISTING BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: $15.00 ~p Y V~" 81HE , :::s~ 22- ~ c; /730 (1 rr~{'{;'vl'(:uJ I br o ADDRESS BLOCK 1..JARD ZONE-=rz- { YES LOT DIMENSIONS o NOg 3/~ ,1989 BY 0/ 6,. ~~f/ DEPARTMENT OF PUBLIC WORKS k.8 . I, the undersigned, owner or agent of the above descriqec property agree to have the grade establ ished before excavation has commenced. . !JO~1. 0' ",''''', ''',0 /~O ",JIiJ':<< d~'w t~~J City Of Osbkos;'. 1/1(85 PARKLAND DEDICATION FEE COLLECTIbN RECORd Address 1'1 IJS' if." ~ H 1 L n- ~ Owner's Name .he (J (tel '']--::s Cp ~ -In'<t ; Name of Subdivision' /()/;, .,.,.,~ f (') (1{,f- Lot # 2 7 ,~ Bldg. Pennit # ( No. of Units rt /IV ;?Lk,/ f Z- {p [e> 8' Fee Required Fee Paid (00 Owner's signature Date /Jf',4 3, Vi ?1 !J Date-":3 - 87 Parks Subdivision Improvement Accts. Rec.: 362-041 (I~ ~f- ~~ · fl~ ~ --s:~;c C~ __ ~, /U ~~c:,,<:~ 1I-~f ~// 0;< 4D .' '--;---/ 'J)->/ '~(J/o(kJ /' '^'-'V? /',;;"~ ~ . ~A/ ~I .~ , '!;"c9"'\J ~ ~ <.~ ~ - / , . . . ~P--t-~:j. A.) ~~o/" ~~-~r~y ,2tz t!~) v ':;/10- ~ =~ f!':lA4'!Js "1.: ~/~+G~ ~~~~ ~-y~ -Vo ~D; ~ v . I 'T-:r:J: ,t:= / "?1J.7. ~ ~ d'/c:kr T~<:/~'~. /' /, ?o "", ~~-.. ~ ~ Gr(~ -4 ~ 'r'::,q:: :fsf.:-'1 )c:-~ ' @1<4{) ~"""" '-~