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HomeMy WebLinkAbout0045386-Building ~' .(' ct) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD //0 N~ 45386 ~P.E~ _ _ ~L~~~~T~_ C? _ ~~E~. ~ _ ~~B~ _ ~. ~I~~ _C? _ ~O_N~N~_ ~!_ _ _ _F~~~D. ~~I~ . ~~I~~T~/~ ADDRESS l'iir ~r"c-k.of'-V J...,f'l PLAN NO. ;J;(-Ic-1-t;. f.j.- .Dr ~ 'I:L.-,~ ~ell "....I 6~r-f., #rijelL OWNER DESIGNER USE/NATURE OF WORK A).,.u..) ~ ~'e- wi /kI-~ ~~ e , , BUILDING CONTRACTOR 'p~(~ . P~er-f-r'e ~ ~ "3.~.30;-Lft:l~ {-. r-- I Size t"'C-r(r~ Sq. Ft.~St>o-j=ii>~t'l!m7t # Rooms ,ever-e;. <, "7J88eG-k.~t;..", Foundation /0 I"'b. . f-oop4 I< ~l-J.,/ ( ~ Class of Const, # Stories [3 L Height ...3:.0 Occupancy Permit k: eyJ HEATING CONTRACTOR J::> a :s-~:s e "t Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR f4r-v e~ ):;'/p r it- I' c- Electric Servo New 0 Change 0 Temp 0 Type KeuJool1.p <f' Volts_ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR s0...K..g'-oec!rer- ,.! ~t'€S eJ"l _BT -'-- WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other ISSUED BY Fee Paid $ Date / ~9 _--I G./J~;4,r Park Dedication $ Final/O.P. /~ ~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r;rr ~en_ffi V A-C-KS 0"'" or 05/-1-KOS/1- ~ , --...- 6 -/J=fr DATE ADDRESS c;;ll.)- 9 W/5. SV9o/ ~~- /S-~~ TELEPHONE # City Of Oshkosh 1/1/85- PARKLAND DEDICATION FEE COLLECTI,DN RECORD Address l'fft..r- ~'cb.-..1 ) '" Owner's Name Dv- ~ :ell Name of Subdi vi si on bCl e IU ~ I Lot # 2:79 Bldg. Pennit # -st ~-3g-? No. of Units I Fee Required Fee Paid /00 /00 Inspector's signat ate ~ -/s:-?S- u;;3A.\ / I Owner's signcture Parks Subdivision Improvement Accts. Rec.: 362-041 ." -- ~-_.~---.- # /" ~~~\ ~ NAME ~,..,b(<J1e ~f 2-77 sueD I v_ b~ ~.If;t -e-/ STREET NO. / f7'6/k'ch,7 .0...e SIDEWALK EX I ST I NG YES CATE ADDRESS 8 LOCK o/~.c LOT ~.; ABD ZONE BUILDING GRADE ELEVATIONS STAKES SET AT SITE LOT DIMENSIONS D NO~ ;;:~ 9 ,19 {l ?~ 3Y~ FEE: $15.00 k. ~ 6J~ . . OEPARTI'ENT OF eWELIC .CRKS , , I, the undersigned, owner or agen~ or the aoove described proper~y agree iO have ~he grade es1"aD i i shed before excavat i on has commenced. "" :t...;,-. ,:~)J tf,,".. ~.~: rJ. ~ j; r"'f,,< ) ,,', ;fq~ '1-- ~ Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division P.O Box 7969 (See instructions on back of pink copy) Madison, WI 53707 The inf.ormation you provide may be. used by other government agency Wisconsin Statutes 101.63 10173 programs [Privacy Law, s. 15.04 (1) (m)]. ' ::::ml,IMI:llgll~m~li:',:!i ~ Constr 0 HV At owneJ);;,~$ t~ 11n9zl1 1~~~Sd~~l-h ain'llU> t)s;-Htff>11 5V9ol Contracto(s Nam..,t ~Con 0 Elec 0 HV1>.C tJ Plbg Lic/Cert # Mailing Address !o/l!:sfllZ". ,~e./lhZ5 .J;,/'c. ,t)Jjq ,rA-fY<:;O# sf fZl-f-Kos# SY?o/ Co~tFactor's Name: 0 Con ~Iec 0 HVAC 0 Plbg LiclCert # Mailing Address H7trLVf's Z/~C..;n.iC' K$t..I~~~ C~tra_ctor's Name:..D Con 0 Elecl'S(HVAC 0 Plbg LiclCert # Mailing A~d~ess, ' KA-5Jn.uSS'bl/S Kill A-IJ .t15f-. 151N-< OS tof W 1St:: Contractor's Name: 0 Con 0 Elec 0 HVAC ~Plbg LiclCert # Mailing Address' , A/~.L- , J Sc.huE.O[..,j1..' fh:m$~ 7/~Mbl';'" /f7JLJ c-TQ/" .il~Il~'~~w::~~IIII,~~::,:::::i: Lot Area v Sq. ft. Building Address J I, . ' /??.r Al-l'e.-r~;. '1# kf\..t:... Zoning District(s) Zfning Permit No, WISCONSIN UNIFORM BUILDING PERMIT APPLICATION Application No. Parcel No, DElee DPlbg D Erosion D Other: Telephone No. ( ) Telephone No. ('f/~~~"ISY4 Telephone No. ( ) Telephone No. ("l~ ;13S:- ,s-~ 1 Telephone No. .' (1/1'1) 7~- ~(J r I ' . . 1/4, 1/4, Section . T N, R E(or)W SUbdivision~e.~'e!' Lo;;.79 Block No, Front I Rea r Left Rig ht . Setbacks ft. ft. 'ft, ft. tlqPl\.QJ;Sltm////~~tmmtt:~//:r/::::}:'}/O(C.UPAN'Y/::::~u::et.;crmmr/:r'~ta.VAe::eQUU~M:eN.Tt;//)11]/:INlhG\t!fio.JttlfH:f///:::r::::Jt://mm/:Jm DJ,.New 0 Repair ~ingle Family Entran~ Panel J.g:orcedAir Furnace . Nat L, P Oil Elec Solid Solar (] Alteration 0 Raze 0 Two Family Size:. ~O 0 amp 0 Radiant Bas~board or Panel Fuel Gas * o Addition 0 Move 0 Garage SEjrvlce: 0 Heat Pump Sp ce Htg ,g 0 0 0 0 0 o Other (print): ~Underground 0 Boiler a o Overhead '5Central Air Conditioning Water Htg '& 0 0 0 0 0 o Other * 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip, ai1.:::pijQIp'jN~::::~:~:~:::::~:::~::::::::::::~:::~:::~: Infiltration control option is: 0 Full sealing Sewer of joints. 0 Blower door test. 0 Exterior !:&Munlclpal air infiltration barrier. ~ ~~ " ':.'::: ,'; 0 Septlc::~::::::::::::J:'I~m~:Hl.llf'QS$t:tQl~iij~;t.,a):11g: .: '. .:: :. .. Permit No. Envelope .!5;'1~o"3. BTU/HR o Seasonal ::~lt:WW:4tt~$.::mr:::::::~:::):{~t~:{:~{J: Infiltration S~2::-lU!) BTU/HR Jlpermanent o Other ~u n ici pa I Utility :::14;~m~i$ttI.Ujt..QjNI.::.S.;~::~:::~~~:r::::~:~~:::1~~~:~~:~~:~~::~m~ o Plus Basement 0 Private On-Site Well $?..:;.""/ 7S I '. The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understandsthatthe issuance of the permit creates no legal liability, express or implie~ t~J),partment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE v?l ~ ____~ , DATE SIGNED O-r-rs- o Other Unfinished Basement~Sq ft :5;:::$t:QRIE~tm)::::::::r:::t~ L 01- Story Living Areajo3Q- Sq. ft. P!l.2-Story Garage ?jg Sq. ft. 0 Other "4....rn:a<tll:':T.._tliE". ""'''''_nNn:~:-nN' ('" :~t~JIii~~~i~?~:~:~::~. :}f )::~f:~4~. ....P~~:~:!I:~. ,',) ~ Site Constructed ~Concrete l'J Manufactured 0 Masonry o Treated Wood . 2""/i..IIA".lNVDtVeo........" " "..". .. ..... '. . .... . .. .................... . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . n. .... . ... . ,.. . ................... .. ....' ." ..... ................... ;:;" .:~:::::.<.. ....:. ,.:.:...::...... ::...::.:..... :::.,.::, .,', :..:::::::~:::::::::::::::::::::::::::::: J- APPROVAL CONDITIONS This perAit is issued pu'";'S';Tantto the following conditions. Failure to comply may result in suspension or revoc,tion of thiS permit or other penalty. ~ lr.u/ "- Y I'-o-~~ Rd u ~ .~L '..L 'fA- ~ ~^,-i-r-L1 r ~"':9 d.t... .." r.+ I.L "..,{:- ~l t-~ -Ch....... ;.>F:::!!..t;:/WII- ~ G-al'-r......i~ feiJ'I?/ <.1-.... i 11-- _~ ,,~IA~O ,d)....t1!l{- ""'\ II :r' k_J; /A.J k@f.uJeeVl ~ !~ . "R~lDf&'e_ aJ.Q1h ,)"!!. o/'t.- '/"- e- &kor- L.....,. IJ:"'r-~ b..J ..1.-t-M.I,A(>tA..... ~.- rJ:or-h A@ t'J r-~h ~~.p r- "',. -0 / -4.1;L!.~/omL- o~ L/. ~ -- -l ~ ~ //9L :11-- J~ tf k ~ t'u~ ... ~ I ~ -:.-11 l x~ k ~ .f ,. .{-he.. ;;;:~/~I l/..;-, ~t.oI'J& t/ I~t-I-'/~ ll- I II! -'-4 / l;(Joh,: :SOrt EeCir-f,,- (I,^~.('o/J.." r/",d( be-; '-P''edl :.SSOING.:::.::',:'~:,::~::~'~~;::'.~:::.': 0 To~ to Village~y 0 County 0 State of: ::~~'~~~~~~~.~~.:',!, . Municipality Number of Dwelling Location: Plan Review $ Inspection $ Wis. Permit Seal $ ~O Other $ Total $ 70 O~hf 4~. k 2 <2- - ~ ~ Jq ::.ilil:i::il$II~~~i:iiJi::,::III~IIIII:~IIIl;I:i:::I~111~:~~liil:ill:~I:::J:i:J::'J:,.JI'.!:I:,:!~~lj:I!.i~::11~11:~J:::j~,j:i::I::!::!:,::I::I:j::ji;:'J~:,:,i.!::!:,:jJ:jjl::ijiii':i:::JI::'iji::ji:iil,:iii Nom, /J1(y:Jjt....~{+ Date ^I. I ~7: ...y ..:r ..yO ~onstruction DHVAC o Electrical o Plumbing o Erosion o J~-g 11 I Cert. No. SBD-5823 (R, 06/94) ~cc-15 WHITE -Issuing Jurisdiction YELLOW - DILHR I GREEN -Inspector PINK - Owner/Agent " ~ ~:" ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: (fi:5' J/,~C')","v ,(t:u1-F ZONING /'?:( I PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) AJ~ s r:=-~ . COMPLIANCE CHECKLIST DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off-Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan ,< I' //', /I.~ -. 11 / Iff . ., ~.' . . .'< ~ ~ !fll(;iJ'l~" /od( Ie:, fk Me. ~q) ~;/., I t".,,"----€,.._ , /IJ /J fl .JJ. sf:. ~. /670 ~~r~, REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. ~- APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: t/1> DATE: ~/r-.:s~-(- ( / - OWNER~~e[( IbA~k-. !PERt1IT lV{-:;~ , ~t~ ~p~tP S , GENERAL CON RACTOR - ZONE MASON. CONTRACTOR Width of lot I .. o " ~ o .r: .u 0, Q) Q DATE INSPECTIONS - REMARKS ~lul~ \IT ~ () (~(.$" ~- . '- (~\~~ '" """" \ '1\ 'C)<-'L. #\L,;;;i- .. -, \.\<L(,fi:\c...->nl'\.-. .\bJ~.. ~\'-l~~,~ ~!~ e...'::::.cVe... ~:..~~".-t ~~~.5 cd'-c... -,- -~~.-~~r~ f~}......s~~ .o~t.-v. 0 )l\;~ ---:-- ~^"~.-Q~~~ VfL~ .s.\.:J^"') c.A.~ _._ ....b.-~A>--).r;... 'rv\l-."'~~ c 'Q<')'~ _=:::_~.-> C<-...s::~s.~ (')'-t~-('2:.~ _~ \ \ C'~p* ===_" ,. __ "'~-"'frd~~ ~ ~ v~. L..S c:, ~....r'^J w..IL~ . ~~ \I'l....~"S(.\'-'-A:,\.')-.. ~ c;:(~ 'N)t..~kt'. :5d.......)c ~ '" ~ ~,." ~ ~ L--t,~ '-J..V'\ . 'v\~",)\ ~ k ~ \ Du....~~ J t !kef :~..~ ADDRESS ?...r '1Le#'-/v .i.1-J' ,J . USE., . . ,4.t.J--d-d. 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