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Home My WebLink About0031374-Building ~ .. CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 31374 TY~E: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING e -I FLOOD PLAIN HEIGHT - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER I~ IS' h7 ;ua, ~~ tlA)-( ~ PLAN No./33/S3/ O~LA ADDRESS DESIGNER USE/NATURE OF WORK Y/1AAJ j r)'t C1~. ~. ( ! BUILDING CONTRACTOR Size ~. Foundation Class of Const. # Stories ~. 1.- Height 2.. "- Occupancy Permit ~ HEATING CONTRACTOR Cbr~ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ~ ELE~:::~c ~~~v~RAC~~wR 0 Change 0 ?:;p 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR r-~ _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _Lav _WC _FDr _LTub _Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water FEES: Valuation $ 73) 000. 0;) Permit Fee Paid $ 2/2... $'0 ISSUED BY ~. ,(J,/./ //(~~ Date (tJ I~/t:j't./ Park Dedication $ Final/O.P. .:?tjjlfl/9.3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~ ~ ,// ~4~ ~ ~ ~GENT/OWNER DATE ADDRESS TELEPHONE # . ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ~ ~d- PROP~RTY OWNER/~CT . _ M~{/av /3LdJv-. . CONSTRUCTION OATA: ___NEW ~ONSTRUcrKN ___AOOITION ALTERATION ~ ,. ReYisa:1: 8/89 ZONING: /l/( v PARKING LOT - TYPE OF PROPOSED CONSTRUCTION: (Le. fence, pool. sign, deck,. etc.) f7Il-lA),/r/t"r:c#,~, ?-LY21.~ V-73~.rl- COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT RE I etl AUTHOR IrY : 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 prtlposea. (2) t-1aintenance items,. e.g. sid.ing, 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. ~PROVE~ DENIED Plan Commission Action Required Variance(s) Required .~ . REVIEWED BY: ~ ~ / .. '-T Use Lot Width Lot Area Floodplain Front Yard Side Street (fratt yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per. Fami.1y Corner Lot Landscaping Transitional Yard . Off-Street Loading Vision Clearance Height DEFICIENCY/COMMENTS om~ /()/;t/9~ / State of Wisconsin Department of Industry, Labor & Human Relations Division of Safety & Buildings Box 7969 Madison, WI 53707 Wisconsin Statutes 101. 63,101.73 ml.s31 1;<1 z,~ WISCONSIN UNIFORM BUILDING PERMIT APPLICATION 'See Instructions on back of ink co APPLICATION NO. 3 f 37 () PARCEL NO. ::~~II'~!'I.llllllp:t: D HVAC D PLUMBING D OTHER: Telephone 2 -~z.-z..<{ Telephone 'Z3:3 .....r!~.o Building Address l~ S- ' Zoning D!~ict(s) K.-I ,T Lot No. '-- N,R Block No. E or W Setbacks ~:1[1[:~:eAII_CT~:[:~:[:t~[:[:~:[:r[:~:[:@j[I:r[:ff~:~: ........... :~[ I_rI,*iJ:'~':~:':'::: ~r ~:$~[:[:~:$LlCm[lC.j: Kf Single Family E~tran~ p~el Forced Air Furnace t1'Two family Size: ~ Radiant Baseboard or Panel D Garage Service: D Heat Pump D Other '1&lUnderground D Boiler t] Overhead D Central Air Conditioning '!~'~N&i~tP:fiQPNllllQ"::c:JOther.. . .... .... ::.':::.':::.':::.':':.":'.':': rsa--SMiatencuofancstturruecdted:.:. B C6MrOta~~:~~re:drtyewood :beOw~s:~e:e.u'r:p;ntt:'li..~:i;Mp:aJlI ]NG:U:....:.. :ll::llg~NVOtiDQU::...... ITi OS: Unfinished Basement!1:1.:t Sq. ft. :'~m$'t..U!$Ul Permit No. . . 2.-'- ftp D 1-Story ............ L1vmg Area Sq. ft. R"2-Story Garage t.f73 Sq. ft. O'Othe.r New Alteration o Addition D Repair D Raze D Move Left lr Ri9htJ> ~ ~ ~ ..... :::.tU1~;:r;Nr;IGY$()UIer;:)':': Fuel Nat. L.P. Oil Elec. Solid lar Gas * Space Htg. 0 0 0 0 0 Water Htg. 0 0 0 0 0 * 0 Dwelling unit will have 3 kilowatt or ... more installed electric space heating equip. ......:m: Infiltration control option is: D Full sealing ..n........ of joints. 0 Blower door test. D Exterior air infiltration barrier. o Other o Plus basement Municipal Utility Private on-site Well $ The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, on Department or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT CONDITIONS OF APPROVAL DATE Thi ermit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. Plan Review . . . $ 4-0 ,(') () Inspection . . . . $ Wis. Permit Seal. . $ 30 ,0 0 Other . . . . . . $ TOTAL. . . $ 7().o 0 SBD 5823 (R. 8/90) 7"3 t::.... .......PERMm~S)..... ........ ..... ....... . . ..... ........ .... ....... .... ..... I:t~E .i::: g Construction o HVAC o Electrical o Plumbing o Other o COUNTY Municipality Number of Inspection Authority :LJL- l.- '- '- : 111:!~III1A1~~la Municipality Number of Dwelling Location, if different ......... ................... . . . . . . . . . . . . . . . . . . . .. . . . .. . !I!.~'I."I,II...!..:.... (It.! lIl(O NAME IO/-U/c, ~ , I e:25S0 DATE CERT. NO. WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN -Inspector PINK - Ownerl Agent NAME ,1f;~~ LOT '"L JcI.tA/ ~ ~-. STREET NO. Jtp(~ f3.f~cJ:.tt!J./- ~. CATE /olUJ /q 2- / f ." 1" ADDRESS 8 LOC K ~'l ARD SUSDIV. ZONE SIDEWALK EXISTING YES LOT DIMENSIONS fRj NoD BUILDING GRADE ELEVATIONS STAKES SET AT SITE , 19 8Y FEE: $15.00 LAV ~. DEPARTr-1ENT OF PU8LIC WO~KS I, the unders i gned, owner or ageni" of the above descr i bed proper't"'{ agree to have the grade esi"ab j i shed before excavai" i on has commenced. OO.(t63S