HomeMy WebLinkAbout0005601-Building (foundation)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
BLDG~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING 1<.. ( e5 FLOOD PLAIN J HEIGHT/(}I--
05601
TYPE:
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OWNER
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PLAN NO.
ADDRESS
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DESIGNER
USE/NATURE OF WORK---L7)'r" ~ Sf= rc
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# Rooms
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1 # StorieiJ((:A7~ r Height
Class of Con~t. Il3:> Occupancy Permit
BUILDING CONTRACTOR
Size ~4 1<:3(" Sq. Ft.
Foundation R t> r-ed
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----
HEATING CONTRACTOR
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Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR '--
--
Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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_Lav
_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_ San. Sewer
_Sink
_.FDr
_LTub
_Ur
_ Storm Sewer
_WC
_ Eject
~SS
_ Water
Other
ISSUED BY
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Park Dedication $
Final/O.P. 1- (j' ~"'X'- (f
Date
In the performance of this work I agree
t to rules governing the described construction.
f_..2-;-%7
DATE
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ADDRESS
TELEPHONE #
NAME E 1<.14-
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STREET NO.~ CS- f~~ r' r~vt
DATE ~j7:' ~~ -@; 7
.0 v.:::s~ 1::1 ~,Uk..'\ ADDRESS
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LOT
8 LOCK
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ZONE
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SIDEWALK EXISTING
YES
LOT DIMENSIONS
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8UILDING GRADE ELEVATIONS STAKES SET AT SITE
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FEE:
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DEPARTMENT OF PUBLIC WORKS ~
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I, the unders i gned. owner or agent of the above descr i b.ed property agree to have t e '
grade establ ished before excavation has commenced.
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ONE- & TWO-FAMILY DWI:LLlNG
PERMIT TO START CONST!RUCTION
Permit No.: --"\. !PO r
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Date:
FEE $
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IN ADDITION TO PLAN EXAMINATlbN/lNSPECTION FEES
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Pt
STREET & NO.
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STATE & ZIP
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TELEPHONE
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I, the undersigned, request to begin footing and foundation work prior to the approval of the plans and issuance of the
UNIFORM BUILDING PERMIT per Ind 20.09(5){b)2.
I have reviewed the specific code requirements of the Wisconsin Uniform [)welling Code, Chapters Ind 20, Ind 21, Ind
22, Ind 23, Ind 24 and Ind 25, as applicable and have shown compliance on the drawings.
I agree to make any change required after the plans have been reviewed and to remove or replace all noncode complying
parts of the footing and/or foundations.
I agree to proceed with the footing and foundations only and will not contin\-le with the remainder of the dwelling until
approval and a BUILDING PERMIT has been issued.
I also understand that prior to the start of any construction, a zoning permit and a domestic septic permit has been
obtained form the local authorities having jurisdiction in accordance with their laws and ordinances.
NOTE, Compl"e bund'" pi,", oce oeeded foe '''u,"oo O~R~
of this permit. Footing and foundation plans submitted A / fI-'l.. ~ .
prior to final plans will not be accepted for issuance of L VI Z _~
this permit. DATE
UNIFORM BUILDING PERMIT APPLICATION NO.:
ZONING PERMIT NO.:
SEPTIC PERMIT NO.:
AUTHORITY HAVING JURISDICTION:
OFFIC .~
ISSU D TE ~
9-c3-'87
NOT ISSUED BECAUSE:
DILHR SBD-6072 IR.10/801
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