HomeMy WebLinkAbout0046869-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
Id.O
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N~- - 46869
TYPE:
BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING 12d. FLOOD PLAINC,,\J"t- HEIGHT bJLf
ADDRESS \30<6-- elO 1\:c...v"t1e:J
oWNERGe('~\~ \N\L.~uS<L~
DESIGNERS hO\AJC"'--~ ~')VV\9-<;
USE/NATURE OF WORK A.J(/",-" ) U ~ I e...X
PLAN No.A4-IOI-e/<iS
BUILDING CONTRACTOR VVL<2-
t'"i IO'?-o/urirt, I L
Size:..L('{.(...:) Sq. Ft. f}I7fs,,f,okc.1 # Rooms '"1 +;)~ Ot/;T # Stories
Foundation '1 (>.J r ~--' ~ Class of Const., ~
~ Height g~
Occupancy Permit re'l v; f~~
HEATING CONTRACTOR gr<.-v-J U'""
Heat 0 AlC 0 Vent O' Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR $C~ D VY\. yv\..Jt/'
Electric Servo New 0 Change 0 Temp 0 Type
Volts_ Amps_
Circuits
Fixtures
Switches
Receptacles
PLUMBING CONTRACTOR t> l>J ~
_BT
_WH
_Sh
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_Lav
_WC
_Ur
_Sink
Other
_ Eject
_SS
FEES: Valuation $' cJ j OC:i..J
ISSUED BY
Permit Fee Paid $
Date
Park Dedication ~ (jJ q#
Final/O.P.
SIGNATURE
ertorm all work pursuant to rules goveming the described ",nstru?O!c;?ATEO h _
AGENT/OWNER ~
ADDRESS
TELEPHONE #
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NAMEGeC~\L \(v\i+~V~\z
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CATE ~-d-~-~("
ADDRESS
LOT
sueDI'I. ~()'vJ~~AUV1.
. STREET NO. SO <3 ~15l0 \tv\' r v'U? '"":J:5/
SIDEWALK EX I ST I NG YES
BLOCK - '..iABD
ZONE
LOT OIMENS IONS 00 X I {n
~ NoD
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
,19
8Y
FEE; $15.00
~~
. D~oART~ENT OF ?GaLIC -aRK;
I, the undersigned, owner or agen"t of "the 300ve described properTy agree 'T'O have '7he
grade es"taci ished before excavation has commenced.
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It.."..... f"~ j . .....1-
Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING
Labor and Human Relations ERM TAP LICATION
Safety and Buildings Division PIP
P.O. Box 7969 (See instructions on back of pink copy)
Madison, WI 53707 The information you provide may be used by other government agency
Wisconsin Statutes 101.63 101.73 programs [Privacy Law, s. 15.04 (1) (m)]. ~
:i::::i::.I~illi:.lig~l!'m:~R::i:.l: 2i.Constr 0 HVAC DElee 0 Plbg~ Erosion 0 Other:
Ow~s Name tel JIll!. IX./ I Mailing Address i/7 I ~ i/ _f ~eJephone No.
\L Y'Arll. UV/tfi1nUA.eYe-. k,.)(C)"l.: ,:WLA }/f' r 1 r"""1ud. ./)~f..1 tilt) Z~ )(jo
Co~ractor's Name: ~on 0 Elec 0 HVAC 0 Plbg LidCert # Mail~ddress-' 1"'\ { _ a' . ~ f" I Telephone No.
~N'\O', UJ '<< L 'f"' ('" j 7'- ,- A b /rd' '~OrJ 0(1...1..1.... o;l..,. ( V) (I
Contractor'sName: 0 Con ~Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Addres!' 1 Telephone No.
<\rl ".-..~ /' ( )
C~tractor's Name: 0 Con 0 Elec 0 HVAC~Plbg LidCert # Mailing Address Telephone No.
y t.J 5 PhJrn b'"" ( )
C~~tractor's Name: 0 C.en 0 Elec ~VAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
J-<.f 1) \[,.n I' ( )
:1:11~:!~~.I~~!~lm;i:::::.:. LOr>>~f'Y)Sq. ft. 1/4, 1/4, Section T N, R E (or) W
B~O~~d*rO +htfv}~ sM~;n~~S' !J_1IA , Lot~ Block No.
Zoning District(s} I Zonif1g Permit No.... Fro~t 1 Rear Left . Right /
Setbacks ZS- ft. 47 ft. 'Go y~ ft. /1/'L ft.
:::1GPI.OJ~Qm:::::"tm"):)"::'))::')):)::'::::I{)O'C.UPAN':V:m"~:e.t,grm.lt::r:9.tJiIYAP.:e.OUU~Ma.N.Tm::::::::al]):'II:eRGtt:S.tnn((t~::'m:)::JJJJ:'::mm::mm::::'J:::m
~~w 0 Repair 0 Single Family Entra{Q()nEcl/2, 0 Forced Air F,urnace Fuel Nat L. P Oil Elec Solid Solar
o Alteration 0 Raze ~wo Family Size: llmp - ~Radiant Baseboard or Panel Gas *
o Addition 0 Move Warage Service: 0 Heat Pump Space Htg 0 0 0 ',g" 0 0
t!Dther (print): 0 Underground 0 Boiler
o Overhead 0 Central Air Conditioning Water Htg 0 0 0 ~ 0 0
;::4. ::}::rAJiit~~::::~PE)::: .~:;:::;::l!Af::t:N~:~:::w:'InN.:::: D Other * 0 Dwelling unit will have 3 kilowatt or
::;.....,:::::!l!;io:"""'!I!=~,~::;::::~:,:"':.:.:.:.:::::: .,f::;;::::~::~:r;,o;.....~~,:H'!lMI!....::: more installed electric space heating equip.
. .. .. .. ......... W~:en~~~~~~~~ded I ~D CTorae~a~tre~d;;woOd :'s:e'wJ:e::Pr:tQM..ni'~:U::::fU: '.' .':'::':: ~lnfifrJ.ioiltnlr~ai~t:i~OanPicOo~nl~t:ror~1 iOredPrtoioOri1tieSs: to. ..~xtseearlion(
:1W-'ABiAJNVQUViQ)} '. ~ -
Unfinished Basement_ Sq ft. :5.~:iStQRjiE$:::::ur:m:m:: 0 Other lkrMunicipal
o 1, Story::~~::U$ljJ:::']m:':::::fm:ff tJ1~~~~t No:i~:~:~:~~~:lJ.~T~Q~$.::it1m~~ij~~[ll=~~;!:~:
U"09 A,e, ~I~~ Sq h .g<~::;;, ~:::,o:;", ':mlI!l'mll!'!!i..... ....m 'ofilt,,"oo J !, on '-t 'TUJH R
Garage 12~ltL Sq. ft D Other Al M unicipa I Uti I ityi14ii'::iEiT.fiUiiolN4:eOSr::::::ri:i:::::;i::i::::::iJit.
o Plus Basement 0 Private On-Site Well $~~.._
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this peJmit;6understands that the issuance of
the permit creates no legal liability, express or implied, on the D~rtment or municipality; and certifies that all the above information is accurate.
~ --'- DATESIGNED 9h7/v>
Application No.
Y(o~b4
Parc:el No.
o Other
APPLICANT'S SIGNATURE
APPROVAL CONDITIONS This permit is issued pursuanttothe following conditions. Failureto comply may result in suspension or
.. revocation of this perm it or other penalty. .
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Total
$
$
$ ~()
$
$70
o Town DVillage ~City 0 County 0 State of:
OS'" \(os"h 2 -D - a- ~ k
ili::::!:i:lllll~I~I:iliiil_~I~IIIIII~III:I:~~II;::!:~~!~IIIIII~II'I..I:I:illli:il:l:i::II:::.:I:I:I:i.i::.11111'lil:I:.!I:I:I:I,I::I::lil::I:!li:ilii::::'i:I:::'.::,::::iii:::::I::I:i::IIII.li
~construction ~ \)
o HVAC Name -LJ~<'(,""J--- ~-=,~r, U~
B~:~~~f~~ Date fS~'5' - C)s
~rosion I (p ~ 3 g 7 Cert. No oS ~'35
Municipality Number of Dwelling Location:
Plan Review
Inspection
Wis. Permit Seal
Other
SBD-5823 (R. 06/94)
WHITE -Issuing Jurisdiction
YELLOW - DILHR I
GREEN-Inspector
PINK - Owner/Agent
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 8 lJ<(s-8\o \\vJIlL':)
PROPERTY OWNER/CONTRACTOR: :) ~~<:.c..~ \-\ uVV' ~5'
ZONING
'l<~
CONSTRUCTION DATA:
-~ New Construction
Addition
Alteratior
TYPE OF CONSTRUCTION: (Le.. fence, pool, parking lot, sign, etc.) \\.'\ '<-'-N" ~vr\Q.X
C-.v- ~ ~~'-C\.'". ~ J6-\6.~~_
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
~C:3 \\~OC
cP~~~uc.
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, C
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:
D~
DATE: 8--di-/~C1S
9":'NEI(;~C" \ ~ W'~\-,~ ~
~,,; DATE~-~c,~~< PERMIT I~lp~~~
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. GENERAL CONT 1U\C TO R
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MASON CONTRACTOR
Width of lot
ZONE
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ADDRESS 808- c8\o +t'-'\(~~
USE ~ N<2.V ..~P~
We~k consists of
DATE INSPECTIONS
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OCCUPANCY INSPECTED}j 9....r )JO~~
ADDRESS . ?S 0 ~ ~ lr-. (M.,::S
OWNER,S NAM15~V~~~'~' lA\)~"":>
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NOTICE DEI. IVERE)) I EXPLAINtDTO : ? i"' .s~ e~
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CODE ENFORCEMENt orvIS I9N
D"E'?AR TM1:NT OF COMMUN!tYDEvtI:O PMENT
CITY OF osaKOSH,WISCON~IN
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VIOLATION/COR.RECTION NOTIICE
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DATE INSPECTED
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FINDINGS OF INSPECTION
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DEfICIENCIES MUST BE CORRECTED AND APPROVED. BEFORE
CONCEALMENT. CALL (41~) Z36-5050 FOR INSPECTION.
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COMPLI~CEF'DATE: :R', ,")r, -r~ ~ \'~I,..tJ~~o..~
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CODE ENFORCEMENT DrVI S ION
D Er~,RTMENTO FCOMMUNtT""cDE V E~qPMENTh
CITY or OSHKOSH, WISCONSIN
VIOLATION/CORRECTION NOTiCe
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DATE INSPECTED
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ORDER FINDtN~SOF INSPECTION
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DEfICIENCIES MUST BE CORRECTtDAND.,APPROYEDStFORE
CONCEALMENT. CALL (4.t~) Z36-5050 FOR INSPECTION.
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COMPLIANCE DATE:
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