HomeMy WebLinkAbout0038408-Building (foundation only)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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Z31
38408
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ADDRESS 3-s-~ -s;:~
OWNER _/q~.~tf-t-_
PLAN NO. /!2-Di-/91 '-1
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Class of Const.
# Stories
o
I Height /'-
Occupancy Permit ;:z:: ~1;;
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
ScQIa y-
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
_DW
_SP
_ WSoft
_DF
_ CBasin
_ San. Sewer
_BT
_WC
_FDr
_ L Tub
_Ur
_ Storm Sewer
_Sink
Other
-'-- Eject
_SS
_ Water
ISSUED BY
it Fee Paid $
Date
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Park Dedication $ ~
Final/O.P.
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ADDRESS
TELEPHONE #
OWNER~
DATE If} J{.. PERI1IT # 7SR~?)2'
Pfb~kf- .
GENE CONTRACTO R
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ADDRESS 3..1, ::::;'0 ktPP!'l/er
USE fGe'l-a.,' I
Wo-rk cons is ts of' ~~ "'- ~r-
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MASON CONTRACTOR
Width of lot
ZONE
DATE
_ 730[( ~~~~
INSPECTIONS'
REMARKS
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.MAILING ADDReSS
F rent of lot
Wisconsin Departmentof Industry,
Labor and Human Relations
PERMISSION TO STARTCONSTRUCTION"
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'Safety and Buildings Division
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NOTE: This permis~ionisapplic~'bl~only to ~~~jects
having below grade foundation work.
Additional fees are required. Contact one of the locations listed below for more information.
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HA YWARD OFFICE
Route 8
P.O. Box 8072
Hayvvard,WI54843
Tele: (715) 634-4870
FAX: (715) 634-5150
LA CROSSE OFFICE
2226 Rose Street
La Crosse, WI 54603
Tele: (608) 785-9334
FAX: (608) 785-9330
MADISON OFFICE
201 E. Washington Ave.
PO. Box 7969
Madison, WI 53707
Tele: (608) 266-8735,
FAX: (608) 267-9566
SHAWANO OFFICE
1053A E. Green Bay Street
P.O. Box 434
Shawano, WI 54166
Tele: (715) 524-3626
FAX: (715) 524-3633
WAUKESHA OFFICE
401 Pilot Court
Waukesha, WI 53188
Tele: (414) 548-8600
FAX: (414) 548-8614
Project Location:
Street: --::f7 cv:__/ Vj':Jf~L! j:::j/;;.
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City:
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County:
Occupancy:
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We, the undersigned, request to begin footing and foundation work priorto approValorthepl~n5r6accordance with
I LH R 50. 14.. .. .,~!:i';.;~!;.;X;"" . ",;~'.
. ::<_<:- :\;:-:~"-^::};:,'~-- ,:_:/;'~~:M'0:;-!-:.-,: _ ,,:-_.,,:.i-~,sJ;,..---- -: ~-::0$~::;~;'f~i~:;.}:;:.::0':;- - ''.-.''''.- - .. " . _ .:-.~};:;;.~~t.:~j;~};~i~-;-~~~~;:.: ':r;:._c':::_':"'~~'
Plans have been submitted to the Department of Industry, Labor and Human R~lations, Safety and Buildings Division, and
all information requested by Code ILHR 50.12 or ILHR 50.13 has been included with the submittal. ..... .. "
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We have reviewed the specific code requirements for the building or structure and its use, asset forth in ILHR 50-64, and,
where applicabl~, have shown compliance on the drawings. ")';:~~:\ '. .if;
We agree to make any changes required after the plans have been
complying parts of the foundation and/or footings.
We agreetoproceed with the foot.ings ~ndfo~ndation only and
structure untit'a'pp'relval has oeertTe'cetv'ERL '';;/"Lfi.j2j;",ii[,,>,./
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We u~derstand that, prior to the start of construction, a Building P~r~it m~st be ot~m~~trorn~helocal authorities
having jurisdiction in accordance with their laws and ordina~ces. 'j.'" ':.;Fi"',';,,;p' .... . ". .
We understand that if this project is in an unsewered area, a sanit~ry permit must.'6.e'~.bta,neclprio~~o the issuance of
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(Original Signature in Ink) ','., ... ...... (Original Signature in Ink)
-~- /~. <1-4 Date Signed: ."-~- 4 "l'i
Date Signed:
Owner's Name: Q. A LA::"~T j I':; .~,"
Designer's Name:
1 &r-\l-:..L.? F _ . AILot'f)!"l
Street:
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Street: t()(X) -":c> f1.t:..1'.~ ""';;T.
City:'v.;...H.:..r y.
State: i. II
Zip: ,;4 ""f(;l
City: /:~.-:.n k:.l) /:,,~
State: to') i
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Department Action:
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.ONot Approved
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Review Comments:
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Today's Date
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5BO-198 (R. 08/92)
Reviewed By:
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BLDG. INSPECTOR'S COPY
ZONING/LAND USE COMPLIANCE CHECKLIST
CONSTRUCTION DATA:
ZONING t ~
New Construction
Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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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
COMPLIANCE CHECKLIST
DEFICIENT
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
Sign age Standards
Drainage Plan
COMMENTS
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Plan Commission Action Required
Variance(s) Required
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REVIEWED BY:
DATE: ~/Ioh~
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ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 2; S-~ ~ ~& R S 0 k6'-~ I~ r- ZONING C - z-
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA:
New Construction
Addition
Alteration
TYPE OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST
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
COMMENTS
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DEFICIENT
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.,qo chan~e is proposed.
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~ APPROVED I DENIED
Plan Commission Action Required
Variance(s) Required _~.._. .
REVIEWE~ U/ . ~
DATE: /I/o~yr
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