HomeMy WebLinkAbout0045387-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
/10
N! 45387
".
TYPE: BLDG l~/HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING iZ-
FLOOD PLAIN
HEIGHT
~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - -
OWNER
2/109 Akrr-r'zc1\
';:::r;t.~~ ;tl~t.& Jvt.
PLAN No.Jl~-6~-:b94
ADDRESS
DESIGNER
USE/NATURE OF WORK ./l/teeA.:> SF Je:-. ~/4i1-~
BUILDING CONTRACTOR 17"~ofe,t,;:~ of a c;."""jb
6:;.2-1-130+11#"'.,4... .
Size ~I'-~ Sq. Ft.'U"V-.4v;~ # Room&-'\""'/~bQ # Stories ?
~ 0 1.J4o ~<C-
Foundation }"". t.Jetr'!: Class of Const. J=5 Occupancy Permit
Height
2Z
~dl
HEATING CONTRACTOR
Heat 0 AlC 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
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ LTub _ Eject _SS _ Water
Other
l
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Park Dedication $
Final/O.P.
ISSUED BY
Date
ree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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ADDRESS t:;dd. A,vpnr-7!-J?c/. A/7crJ~ )/~I <Y9S'2.
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TELEPHONE #
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ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: '2:.-/0? :Jt#r ...it~ J;( ~ff'-I!'-i~tOt1
PROPERTY OWNER/CONTRACTOR: 2j~h,^ A/-I>r-n/. Q W1
ZONING k/
,
CONSTRUCTION DATA:
New Construction
Addition
Alteration
TYPE OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.)
;V<e-eO S:F~tJ( 4-~ ~t<I"-
COMPLIANCE CHECKLIST ,I
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
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
;If>
DATE: .~ II Ir.~
t
REVIEWED BY:
1--------------------------------------------1
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2109 Harrison Street I
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Oshkosh, WI 54901 N I
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NAME ~k "-.. II-(~~W'-
LOT
SUBDIV.
STREET NO. C 10 Y Nr.:.1-l"-l.::s.e>e-r
SIDEWALK EXISTING
CATE 0ij..s::-
I
ADDRESS
8 LOCK
ZONE
~.; ABD
LOT DIMENSIONS
YES ~ NO D
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
,19
8Y
FEE; $15.00
&h#ri, \~<d~-t ~
DEPARn.1ENT OF ?1..IaLIC~CRKS
I, the undersigned, owner or agenT of the above described properTY agree ~o have the
gr~ae eSTaei ished before excavation has commenced.
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Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING
Labor and Human Relations C
Safety and Buildings Division PERMIT APPlI A TION
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
Wiscnnsin Statutes 101.63 10171. programs [Privacy Law, s. 15.04 (1 )(m)].
:~:'::.i~:III:!!.!II!~I~i,:'~g(constr 0 HVAC 0 Elec 0 Plbg .&Erosion
~~(~mm~Ht I Mailing Address
C~actor's ~1me: 0 C,9~P Elec 0 HVAC 0 Plbg LiclCert # Mailing Address'
ICe t,,- f :be.~&;~~~
Contractor's Name:~Con 0 Elec E!>HVAC 0 Pfug Lic/Cert # Mailing Address
Application No.
~.....
.
.
Parcel No.
o Other:
Telephone No.
( )
Contractor's Name: 0 Con 0 Elec 0 HVAC 0 Plbg LiclCert #
Mailing Address
Telephone No.
( )
Telephone No.
( )
Telephone No.
( )
Telephone No.
( )
Contractor's Name: 0 Con 0 Elec 0 HVAC 0 Plbg Lic/Cert #
Mailing Address
.11~~~M~.~g_I,=~!:::..::!:. Lot Area
B;IlbA:;r~1 ~ ~e1
Zoning District(s) . I Zoning Permit No.
Sq. h.
1/4,
1/4,Section
Lot No.
T
N, R E (or) W
Block No.
Subdivision Name
Front I Rear Leh Right
Setbacks h. h. h. h.
?1m~I.OJ,ES\t:tttI"t:iI~~:~~~:::mmmI\t(:"~~~OC.'UJlAN'Y:IJ#:::e.:t.~GtmfAV\:~}':~nta'()~OEQUlPMfeNlm::::':(a.:\INll'n;iW:IG.Okce::'::::m:\\II:::t:~:::::m~:::~~I~i.tt~::
~ 0 Repair ~gle Family EntranJl?~1 ...2I!rorced Air Furnace F el Nat L. P Oil Elec Solid Solar
o Alteration 0 Raze mwo Family Size: ~amp 0 Radiant Baseboard or Panel U Gas *
o Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg ~ 0 0 0 0 0
o Other (print): 0 Un~rground 0 Boiler
~erhead . 0 Central Air Conditioning Water Htg.B 0 0 0 0 0
=~;~~dE;( =~~~nQN/ ::~;';;~MiNG::t::::::~::::':'::ff:::::t:~ ~~~~f!~:~~nu~:~~i~f~:v~:3~~~~i~i~~gP'
o Manufactured OO.Masonry d ..S..e......e................................................... ofJ'o,'nts. 0 Blower door test. 0 Ext er'lor
;:'@'AIIAJf.lIVQt:Vep\::=:i.W:I ...... Treated Woo . -.._w r . . air infiltration barrier.
Unfinished~e~~n':~q h. :!:k:;SroJllE$::~:)ftt'~'t 0 Other NJ\A+tniclpal
Living Aria~~. ~.~ Sq. ft. I 8~::::~:~!:~~:~:;:r:::t:::'::::)):'? o"~~~~~t No.::~:~:~:~~;::"lim:t.Q$.J!~;g,~q,~t.!~~~:~::~
:I.. / ~-~'V ~" ;:tU~:W4mmI:~IW\:tW:t:\'W';t\~ Infiltration S.cXC> BTU/HR
Garage ,80 Sq. h. 0 Other o-:o~~:;nent ~i~i~~i.~~ii;~~............ tj#.}::~i$.jf~i:i.P.~tQlii::e.QS.t~::::~~:::~:~::::::::::mIi::i::::::::::::
O Plus Basement 0 Private On-Site Well '$ r-,- :- - _
~ C 1'1If'lI J
The applicant agrees to complywith all applicable codes, statutes and ordinances and with the conditions of this permit; understands thatthe Issuance of
the permit creates no legal liability, expre~ied,o'~epartment or municipality; and certifies that al.1 the above info~m/on is Zura~.
APPLICANT'S SIGNATURE .~L. . . . DATESIGNED ~/~/515"
APPROVAL CONDITIONS 05 permit is issued pursuant to the following Conditions. Failuretocomply may result in suspension or
revocation of thiS permit or other penalty.
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o Town 0 Village ~
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1:.::..I:I:I~11111~1::!iii:.:1
~nstruction
o HVAC
o Electrical
o Plumbing
o Erosion
o
o County 0 State of: Municipality Number of Dwelling Location:
'20 -~~.~
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Name/l!(VYl~ U.h k {(l-
Date I (,!/~s
Is-a /9'~' Cert. No. H"3."y.O
Plan Review $
Inspection $ 30
Wis. Permit Seal $
Other $
Total $ 70
SBD-5823 (R. 06/94)
,yVCCO --
WHITE -Issuing Jurisdiction
YELLOW - DILHR
GREEN -Inspector
PINK - OINner/Agent
CODE ENF'ORCEMENT D t V I S rON
DEPAltT~.ENTO,F COMMUNITY OEVELOt'!1ENT
CITY OF OSHKOSH, WISCONSIN
VIOL A T ION / COR R E CT ION NOT ICE
DATE INSPECTED CO ...~ -<1<0
OCCUPANCY INSPECTED \J ~A."-" ,))..uv~
ADDRESS C). \ O~ ~,"^-<,(,"Sl)...... -:5 J-
OWNERS NAME",>",.,
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ADDRESS;L
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NO'!ICEJjEl!vtltEDiEXPLAINED TO:
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ITEM # ORDER
FINDINGS OF INSPECTION
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DEFICIENCIES MUST BE CORRECTED AND APPROVED, BEFORE
CONCEALMENT. CALL (414) 236-5050 FOR INSPECTION. /'
"COMPLIANCE DATE: fC ~~ I ..(-) 0<:.( v p,-}..., <. J
INSPECTOR:
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CONTRACTOR
II i./- 6:,5-. &. 95
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ADDRESS 2/ 09 +lf1.fr/~()n
USEj\Je.10 Sf!e IAJI flH (ba r
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Wc~k consists of
ZONE
DATE INSPECTIONS
fl. REl>1ARKS ~
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MASON - CONTRACTOR
Width of lot
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Front of lot
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