HomeMy WebLinkAbout0009587-Building (foundation only)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
09587
TYPE:
OWNER
DESIGNE
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USE/NATURE OF WORK
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BUILDING CONTRACTOR !2il!- ~~-L a4SUiU a tAic-,
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Size ?A':..t!:' x~ Sq. Ft., g 0 # RoomsM.,e;Z' 'kJiUt3' # St~ries
Foundation~~SL ~ .~/glTt~dl1 Class of Const. /J- b
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. Height
Occupancy Permit 1~l.6
HEATING CONTRACTOR
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Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
8:76 v;( Ct f,'cfl
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
U /M.r fl-UA1I3Wc:>
_Sink
Other
_FOr
_ LTub
--,- Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water.
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Permit Fee Paid $
Date
2<>1
7~z-r-il
Park Dedication $
Final/O.P.
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ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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t AGENT/OWNER
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I' DATE '
ADDRESS
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TELEPHONE #
ZONn1G/IMID USE CONPLIANcr CHEOcr..tST
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t. GENERAL
Building Pel;Itti.t # ~ ZOning ~~
Job Iocation:::i<346 &-u~:-J ~---z
Property Owner FBtb SPERLI~ C!.
Confol:Itlinq_ Non-<:onform:i.ng_ .
:to~ D:in'ension
. Lot: Area
II. a:NS'I'ROCTICN DATA
Describe~: ~/C~ 1Im/71oAJ
NEW a:NS'I'ROCTION
;< ADDITICN
AUIERATICM
Accesso tb.; ,,.1;.......
- ry ..................~
Fence
Boathouse
_ Utility Structure
_ other (specify)
III. ~ cmx::RS
Pool
_ Deck/Patio
_ Sign
Porch
$.i:ivtle' FamiJ.:
_d '':I Y
Two-Famil:
- Y
_ Hllti.--Family
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_ M:mufac;:tu.ri.Q.g
CatDlies Deficient
Deficiency 1Came1t:s
..JL.
~
-L
L
Use
:tot Width
:tot Area
Floodplain .
FJ:ont Yard
Rear Yard
Side Yard (R)
Side Yard' (L)
Parking
Building Area
:tot Area per Family
Cor.ner :tot
other (specify)
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IV. REV!Et-l AtmrORI'I'Y'
The Planning Director, or appropriate designee, l1UJSt approve all plans, except
the following: (l) Alterations or interior ~rk when the use is oonfotming an:i
when no change of use is proposed. (2) Maintena.rlce items, e;.g.;.,. ~1 W~.;s:r
etc., \tlhen t.i.e use is confo:tming and when 00' cha.nge of 'USe is pmpos.ed'.
Instancc-s where \<.prk c:x:::nplies with the above critet:;la.l the pel:ittl,t can. l::i= revie.-."ed
by the Building !nspec'-...or wi. thout refe-"'Tal to the Planning Oirector.
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APPROVED
NOr APProvED
Plan Corrmission Action Required
DEPARTMENTOF IND(JSTRY, LABOR AND HUMAN RELATIONS
SAFETY & BUILDINGS DIVISION
P,O. BOX 7969
MADISON, WISCONSIN 53707
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\;";.",,,,",,",",,,"'1 PERMISSION TO START CONSTRUCTION
FEE REQUlR.EblN ADDlTl'ON TO'EXAMINATlON/INSPECTION FEES
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.Location of Project:
,Str~et :
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Da te Plans Rec' d
the undersigned, request to beginfooting and foundation work prior to approval 6f the plans in accordance with Ind, 50.14,
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. ... Occupancy:
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to
requested by Code Ind, 50,12 or Ind. 50,13 has b~en included with thesubmittal.
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We have reviewed the speCific code't;;qLlirements for the building or structure and its use, as set forth in Ind.50-64, arid, where applicable,
have shown compliance on the drawings.
:.We agreeto make any changes required after the plans have been reviewed and to remove or replace noncode complying parts of the foun-
dation and or footings.
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We agree to proceed with the foofings and foundation only and will not continue' with the remainder of thebuilding or structure until
approval has been received.
We understand that, prior to the start of construction, a Building Permit must be obtained from the local authorities having jurisdiction in
accordance with their)aws and ordinances,
oflnd.,Labor 8:- ;HL~I11an Relations
& Buildings' DiVision
Not Accepted Because
Plans will be examined within the next
days.
NOTE: This permission is applicable to projects having below grade
foundation work only,
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BLDG. INSPECTORS COpy
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