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Home My WebLink About0015458-Building~ CITY OF OSHKOSH N° .15458 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN~~" HEIGH~~ -------------------------------------------------------------------- ADDRESS ~~ PLAN NO. OWNER ~_ U d--~i .`l S t~o c~vt. ~ C BUILDING CONTRACTOR Si ~ Sq. Ft. Foundation # Rooms ~~3--t~'~ ~# Stories Height Class of Const. ~_ Occupancy Permit HEATING CONTRACTOR h;aat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S CLCI~ 11"11V IiVIV 11"SHI.i I Vr'f ~~b' ~~~ Electric Serv. New ^ Change ^ Fixtures Switches PLUMBING CONTRACTOR BT - WH Lav Sh WC FDr -Sink LTub Other ^ Type Volts Amps Receptacles Circuits Disp DW SP -Eject WSoft DF Ur SS CBasin -San. Sewer_ -Storm Sewer Water FEES: Valuation ~ ~ rmit Paid $ V Park Dedication $ ISSUED BY - Date jf Final/O.P. /~".3~' r~9 In the performance of this work I agre ~ orm all work pursuant to rules governing the described construction. SIGNATURE ADDRESS- DATE ~~~~ ~~~ 3 TELEPHONE # ~- ~~ ~ ~ Departmentoilndustry, Labor 8 Human Relations WISCONSIN UNIFORM BUILDING PERMIT APPLICATION NO. Division of Safety & Buildings Mad son, WI 53707 Wisconsin Statutes 101.63, 101.73 APPLICATION See /nStruCt/Ons on back o/ Ink co PARCEL NO. PERMIT REQUESTED ' ~ STRUCTURE ^HVAC ^ ELEC ^ PLUMBING Own is Na a Mailing Addres Telephone ~v F' `t-1~..~ Contractor's Name Mailing Address Telephone r PROJ~GT LpGA'f'~ON ''/a, '/a, SECTION , T N, R E or W Building Address A Z ~ Subdivision Name , ,' ~ Lot No. Block No. Zoni g istrict Lot rea (J~~ s . ft. Setbacks Front ft. ear ~ ~ ft. Left ~ ft. RightQ' CJ ft. 1a. P:1~.. ECT 9. TYpE B. <EI.EC7R~A1.. ;: 9. HY'~tC ~CtUIPM~NT 12.' E~t) ~IFtGY SO URCE ew ^ Addition ^ Raz Alteration ^ Repair ^ Move Single Family ^ Two famil Entrance Panel Size: ~~ am orced Air Furnace Radiant Baseboard or Panel Fuel Nat. s L.P. Oil Elec. * Solid lar y ^ Other p Service: ^ Heat Pump Space Htg. ^ ^ ^ ^ ^Other nderground ^ Boiler WaterHtg. ^ ^ ^ ^ ^ ^ Overhead ^ Central Air Conditioning ~+. llb. ~.7/~RA\7E ~. ~w,,~ ~ 7. iFOLIfI~tQATt0~1 ^ Other * ^ Dwelli unit will have 3 kilowatt or more installed electric space heating equip. ^ ite constructed Concrete _... 't 0. PE.t)t~t$~Ft~ Infiltration control option is: ^ Full sealing ttached Detached ^ Mason ry of joints. ^ Blower door test. ^ Exterior EA ^ Manufactured ^ Treated Wood ewer Municipal air infiltration barrier. Basements ~ S ft ~ ~`IE~!`.. ^ Other ^ Septic ~~ ; #~~A~';,Lt'~S8 ; Gakculated) q. . ..,,~., ~j~ ^ 1-Sto '~' '~~~ PermltNo Envelope 7 BTU/HR Living Area ILL Sq. ft. ry ^ p_Story ^ Seasonal 7t. '~~~`~~ I >~ Infiltratio BTU/HR Garage ~-- Sq. ft. Oth r ermanent unicipal Utility 34, <~'STEMATED COST JI° Other Private on-site Well O The applicant agrees to comply with the Wisconsin Uniform Dwe ' Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no leg liabil'ty, expre or im 'ed, on the Department or Municipality; and certifies that all the above information is accurate. G,` SIGNATURE OF APPLICANT DATE ~~ \~~ /7 CONDITIONS OF APPROVAL This permit is iss d uant to the following conditions. Failure to comply may result in suspension or revocation of this per or other penalty. ~ Z ~SSU~NG 3URISDIGTIQN ^TOWN ^ VILLAGE ITY ^ COUNTY ^ STATE EPEN NT oF: Municipality Number of Ins~e~Ion Authority (O _ ~ ~ .6 Municipality Number of Dwelling Location, if different _ - - - - - Wig: P~RM~S) E Wes, tJtIt~ORIiA PERMIT ' SIEi1L NO. PERMIT t53Ul=~i ~Y: Plan Review $ Construction HVAC NAME Inspection $ Wis. Permit Seal(s) $ y~~ ^ Electrical ^ Plumbing DATE U Other $ ~ ^ Other ~'~'~f q / ~ C ~ `/,,,~ ~ CERT. NO. /~/ TOTAL $ SBD5f323(R.l>4/87) WHITE-Issuing Jurisdiction YELLOW-DILHR GREEN-Inspector PINK-Owner/Agent SCI ~ OMD ~O! V` KA'~klyry,~ l 1 ZQ~~7G/U1ND q5E ~1-'PZ.IPS~ ~G~ISF I. (~1L Httildir~q Pe~tst =_ ~/Zaziiag~ Co~oaair~g Nom-G~n~s~q.__ Job ?rxat3aai 2~~- ~cP r~ lt~ly h (~- Iot Ddm~sic~ Psnpriy Owes ~~["s_Y' ~t~F~' Lot Ases ~~ ~ - - _ Aocaaso~y Hu3.Irdiag _ Pml ~ ~SribQlli Fatally rl~oc~ _ Dac9c/Patic ~ 14~o-F~ily Bo~tou:~ Siegs ~+~ „ate; ~ y _ QtiliLy Stzvctra+a _ Pa~+ch _ G®ot~ia]. w+~q ~~ ttt~ T _~ ~- _ _ _ .. -~ ~~~-~ - X/ ~' - /'` ar. Lot Math Lot Aria moot ~a ~~ sia. rya c~ ss~ ~a aw Lot Arsa P~ ~Y C~ Lot Otl~ (spycity) IV. RbVgAT ~ Planning Disacdor, or appsaps~.ate domes, ttt~st ap~ov~ a1L p],ar~ , aoaoept tbs mll~dsig: t7.) Altecrat~rans or ; ~+'~ ~++- work wba fi~ uas is oonEo~ and wttea m ~tat~s of toss fa p~v~sd. t2) lrlainear~c~ items, ~:9:-. ad'dtrJg. wi~d~+a~ atC. ~ assn the tat is coatadng aad w~tsn rn ~ o!~ ~tas is propose. Tastsnoes wt~ess wank amQ,7.ias ~dth tits ab~ ~betfa, tl~e pstt~t caa bm =iviswrd by tl~e Btztlding Ittspsc~,o~r wdthoat *+•+'•R~ t to the Planning Diireetor. ~ A1~PI~VID 11A'1' ABPi~VF~ Plan ~asian Actian Visfance(s) F.ecttted . gLRTg3rE7 SY: OA.'*r: ~ ~j~` ATE~~~~°~~ NAP~IE C~t,~ti~Gt~' ADDRESS ~/ '~ ~ ~` ~~~ _T,., t yeV`~lsc r LOT ~ 3 BLOCK '+IARD S UBD I V . ~_ ~ rly ~ ZONE STREET NO. ~ ~ ~ -~`vrn ~ ~- LOT D 1 MENS I ONS ~ 5~ 35 SIDEWALK EXISTING YES ~ NO ~- BUILDING GRADE ELEVATIONS STAKES SET FEE : $1 ~. 00 `~7~ l AT SITE ~ ~ ~ , 19BY DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above de grade established before excavation has commenced. ~.~~~ erty agree to have the City of Oshkosh 1/1/35 PARKLAND DEDICATION FEE COLLECTION RECORD Address Z`E ~'~ ,6( a Owner's Name Name of Subdivision Lot # 2-~ _ Bldg. Permit # ~~~-.S No. of Units Fee Required Fee Paid Owner's signature Inspector's signature bO ~ ate q~ ~ to l ~ Parks Su division Improvement Accts. Rec.: 362-041 ' OWNER ~~ ~--~t`~S ~rf,~ ~~ DATE PERKIT # .GENERAL CONTRACTOR MASON CONTRACTOR Width of lot ADDRESS ~? ~~ ~ K a ,'~lyH ~/- USE Work consists of ~~9 ~ ~-~ ZONE ,~ 0 w 0 a a ~ Front of lot DATE INSPECTIONS ~_~~ ~~ ~ Ph~-- ~~ REMARKS ~ '~ e~i-- ~~ ~~ MAILINp At'' ASS