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Home My WebLink About0032765-Building~~o ~~ CITY OF OSHKOSH N°_ 32765 ~`' PERMIT -APPLICATION AND RECORD F TYPE: BLDG (~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN HEIGHT ADDRESS PLAN NO.~ ~ Z~ rJ Z9 312 OWNER ~~=3~/4 ' DESIGNER USE/NATURE OF WORK-L/~(~ ~~~ ~I~ -~ BUILDING CONTRACTOR t~ Size ~ Sq. Ft. ~~Sw # Rooms~~~~~"'y # Stories Z Height ~ Foundation C..~'2t_ Class of Const. -~- Occupancy Permit HEATING CONTRACTOR~/~f.~~L Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR 1" Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR '~ BT H Disp WSoft CBasin Lav Sh _ DW DF -San. Sewer WC FDr SP Ur -Storm Sewer -Sink LTub _ Eject SS Water Other FEES: Valuation $ ~0 000. O ~ • Permit Fee Paid $ ~ 30.00 / Park Dedica lion $ ~ ~ ~ • ~~ ISSUED BY~ Date ~~~~ 93 / o ~ Final/O.P. (e ' ~j~' 7~.~ In the performance ofd work I ~e to perform SIGNA' AGENT/OWNER .. ' ~' pursuant to rules governing the described construction. E • r TELEPHONE # .J48 LOCATION: ~'''~ ~r Revised: 8/89 ZONING/LANG USE CO PLIANCE C~fEC:CLIST a°~37. / ~~,~ (~~ ZONING: PROPERTY OWNER/CONTRACTOR: _ CONSTRUCTION DATA: ANEW CONSTRUCTI{N ADDITION ALTERATION TYPE OF PROPOSID CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) PARKING LOT -~-~ COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIE~iICY/COMMENTS _ Use _ Lot Width Lot Area Floodplain Front Yard Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area ' lot Area Per Family _ Garner Lot _ Landscaping _ Transitional Yard _ Off-Street Loading Vision Clearance _ Height ~~ REVIEi~ AUTHORITY: The Director of Community Oevelo a or signee, must approve 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. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Director of Community Development, or designee. ~~PPROVEO DENIED Plan Commission Action Required variance(s) REVIe,~E~ BY Wisconsin Department oflndustry, LaborandHumanRelations Safety and Buildings Division WISCONSIN UNIFORM BUILDING PERMIT /aPPlicationNo. ~2 (, S~ P.O. Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63, tot.73 APPLICATION (See instructions on back of pink copy) Parcel No. ~•~~:: !'..~:::::~:::::::::• ::::::::::.: . ~~~~~ . ~tonstr ^ HVAC ^ Elec ^ Plbg rosion ^ Other: Owner's Name Mailing Address Telephone No. (include area code) Contractor's Name /ding Address /~1/ (. Telephone No. (include area code) ""•~~~~ ~`~~~~•>~•~ ~ ~ e S . ft. 1/4, t/4, Section , T N, R E (or) W Buil~g Address Subdivision ame LotNO. ~ Block NO. I/ Zoning D' trio s) Zoning Permit No. New ^ Repair Single Family ^ Alteration ^ Raze ^ Two Family Setbacks Entrance Panel Size: -~B9 amp Front / Rearp .25 ft. d ~~ ft. orced Air Furnace adiant Baseboard or Panel Left ) Right / ~ ft. l ~ ft. ... Fuel Nat. L. P. Oil Elec. Solid Solar ^ Addition ^ Move ^ Garage h O Service: ^ Heat Pump l Space Htg ^ ^ ^ ^ ^ ^ t er (print): nderground ^ verhead ^ Boi er Central Air Conditioning Water Ht g ^ ^ ^ ^ ^ ^ Other ` ~"`~~~~~•~~"' ~`^` ° ~ ~ ~~~~~~` Other '~ ^ Dwelli g unit wil i t ll l t i d l have 3 ki eh lowatt or i ti ite Constructed M f oncrete ~ ....:, ~ ~~ ~ •~~~~~~••~~•~~•••~ '~.•.'3' ~#''»~>'>>»#>?~<?: '"~ "~~ "'~"' " ~ ' ~"" "" p. more ns r ng equ a e e ec c spac ea Infiltration control o tion is: Full sealin P ^ g .:::::..:...:..:..: ....:.... ......... ` ~~•~• °~ '•:'•:J~i~4'•~~~`~~`>':~»?•>>>>. anu actured y Masonr ^ Treated Wood Sewer of joints. ^ Blower door test. ^ Exterior /, ; ; :;;;. ~::•~ ~ ;;::.;•::::.::: ' ~ unici at air infiltration barrier. Unfinished Basement/~9o ~ Sq. ft. «>:> ::. • :::<: `' >»>< ^ Other p i '~~'~» M~~ttiTt~'S~ ~`>.'~~~~~'#'<><; ::: : : : : ~' ~ ~ ' a t c p : >: : >: : . . ....... ............................ ..... .. ....... ::......... ................ . ~ ^ 1-Story <~#~<>< :s' Permit No Living Area ~S S ft . Envelope BTU/HR q. . ~_Stor y ^ Other ^ Seasonal ermanent •• >~ • •• •• •••• Infiltration BTU/HR Gara e ~7 ~ S ft. g q• ~ther ni i I ili u c a Ut t ............................................................................. . Plus Basement ^ Private On-Site Well $ O`, QO ~ The applicant agrees to comply with all applica c the permit creates no legal liability, expresso i APPLICANT'S SIGNATURE e ,statutes and o nces and with the co s of this permit; understands that the issuance of , on the Depa nt or muni ~ ality; a ertifies that all the above informati is accurate. DATE SIGNED APPROVAL CONDITION This permi revocation i d pursuant to th Ilowing conditions. Failure to comply may r ult in suspension or this permit or oth penalty. ^ Town ^ ViDllag/e (City ^ County ^ State of: Municipality Number of Dwelling Location: Plan Review $ ~ O ~ " ~_ Construction Inspection $~J iVAC Name _____~~ Wis. Permit5eal $ p ,7 ^ Electrical iZ1f.~ ~' Other $ Q Plumbing Z /~.3 rosion Total $ ZD~ 0 D ^ SBD-5823 (R. 07/92) [~, ` WHITE -Issuing Jurisdiction Date ~8 Cert. No. _ ~~ S C~ YELLOW - DILHR GREEN -Inspector PINK -Owner/Agent l._~q rte... __ I e~~. ~a ' t ~~ I I ~~ s ~. 3 .. ~~ ~., i "~"+~,. °' c~ _~.--~ ~` _ _. __ _ -_ ~_ _-_ - _-..__ . _._____ - I NAME ADDRESS S U801 `~ . _ ~~ ~~Q~ ZCNE STREET N0. ~ 3'7 / /~`~A ~~~ LOT D I MENS I GNS SIOEYrALK EXISTING YES ~ ND BUILDING GRADE ELEVATIONS STAKES SET AT SITE_ Z ZL ,191'3 ~Y d~ FEE;~15.00 DEPARTP"t?`;T OF ~U8 L I C 'wG2K: I, the undersigned, owner or agent of the abcve described ro ert• a grace established before excavation has commenced. P P ~ gree to have .he ~ ~~~ ~~~~~ GATE- 2//7 43 a~~z~ City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECOP.O Address Owners Name Name of Subd Lot ~ %~ Bldg. Permst ~ 3Z~lo 5 No. of Units ~ Fee Required / D® Fee Paid Owner's signature Inspector's signature Date Date /~ 9 Parks Subdivision Improvement Accts. Rec.: 362-041 ~/j7`~ Z ', carE Z~7 ~c~ Z NAME ADDRESS LOT / ~ 8 LCCK ,.f SuBDIV. -r-- ZONE STREET N0. Z 3 a.~ (~I,L - LCT OIMENSIGNS SIDEWALK EXISTING YES NO BUILDING GRADE ELE`/ATIGNS STAKES SET AT SI TE FEE;~15. 00 ,19 9Y DERART~ "E`:T GF ~Ua L I C 'wGRKS I, the undersigned, owner or agent or the above dascribed proper-y a ree to hav y grade estaaiished befora excavation has commenced. g e 'he ~bks