HomeMy WebLinkAbout0026157-BuildingCITY OF OSHKOSH N° 26157
PERMIT -APPLICATION AND RECORD
TYPE: BLDG [~ HTG ^
~` ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN HEIGHT
-------
------ --~---------
---- ---------------- ---------------
--
ADDRESS ~~ fl~
( /
"~-- C
PLAN NOJ-~lZrO ~~ /~~
OWNER ``
~~.d~?.~Ci
DESIGNER
USE/NATURE OF WORK ~ ,~'7~fL ~.~d
~ ~ .
~
BUILDING CONTRACTOR . C/ • ~~
Size Sq. Ft. `fi~ # Rooms # Stories Height
Foundation Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR _ ~~
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Sw itches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH _ Disp _ WSoft _ CBasin
Lav _ Sh DW DF San. Sewer
- WC FDr SP Ur
-Sink _ LTub -Eject SS
Other
-Storm Sewer
Water.
FEES: Valuation D 8"~"d' ~ ,Permit Fee Paid $ ~ 6. ~~ Park Dedication $
ISSUED BY Date Final/O.P. Lf ~`~ - q ~
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA
ADDRE
l
TE
~~S ~43~
TELEPHONE #
Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ~.~~L ~j ~~'~2f^/~Y~~/l~ ZONING: - /
PROPERTY OWNER/CONTRACTOR: ~ ,~,~.-,~,LG~2GC/
CONSTRUCTION DATA: /NEW CONSTRUCTI~IV ADDITION ALTERATION- PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
DEFICIENT
---~-
-~--r---
REVIlEW AUTHORITY:
DEFICIENCY/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
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
The Director of Community Development, or designee, 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.
DROVED DENIED
Plan Commission Action Required
variance(
REV I E1JED
~!~/~P /l // `~"
State of Wisconsin
Department of Industry,
Labor 8 Human Relations WISCONSIN UNIFORM
BUILDING PERMIT /
APPLICATION NO. ~~p ~ S
Division of Safety & Buildings
Madison, wl 53707
Wisconsin Statutes 101.63, 101.73
APPLICATION
Se@ /nStrucHons on beck o/ lnk Co
PARCEL NO.
'PERMIT RE#~~E$TEO CONSTRUCTION ^HVAC ^ ELEC ^ PLUMBING ^ OTHER:
Owner's Name Mailing Address Telephone
' ~- o ~ ~ d
ntractor's a Mailing Addre Telephone /
/ // 3 ~ S`f90~ Z3~
I'~R~~r~ I~O~~~N
_. _... Lot Area
Sq. ft.
'/•, '/a, SECTION , T N, R E or W
Building Address
!v 9 ~~ Subdivision Name Lot No. Block No.
Zoning District(s)
~ ~ Zoning Permit No.
Sef~adc8 Front
~ ft. Rear
ft. Left
~ ~r ft. Right
~ ~ ft.
PICT ', 8. ~ ' EL~T~A1: ' >~ NV;AC ~t~F 1 ~. 'I N ERG~ SO ~A~E
ew ^ Repair
Al
i
^ R ~Ingle Family
U T
f
il Entranc P,an~l
Si
~ Forced Air Furnace
nt Baseboard or Panel
di
R Fuel Nat.
Gas L.P. Oil Elec.
* Solid lar
terat
on
aze
^Addition ^ Move wo
am
y
^ Garage ze:
- amp
S vice: a
a
^ Heat Pump SPace m9• ^ ^ ^ ^ ^
^ Other nderground ^ Boiler WaterHtg. ^ ^ ^ ^ ^
^ Overhead ^ Central Air Conditioning
*
^ Other
'~ ~'~
~'- ~~~~~~~' '
^ Other ~ I h v kilowatt
Dwelling unit w I a e 3 or
more installed electric space heating equip.
Site constructed Concrete '!#~ ~I~~ Infiltration control option is: ^Full sealing
,~:....~A..~~~, Manufactured ^ Masonry
W
^ Sewer
of joints. ^ Blower door test. ^ Exterior
air infiltration barner.
Treated
ood uniclpal
~O
~ ~TI~' ::`° ^ Other ^ Septic ~3. N~~k'>r!»OSS ..C..alclsl3Eted}
Unfinished Basement
Sq. ft.
' G' ~
^ 1-Sto
~''~ Permlt No
BTU/HR
Envelope
-living Area ~ Sq. ft. ry
^ 2-Story asonal 1"# ~~~` ~
Infiltration 3S BTU/HR
Garage ~P/ __~ gq, ft, ^ Othe. ermanent uniclpal Utility 14. SST IE'~~~~ G4ST
^ Plus basement Other ~] private on-site Well ~ S~ 00 ~ r ~ ~
$
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the
permit creates no legal liability, express or implie n the Department or Muni ', slily; and certifies that all the above information is accurate.
SIGNATURE OF APPLICANT ~ DATE
CONDITIONS OF APPROVAL This pe 'sued pursuant to the following conditions. Failure to compl may esult in suspension or
revocation of thi permit or other penalty.
~~~+~~~ '
JURISDICTK?N ^ TOWN ^ VILLAGE CITY ^ COUNTY
^ STATE ^ N EPEN NT
oF: Municipality Number of
Inspection Authority /
d - ~- ~? S2 Municipality Number of Dwelling
Location, if different
-
-
$; P~Rflwl~
>I~I~ Ul~M~Rf~:PIE#~RtSillT
kiLsilrttk. ' PEt~#kT tS$U~ 811:
Plan Review $ • ~ O Construction
HVAC `
NAME
Inspection $
Wis. Permit Seal, $ •~ ~ ^ Electrical
^ Plumbing ~"'~
I`-, ~~~
DATE ~ ~P ~/ ~
Other $
O
~ ^ Other ~ S~Q
CERT
NO
•
TOTAL $ .
.
SBD 5823 (R. 8/90) t / O /~ WHITE -Issuing Jurisdiction YELLOW - DILHR GREEN -Inspector PINK -Owner/Agent
~~~ ~~
. ~/ `!/~
•paouawwoo sey uol~.ene~xa eJO~aq pays)!q'~~sa aD~JS
ay.; aney o.: aaJ6F E,+Jadoud pao I J~sap anoge ay,~ to ~.ua6e Jo JauMO ' pau61 sJapun aye, ` I
a~I~OM 0 ! l3~'id 30 1N3tv1L'dc30
•
0~~ ~ 333
J ~B 1 b 6 ~ ~ 9 "' 31 I S 14f 13S S3~Ib'1S SNO i 14lA313 304~J `JN I Ol I ~9
L.J °N D
~ ~ ~, SraO I SN3W t C lOl
/ - 3NOZ
~~' ~OOI B
~7-/ O ss3aoad
S3~,
JNI1StX3 xldM301S
1'~ ~/ 31b0
'ON 133a1S
' ~~ 10911 S
10l
3WbN
_.
4. The 1"and referred to in this Commitment is situated in the County
of WINNEBAGO, State of Wisconsin, and described as follows:
The North Ninety-seven (97) feet of the South Six Hundred Fifteen
(615) feet of the South East 1/4 of the SOUTH EAST 1/4 of Section
Twenty (20); Township Eighteen (18) North of Range Sixteen (16)
East, in the Sir_th Ward, City of Oshkosh, Winnebago County,
Wisconsin, excepting the East Four Hundred Eighty-three and
' Eight-tenths (483.8) feet thereof.
Tax Key Number: 906-5410
Countersigned:
Authorized Officer of Agent (Any`prov~sions to the
contrary notwithstanding, this commitment is valid
without a countersignature.)
Commonwealth
® Land Title Insurance Com an
P Y
-~ /~' ~
"- / ~
---~ N
~ -~
~~ ~
t. ,
Oh1NER
DATE PERMIT #
GENERAL CONTRACTOR
MASON CONTRACTOR ~ ZONE
width of lot
s~
0
w
0
.~
a
m
A
Front of lot
C
ADDRESS
USE
Wo~Ck consists of /USf-~C-
~ yL ,
~`
ti~'~ .c.~ ./I /C
MASLING ADDRESs
DATE INSPECTIONS
RF.MP,RKS
NOTICF%-~~~,~r~~~.~, ~z
THIS BUILDING SHALL NOT BE
OCCUPIED UNTIL FINAL INSPECTIONS
HAVE BEEN MADE AND THIS CARD
SIGNED BY THE FOLLOWING
SOUGH PLUMBING INSPECT O
APPROVED
' of DATE f `~ ~ ' ~'z
,OSH INSP tTIFICATE OF OCCUPANC
fet un e.... ,...... ,... _...-T THE"° __
STRUCTURAL ,-~~~~ .~ ~suEi `"
D ~~~ ~` ~ ONFL
APPRO , _ ~~~~~.
City of DATE ~ ~ ~~~'~ ~ ~ ~~
OSHKOSH INSP ~~~"''
r.~rn~.~T T~_~~~~ n w nn
ROUGH ELECTRICAL WIRING
~~~~ APPROVE
~~
~` 'City of DATE ~~ ~ ~ ~ ~~ ~~
OSHKOSH INSP ~ '.~ ~~
INSPECTIONS MAY BE AI
BUILDI
ELECTS
HEATIN
PLUMBI
ROUGH ELECTRICAL WIRING
APPROVED
City of DATE ~~ ~c~ ~~
OSHKOSH INSP ~
~ STRUCTURAL
APPROVE
City of DATE ~5
OSHKOSH INSP i- ~
Code Enforcement Divisio
INSULATION
APPROVE
City of DATE Z-
OSHKOSH INSP
RRANGED BY CALLING 236-
Z-~
0.
NG ~~ DAT ~~ ~~~
I C A L ` ~'r ~ ~ ,t-:--- ~~ ~~ ~~_ z DATE
F~
~ ("~~`' DATE __L_7 i `~
_
DA
F I A E 238-5242
DA'Z'E
NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS
SANITAI~LAN 238-5030
Only for Businesses that Require a Permit from the City Health Department.
CITY SEALED DATE
DATE _
Only for Busineasea where Scales, Pumps or Scanning Registers are used.