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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.