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HomeMy WebLinkAbout044544-Building{ ~_ N°_ 44544 CITY OF OSHKOSH D PERMIT -APPLICATION AND RECOR TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~~~ t 1I~ 1~w~~ ~ • PLAN NO~-~ OWNER ~~~--~ ~V~`C~TUE~ \ DESIGN USE/NATURE OF WORK .` 1~~, BUILDING 1J Size 1\Z-~~ Sq. Ft. ~~~ # Rooms -~~ # Stories ~ Height Foundation 1~J~~~~`~ Class of Const. ~ Occupancy Permit HEATING CONTRACTOR 1 c~ ' ~r'C~A t ,©~ Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~~ \~~ Electric Senr. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~~~ BT _ WH _ Disp _ WSoft _ CBasin Lav _ Sh _ DW _ DF _ San. Sewer_ - WC _ FDr _ SP _ Ur -Storm Sewer -Sink _ LTub -Eject - SS -Water Other FEES: Valuati ~~ ~~a Permit Fee Paid $~ii 11 _~~n~V Park Dedication $ ISSUED BY ~A ~~ Date ~1' ~' `~~ Final/O.P. In the performance/6f~this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~i-~ ~~ ' ,, / AGENT/OWNER pA~ ~DDRESS ~~-Z- Vv- So~T~ ~.a~ ~ ~t ~3/-~//S/ TELEPHONE M Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Apphcati°" N°. Labor and Human Relations PERMIT APPL~~AT~~N `1~5 ~{ Safety and Buildings Division P.o. sox 7969 (See instructions on back of pink. copy) Parcel No. 7'fF Madison, WI 53707 The information you provide ma be used by other government agency Wisc nsin t t 1 1.6 101 J pro rams lFrivacy Law, s. 15.04 ~1) (m)]. ~ ~ n 'r h r: Co tr HVA EI PI r on Ot e s C ec b os Owner's Name Mailing Address Telephone No. rDONAi.a WAGNTLc,L~rr~. 912 W QTR (}~ENui~ ( ) Contractor's Name: f~ Con ^ Elec ^HVAC ^ Plbg ic/Cert # Mailing Address Telephone No. 17 Ad d. ~iNOErG CONST, /Nc. ~.~~{ l~U. -So~zs~ ~a...~ 14v~ ( ) g`- ~1~1 Contractor's Name:. ^ Con ^ Elec HVAC ~ Plbg idCert # Mailing Address Telephone No. ~ rr$ N M P,S3o .?oo S Do7' STK. EE % ( ) Contractor's Name: ^ Con ~ Elec ^HVAC ^ Plbg idCert # Mailing Address Telephone No. W Contractor's Name: ^ Con ^ Elec ^HVAC ^ Plbg LiUCert # Mailing Address Telephone No. o~ ( ) %. `: ~ ..<<"'`.. :' .~: .~<#?»> Lot Area • ::>:~~<:;;~`.:;.;::<:::;;;;;;:• Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Build^i'n~g A dress ,! , Subdivision Name Lot No. Block No. 'C S ~~1.WV.7~-~ l.~v Zoning District(s) Zoning Permit No. Font Rear Le Right -.. Setbacks ,~ ft. ft. /3 ft. ~ ft. :::~:A!:i'~:I1MY~~~v:::::!:::is:i::::i::::i:::::::::i'~:{:yi. J:4.: is i:: ..:::. ~: • .i .:< .: • . ~ ":: ~ ::i:~ ~i. :~:::'~ is ~:::: '?~ ~ '<i :Y :ri ~'i:. i ~.: :~ : i. : .: ~: ........................................................... .................................................. ,. .. ~~~~~~.::.::.:::.:~~.::.:~~.;s~:::.:::.::::.::::::::::.:::::::::::: New ^ Repair Single Family Entra ~fyel orced Air Furnace FUeI Nat L_ P Oil Elec Solid Solar ^ Alteration ^ Raze ^ Two Family Size: .V amp ^ Radiant Baseboard or Panel G s * ^ Addition ^ Move ^ Garage S rvice: ^ Heat Pump ^ Other (print): ~,~lnderground ^ Boiler Spate Htg ^ ^ ^ ^ er ^ Overhead ^ Central Air Conditioning W Htg ^ ^ ^ ^ ^ ^ Other ;..:::: ^ Other * ^ Dwelling unit will have 3 kilowatt or .. more installed electric space heating equip. Site Constructed Concrete <~~»~!~. •.~~?~~i" '? >?%Fzr:': Infiltration control o tion is: Full sealin ^ Manufactured ^ Masonry .......;...:.:...~.::::::.~ .::::::.::::::::::::::::.:::. P ^ 9 ,. of oints. Blower door test. Exterior :;.~•'.;:`:J~~#~1i;O1~1~`~~«:>:><:>::::>:: ^ Treated Wood Sewer ~ ^ ^ Munici al air infiltration barrier: C~ '.S~E~(~E~S>s`':> Other P Unfinished Basement i.? Sq. ft ....................................... ^ <>::»::>:<::.;~.:::::::::::.:::.;.::.:r:>~ •: ~:: •:»: •:::;:::«:»: •::>::::z:<....,>:::<::: a: :»:>..:.,...>::»::;<:.::.;;;:;.;;:.;:.; Se tic ;?.>._:sE~~'[H'I'•:~!~:~:>:##~):Cf~)*?~. ~:~.z .-J1-Stor ^ P .....1 .......................~....... da Y ?.~ ~'~~ ::: Permit No. .... .... Living Area _ Sq. ft. y ^ Seasonal Envelope BTU/HR ^ 2-Stor . . n ~~//~~,,// ;~'~>;~~~<'«<'><<!rE< Infiltration IX BTU/HR Gaya a 7!~ S . ft. ^ Other [Permanent ............................. 9 q Munici al Utilit ^ other P v ~4:::1i~rtE!`c~€>t)N~"i••!'.~,`',•`1`E3E>>>>' lus Basement ^ Private On-Site Well _ " M C"j/ The applicant agrees to comply with all.applicable codes, statutes and ordinances and with the conditions of this permit; Lnderstands that the issuance of the permit creates no legal liability, express or lied, on the Depa ment ormun pality; and certifesthat all the above informati n is accurate. PLICANT'S SIGNATURE DATE SIGNED ~ ~,$' APPROVAL CON~~T~UNS his permit is issued pursuant tothe following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. ~ v IN S ~ PtiJr. .~,~ ~t~. E12t~,.iVr-,] M~pS~ L.~ o ` 2~ ~N~s.~ '~'LZ~ss ~7E'TA~~S - ATE "~ ~r~~t~ lt~~ ~Z~~ ivo i~ bt.~ C.c? r T)1 u Ccx~r2S~ 9L 1/r ~./.YZlC/ ~Z v~uA~Z r~~ c~c~/2 f~~U~~~ ^ Town ^ Village City ^ County ^ State of: Municipality Number of Dwelling Location: ru~~s~rc~r~s~ ~ ~ ~~~~~ ~~ - ~ 6 ~ .... . ::::::::::.:::::::::::~::~:: ~~~s~~~~: ~~ ~.~ ~ ~ ~ ~ ~~::~~~~~~~~~::~:~~~ .;...:.:.:..;.:~::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::: .. ~ :. _ r~~>~~~ ~~r .. : ~ :..:.::: ~:: :.:.x.:::::.:::::.:::::::.::.:.::::: :.:::.:::.:::.:::::::::::::::::.::::::::: ~. . s~>L.a~. _ :::.:~ :::::::::::::~:.:::::::,:..::.~.:::.::::::.::::::::::::.::::.:::::.::.:.:::::.:::::::: Plan Review $ Construction Inspection $HVAC Name Wis. Permit Seal $ ~ ^ Electrical ~ "~ ~s ~ ~~ Other $ ^ Plumbing Date Total $ ~ (Erosion ~ ~~~~~ ~ / ~~ [~~ Cert. No. W SBD-5823 (R. 06/94) /~/{y//~/}~}~'[~(~y~ WHITE -Issuing Jurisdiction YELLOW -DILHR GREEN -.Inspector PINK -Owner/Agent ~ ~ 1 ~ ~ ~ OO ZONING/LAND~USE COMPLIANCE CHETCKLIST JOB LOCATION: ~ ~~ l ~ 1 ~1~~~ 4J~n ZONING PROPERTY OWNER/CONTRACTOR: 1 JIVE ~ 1J~ C~~cF1~~`~~ CONSTRUCTION DATA: New Construction Addition TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) COMPLIANCE CHECKLIST DEFICIENT Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off-Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan JC ~ ~ C~cu. -~ ~~p~z. Alteration COMMENTS REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval 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. t/---`APPROVED DENIED Plan Commission Action Required Variance(s) REVIEWED BY: ~~~~~~.. 5~~~~. ~ DATE: LATE=~' ~lQ~ NAME ~L.-~ ~ (r~~ CS~~'Tt ZQ AOORE55 LOT i3lCCK '•f,~FiD SU80IV• 2CNE (.,- STREET NO . ~~J i nT ~ i M~NC i rr~c SIDEWALK EXISTING YES ~ NO 8U I lD I NG GRAOE ELE'/AT I ONS STAKES SET AT 5 I TE ~T ~'Z~' , 19 g= Y ~~ FEE: ~i5.00 !~ ?~~ CE?A~T~"E`:T OF ~UoL(C '~vGRK: I, the undersigned, owner or agent aT the abcve described property agree ro have `he grade estaDiished befor? excavation has commenced. a ~.~_~ ~~~~~ K~RkwooD '~ r 7 r M :... ~~ O ,- 03 ~.~ Q' .s~N~rt~.3~Ta 1'715 r z m N i JUE1/y ~lJV3E ~ __~`• ~ ~ ~~\. - D i O , ...: 6~ir ~~ .. Oz ._. _~ a ~ 3'? a1 P` m OWNE R~~ ~P~Tl7~ ~.~. DATE~~~~ PERMIT # ~~~ ~~ ~t ~~Z C~~~. GENERAL CONTRACTOR ~t3~-a'~1 ~~ MASON CONTRACTOR ZONE width of lot v 0 w 0 y a m a ADDRESS / ~~ I 1 ~ 1,1~~ ~-- USE ~~-' /~ ~ ~ - ~~~~ Work cons is of DATE INSPECTIONS ~QS ca~n~. ~- ~ !1/~ U ~~ Front of lot 7~zc~~ ~.~~ e~ /~Q ~s.~ ~v- r~~/ ~ ~ r