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HomeMy WebLinkAbout1994-BuildingI0 CITY OF OSHKOSH N2_40833 PERMIT - APPLICATION AND RECORD TYPE: BLDG )�, HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS—.� `'�J � ��C: k�� � � PLAN NO.R —S_ �� OWNER DESIGNER AA ��-� ` 1 USE /NATURE OF WORK 1Q �w� ALE «-�^� L�V�tt►.�J BUILDING �CONTRACTOR 1 Ntl —) 1, Size J y" Sq. Ft. «� # Rooms J # Stories Height. Foundation its Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System ELECTRIC CONTRACTOR CUM t 1JC a Heat Loss Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits BTU'S 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: Val, ati ©Q� Permit Fee Paid $ D Park Dedication $ ISSUED BY Date 3 C-�4 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /t_SIGNATURE v AGENT /OWNER TE ADDRESS TELEPHONE # Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division P.O. Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 Name Name WISCONSIN UNIFORM BUILDING PERMIT APPLICATION (See instructions on back of pink copy) e1c"onstr [] HVAC Elec ❑ Plbg ro Mailing Address a76n f i Mailing Address , IE Application No. Parcel No. on E] Other: Telephone No. (include area code) Z3 l -7200 3 Telephone No. (include area code) >: Lot Area oncrete ❑ Masonry Y ❑Treated Wood ❑Other <> ro top S . ft. 1/4, 1/4, Section T N, R E (or) W Buildin Addre Subdivision Name Lot No_ Block No. Zoning District(s) Zoning Permit No. ❑ S asonal [�'ermanent ❑Other ro'nft Rear Left Right I" Basement Setbacks CPJ ft. ft. APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. QSJb � j .�:ttyyyy: ma�y'J. ., ij MA' �h .i. lFtli�[./.........�..E7�lCI �k7:i::ln.::::: .... . ............. ... ......... :::::::::::::::::::: OWNew ❑ Repair ❑ Alteration ❑ Raze RSingle Family ❑ Two Family Entrance Panel Size: 7.010 amp FWForced Air Furnace ❑ Radiant Baseboard or Panel Fuel Nat. Gas L. P. Oil I Elec. Solid Solar E] Addition E] Move ❑Garage Ser ynder ❑Heat Pum P Space Htg ❑ ❑ ❑ ❑ ❑ Other (print): L�7U g round ❑ Boiler Water Htg V 1:11 ❑ I QI ❑ ❑ ❑ Overhead ❑ Central Air Conditioning ❑ Other ❑ Other �+.��.�!!�!� ::. `...i?:iS� ::: ?7 E 1.i `...'.NQJbI���$� * ❑ Dwelling unit will have 3 kilowatt or more inst II d 1 rte Constructed ❑Manufactured oncrete ❑ Masonry Y ❑Treated Wood ❑Other a e e e nc space ea mg egwp. Infiltration control option is: [] Full sealing of joints. ❑ Blower door test. ❑ Exterior air infiltration barrier. .... :., .._. _. ,...;; ••• :: : :•• Sew unici pal ❑ Septic Permit No. Unfinished Basement�(�Sq. ft. Living Area 2200 Sq. ft_ Garage Sq. ft. �J':•:::•::•;::•;;:: ".. :.•.::: "`'`' ❑ Y ❑ tory Oth :: ::���� > >z` >': >:«`: r. >: >... ?..; . ;:;; >• ,;;:: ;;;,;.::,. ::::. ::T> :...:: .. . ❑ S asonal [�'ermanent ❑Other Envelope „ BTU /HR Infiltration BTU /HR unici I Utility P a Ut t ❑ Private On -Site Well I" Basement $ '10, 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 implied, o he De artment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE A DATE SIGNED rf�Z�" /9•�/ APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. QSJb � YS4 &-ASLY'Z . '.. ❑ Town ❑ Village Brae y ❑ County ❑ State of: municipality Number of Dwelling Location: IS Re Plan Review $ Construction Inspection $ ❑ HVAC Name Wis. Permit Seal $ C] Electrical �� Q Other ❑ Plumbing Date Total $ Erosion 49 � _ El Cert. No. SBD- 5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent /�J Mw LDr 63 - W�Tu;&y Ffi-fwS JOB LOCATION: PROPERTY OWNER/CONTRACTOR: ZONING 16/ CONSTRUCTION DATA: C—k- _ New Construction Addition Alteration 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 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. APPROVED Plan Commission Action Required Variance(s) Required DENIED REVIEWED BY- �� DATE: �r l0� , O� M D N vu NAME `5 LOT 6 9 S UBD IV. Uk5TL091 i fD % s STREET NO. --2rf f RU34hoj4L21� D-1 SIDEWALK EXISTING YES DATE /c8 /g7 ADDRESS BLOCK WARD ZONE LOT DIMENSIONS rl NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,2 ,I9 Z/ BY FEE; $15.00 DEPARTMENT OF PUBLIC WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade estaaiished before excavation has commenced. c 0 O'S 4 PARKLAND � Address `� t Owners Name City Of Oshkosh 1/1/85 (DEEDICATION FEE COLLECTION RECORD Name of Subdivision Lot # � 5? Bldg. Permit # No. of Units Fee Required Fee Paid Owner's si gnr-ture l C Inspector's signature Date L Date�C� Parks Subdivision Improvement Accts. Rec.: 362 -041