HomeMy WebLinkAbout0015644-Building CITY OF OSHKOSH N2 15644
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONINGS FLOOD PLAIN HEIGHT /OA
ADDRESS 4 E.- 1 E /A Q A PLAN NO. 01---1 13 .--c1 098
OWNER /40A AA 3 (A ACo. K.iI.. j (o4, g0w 5T,
DESIGNER v.3 FFir_ `--UM (Wt
USE /NATURE OF WORK i jM i GAS° C.x-- N a' is 0 i Vc.
U' CDLsOv pIs/V
BUILDING CONTRACTOR 'r'/(//a.. f T all C 21v !S.
Size 3?_ Sq. Ft. 30 72-- Rooms 8 l ories Height
Foundation ti/Cr2J. vs �1 CA�'1. 2/i.( Class of Const. v Occupancy Permit
HEATING CONTRACTOR OA/ P- Vlin
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR G c- c
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR A vU Ai c_
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuat' n Permit Fee Paid ea Park Dedication N/
ISSUED BY A Z
Gsd- Dat K 5 Final /O.P.
In the performance is work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
OWNER 74,113—
ADDRESS 0154 X- o�� ry/-1 ai..5= 6 yes/
TELEPHONE
ZCNIZWLAND U E CCIVLIM= =ECM=
=T
I. =MAL
Build Perm it S, I 4 Zoning re 3 Confomaing No
jab ti+oa 4 17 ENcao4 Ay( rot Dimension
Property Neer /Fns ✓/�CSN- rot Area
LC. 021SDRCClIOS DAM
Describe Main /r- A
740 Cam.
a IZIMIX=ae worm; ALA
Accumgery Salary Pool Single Family
fence Ds&/Patio 4 Derfasily
Hoethouse Sign l4ttti -t i1y
Dtility Structure Porch .Z G®mrocial
Other (specify) Manufactuedzy
exo i.. Deficient Defieier v/Ooiment!s
Use
lot Width
lot Area
Flccdplain
Treat Yard
Bear Yard
Sid! Yard CR)
Side Yard
Perking
Building Area
rot Ares per Family
Corner lot
f�y 7� �r� Other .jr.( l ...c s. N� j. /'a S
The Planning Director, or appropriate designee, meat approve all plans, eft
the follow/21p (1) Alterations or interior work %ten the use is conforninq and
when no champ of use is proposed. (2) Maintainers= items, e.g. Hiding windoaer
etc., whoa the m;s is =forcedly awd area no change of =se is proposed.
Instances where work conplies with the above tri t ,a, the permit obil bey ravisw�ed
by the Etuilding Inspector with= _i to the Plarmir:g Director.
PiPPIaOVF� Nor MPS=
Plan Conaission Action Required
Variance (s)
RE4ZE3IED
DATE A.K6037 1
NAME I I Ma, s lJA N R/I-- ADDRESS L.D4 c, 1 S
BLOCK 4 WARD 1 J
LOT 1,
SUBD I V .PlitA g r M A. a. ZONE
STREET NO 1/ 7
g' A/ Aviv: LOT DIMENSIONS ".7(--2r r )('I gS -5 2 I
SIDEWALK EXISTING YES E NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT SITE r /s Fi 9 BY
FEE 15.00 30 41,4A1/7/e7140-‘/ 45-70%1
DEPARTMENT OF PUBLIC WORKS
1, the undersigned, owner or agent of the above desc 'bed property agree to have the
grade established before excavation has commenc
7.--
l..f'
OWNER �^-10.444S 4//1! A/ ADDRESS 7 /(10/4!)
DATE C1 z 8 Cr PERMIT /5G USE 44 IAJ4- CsA2I
jto 4 pwir/t1 cons is ta of OA-) QJ /c...O
GENERAL CONTRACTOR 3Z ")c( B /40/14J '///c."-/
Li3 G tf S z5,e y �vu -r-f T Cs�rao� rte
N1 -3 /44/1/# 7 //2 q8
MASON CONTRACTOR ZONE 0.90
DATE INSPECTIONS
FOOTING
/O /3 FDTN SLAB
V /9
A n 9 to K BACKFILL
1
STRUCTURE
V
ENERGY
TEMP OP
FINAL /OP
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