HomeMy WebLinkAbout0025459-Building (garage) CITY OF OSHKOSH N°_ 25459
4 PERMIT APPLICATION AND RECORD
TYPE: BLDG A HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS f 3 WGLC 0- PLAN NO 1/ 0 S7 O 9 91/e--
OWNER fell £2c-#<-
DESIGNER
USE /NATURE OF WORK 1 _t 1 .(4 r-J.0CA
BUILDING CONTRACTOR 477z.1-4
Size 11 0X /2 (fix Sq. Ft. PO" Rooms Stories l Height
Foundation P f( 7G at 406( list■sYl es
Class of Const. d" Occupancy Permit _A
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. 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: Valuation O 0 Permit Fee Paid 1 1 4 S 7 0 0 i Park Dedication
ISSUED BY Date 03 At Final /O.P.
In the performance of this work I agree to perform all work pursJant to rules governing the described construction.
SIGNATURE r `Z
AGENT /OWNER D
DATE
ADDRESS 776 Z- ,e M L(_ 23 Vez 'L
TELEPHONE
Revised: 8/89
ZONING /LAND USE COMP LIANCE CHECKLIST
ZONING:
JOB LOCATION:
PROPERTY OWNER /CONTRACTOR:
CONSTRUCTION DATA: CONSTRUCTI{N
ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CO ■STRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
DEFICIENCY /COMMENTS
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fret 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
REVIEW AUTHORITY:
The Director of Community Development, or designee, must approve all plans, except the
following: (1) Alterations or interior work when euse wi windows, and no e c ia n g e
in use is proposed. (2) Maintenance items, e.g. siding,
conforming and when no change is proposed. the
Instances where work complies with above Communityt0evelopment1eorddes
Building Inspector without referral designee.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Requi ed
REVIEWED BY I DATE: V,?(3A1/
REVIE ,l
Safety Buildings oivision PLANS APPROVAL APPLICATION
all E. Wasnington Avenue E-
P.O. Sox 7969 DEPARTMENT OF INDUSTRY, LABOR ANO HUMAN RELATIONS
Madison. WI 53707 BUREAU OF BUILDINGS AND STRUCTURES PLAN NOT l ail t9 lrl/
INSTRUCTIONS: Fill in all applicable data. Submittal of this Plan Approval Application form is required with each plan submittal. with a minimum of 4
sets of plans. Data required is described in code section ILHR 50.12.
SUBMIT PLUMBING PLANS SEPARATELY. ACCOMPANIED BY PLUMBING PLAN APPLICATION FORM S1304154.
Nam¢ of Owner Budding Occupancy or Use Designer or Design firm ❑Bum HVAC
Company ame Tenant Na lit any) Street No.
Street No. Building is located at: 1 7,3 ,k4 City State Zip
City State Zip in the ity r�-1 Town ❑Village Contact Person
of: 0
rr County of:
Previous Owner if any Return Plans to: O Designer Phone
Other
PUBLIC RECORDS: This plan. and related documents. may be subject to public inspection and copying. (IND 69.02(61
1. This application fort New Bldg Addn to Bldg Alteration Revision to previously reviewed plan ILHR 70 Hist Bldg
2. The Department has processed a Petition for Variance for this project? Yes Pir No: Preliminary Review? Yes No
3. Review of the following building components is requested. Plans and calculations are included for each component.
L_1 Footing Foundation RI Building Structural HVAC Other:
4. The following construction classification type is requested and shown on plans. #1 Fire Resist. #2 Fire Resist.
#3 Metal Frame Prot 0#4 Hvy Tmbr 0#5A Msnry Prot 0#5B Msnry 0#6 Metal Frame ❑#7 Wood Frame Prot Wood Frame
5. If plans do not show compliance with requested construction classification, but are approvable at a lower class, do you wish plan approval at
the lower construction classification? Yes No
6. SOIL BEARING CAPACITY: The Soil Bearing used for design is PSF. This value is presumed verified
7. BUILDING SYSTEMS: Please check appropriate boxes Complete sprinkler Partial sprinkler Fire alarm Emergency Power
Complete detection system Partial detection system. For partial systems, show area protected on plans or by letter.
8. MECHANICAL INFORMATION: Total output rating of heating units is: BTUH. Air cond. Full Partial None
Primary fuel source is Gas Oil Electric L.P. Coal Wood Solar Other
COMPONENTS INCLUDED WITH THIS SUBMITTAL 10. FEES See current fee summary or IND 69.09: and back of form.
NOTE: Must be submitted by building designer Building:.. Volume 7? O0i0 C.F....S O. o 0
METAL Designer Name Reg. No HVAC Volume C.F....S
BUILDING Supplier Alteration :....Area S.F....S
Structural: (Separate submission only) S
Designer Name Reg. No Ftg Fdn: (Separate submission only) S
TRUSSES Supplier Revision to previously reviewed plan S
Industrial Exhaust S
Designer Name Reg. No Other ther S
CONCRETE Supptier Priority Review (Total of above fees) S
Permission to Start S
LAMINATED Designer Name Reg. No Inspection Fee 7c o
WOOD Supplier Total /3 S", 0 0
OFFICE USE ONLY Date:
Designer Name No ❑Owner
OTHER Fee
(SPECIFY) Supplier Paid A Designer
By: Other
11. OESIGN ANO SUPERVISION (11-iR 50.07.30.10) d this building. following construction W this proieet, COMM more than 50.000 cubic tint. Mai volume. aN applKaOt. Oozes below must Oe
canplated poor to Wan review. The project designer is the person who signed and sealed the plans. except for components designed and sealed by omer desegns+s. Plans tar twONngs over
50.000 C.F. MN not be reviewed undl the signature of the eupeMeing proleeeieneys)1s prevWed. The Oepenmsnt expects. and requires. that the protect designer review individual component
seamiest,' kw compliance with the gsiiersi design concept. The protect designer. and department. wit) rely en Ihe seal 01 the component designers for comptiance w,Ih the codes as they apply to
their designs.
Name of Building Designer (Type or Print) Reg. No. Name of HVAC Designer (Type or Print) Reg. No.
Name of Professional Supervising Building (Type or Print) Reg. No. Address
e• 'nature of Professional Supervising Building Date
Name of Professional Supervising HVAC; (Type or Print) Reg. No. Address
Signature of Professional Supervising HVAC Date
S8.1181R. 10186)
AREA, VOLUME AND FEE CALCULATION
AREA: The area of a building is the area bounded by the exterior surface of the building walls or the outside face of colum
where there is no wall. Area includes all roofed areas including porches and garages, except for cantilevered canopies ol
the building wall. Use the roof area for free standing canopies.
HEIGHT: The height is measured from the bottom of the lowest floor slab to the top surface of the roof. If the roof is pitched or
sloped, measure to the average height of the roof. Height includes, but is not limited to, basements, ground floors, crawl
spaces, floor joist space, attics, dormers, etc.
CALCULATION OF FEES
New or Addition Length x Width Area x Height Volume
Area #1 b x 0 x (400 5000
Area #Z
Area #3
Area #4 x x
Total Volume
Alterations Length x Width 81 Area
Area #1 x
Area #Z x
Area #3 x
Area #4
Total Area
Transfer total volume and/or total alteration area to block #10 on front of form, and enter proper fees.
See current fee schedule summary or IND 69.09 for fees, or call 608 -267 -7843.
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