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0016266-Building (foundation only)
CITY OF OSHKOSH N2 16266 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN ©a HEIGHT 7.5 ADDRESS I/O C r q f. 6 PLAN NO. —if ?'-l'2' ?I OWNER p p Gt k-e ri N AL-Co.s_.1 DESIGNER USE /NATURE OF WORK ,4)ec.c, ut� r V 4„ F' k cu.e-4^ 06-4 4 (1:2 PL CPt l I BUIL CO OR N� b-e r iz7 F t Rooms Stories C Height 4 Foundation 7 -,,o Class of Const. Occupancy Permit' HEATING CONTRACTOR CO 4-1.9- Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New 111 Change T Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin __Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation .d y Per 't Fee Paid e -5 Park Dedication i .1.11111., ISSUED BY Date Final /O. P. In the performance of is work I -gree to perform all work pursuant to rules governing the described construction. SIGNATU -may t ./1.2, AGENT /OWNER a ATE ADDRESS 4 TELEPHONE Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: r Ci WA thV ZONING: J PROPERTY OWNER /CONTRACTOR: k i C AL_ CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) lOto 9 o 4- COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area NA 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 REVIEW AUTHORITY: 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 ref ral to the Director of Community Development, or designee. APPROVED DENIED Plan Commission Action Required Variance(s) Requi ed REVIEWED BY: DATE: 7 1 ,n, r f 1 DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS I i SAFETY BUILDINGS DIVISION 1 P.O. BOX 7969 r MADISON, WISCONSIN 53707 PERMISSION TO START CONSTRUCTION FEE REQUIRED IN ADDITION TO EXAMINATION /INSPECTION FEES Locatio 1 of Project: Street: .1 /AA'4. -0i l E City: +f' t-^t l'4,04 \J I va, 5, 90,1 Plan File Number County:,. r,/ AI S19AC C;) ./14-T Date Plans Rec'd Occupancy We the undersigned, request to begin footing and foundation work prior to approval of the plans in accordance with Ind. 50,14. te ;A4'..., Est Plans have been submitted to the Department of Industry, Labor Human Relations, Safety and Buildings Divis on and all i 1! 0' ation requested by Code Ind. 50.12 or Ind. 50.13 has. been included with the submittal. We have reviewed the specific code requirements for the building or structure and its use, as set forth in Ind. 50-64, and, where applicable, have shown compliance on the drawings. We agree to make any changes required after the plans have been reviewed and to remove or replace noncode cons .lying parts of the foun .fit dation and or footings. ii'- We agree to proceed with the footings and foundation only and will not continue with the remainder of the bu lding or structure until.... approval has been received. We that, prior to the start of construction, a Building Permit must be obtained from the local authorit es having jurisdiction in accordance with their laws and ordinances. _L n Q� j 7 y Q L Owner's Si_ Date Accepted by Date Name: /Q /f/ L ,k/G ff7- /;elVr4 Dept. of Ind., Labor Human Relations M Safety Buildings Division Address: 23 y S,¢(,� S�; Not Accepted Because c s, PIAK:0 5■4 1..t.°1 %.6'' 'yy/ t:,, 1 \if\�� L.�.,A io 7. 6 1 b `'laps will be examined within the next Designer's Sign ture Date a s. t ay s. S. G.l3�t/1,!/1 NOTE: This permission" is applicable to projects having below glade. Address: foundation work only. 4 4i -1 _VII f' S13 -198 (R. 08/82) DESIGNERS COPY WINNEBAGO COUNTY HEIGHT PERMIT CITY OF OSHKOSH OWNER: r t C" f (t ADDRESS: /err 1 7 G TELEPHONE: ADDRESS OF PREMISES AFFECTED: 'fr Y :k... HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: 2_.r COUNTY USE ONLY EXISTING GRADE ELEVATION: MAXIMUM ELEVATION ALLOWED: APPROVED: YES Q NO EJ COMMENTS: CITY INSPECTOR:} f 5 c C4 kg) TELEPHONE: DATE /(,/7/9 COUNTY INSPECTOR: TELEPHONE: /A= DATE: White copy County; Yellow copy Town; Pink copy -Owner DATE l 0" NAME 1�-0 rti /C.tn.' 1'4 S'S ADDRESS #'V _�pr LOT BLOCK WARD SUBDIV. ZONE STREET NO. 1 C,� uA-u r-r-pg. Ot— LOT DIMENSIONS SIDEWALK EXISTING YES L111 NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE /1/3 ,I997 BY FEE: itPPS Cr DEPARTMENT OF PUBLIC WORKS 6 I, the undersigned, owner or agent of the above des ibed property agree to have the grade established before excavation has commen Atgl 441/Ze3' 0 0 6 2