HomeMy WebLinkAbout0029827-Building 4
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CITY OF OSHKOSH N2 29827
PERMIT APPLICATION AND RECORD
TYPE: BLDG X HTG ELEC PLBG SIGN ZONING E--1 FLOOD PLAIN HEIGHT
ADDRESS 11 O L PLAN NO. if /O S d 7 9 Z ri---
OWNER /L.t M77-y 6 ,,j,G,A
DESIGNER ��jj��
USE /NATURE OF WORK /'bra.) Z'2( l' A
BUILDING CONTRACTOR 61
31-�" Sq. F-3461 g
Size U q. Ft. �-�3 #S tories H i i ht
Foundation 7'-- Class of Const. eP Occupancy Permit
HEATING CONTRACTOR i C4.4.-)
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR Clc.�
Electric Serv. New Change ❑mp 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: Valuatio (4-0 00 0 0' Permit Fee Paid /3o 'OD Park Dedication 0 0
ISSUED BY i G fl Date 7/2- 3A Z Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
--(1 7
AGENT /OWNER DATE
ADDRESS
TELEPHONE
g /o 5 079 zK---
1
State of Wisconsin WISCONSIN UNIFORM
Department of Industry,
Labor Human Relations BUILDING PERMIT APPLICATION NO.
Division of Safety Buildings 1
Box 7969 n, APPLICATION
Madison, WI 53707
Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO.
[::E R:
.0 THE
CONSTRUCTION El ELEC El O
CONS U
Own is Name Mailing Address Telephone I
is F/4 4a4/ 579 f r/ Zd 5-kr90 -zoo i
Cont ractor's me Mailing Address Telephone
Lot Area 1
1
Sq. ft. /s, /a, SECTION T (or)W
Building Address Subdivision Name Lot No. Block No.
Zoning Distr'ct(s) Zoning Permit No. Front Rearr r Left Right
,6--V
y- Setbacks 37 t (oft. `'I" G ft. 1 ft. (4 7 q ft.
URC>
L:. :.5..;:.#�t'A SIT ::::.........i�....ENERG�t SO
ew Repair Single Family Entrance Panel a Forced Air Furnace Fuel Nat' L.P. Oil Elec. Solid Solar
DAlteration Raze D Two family Size: c amp Radiant Baseboard or Panel Gas
❑Addition Move Garage Service: Heat Pump Space mg• W
Other ($'Underground Boiler WaterHtg.
Overhead Central Air Conditioning
Other Dwelling unit will have 3 kilowatt or
Other
5
more installed ;electric space heating equip.
Site construc Concr BINS:
Infiltration control option is Full sealing
Masonry ewer of joints. El door test. ❑Exterior
111E Manufactured Treated Wood Municipal air infiltration barrier.
Other
1r::�1F Septic 7[S :WA I":L 2a
Unfinished Basement 11 7 S ft. P ermit No.
U
:...p 3" 36 BTU /HR
-S 8 Envelope
Living Area I9 33 Sq. ft. ry Infiltration 7 BTU /HR 5
2 1 to to Seasona IV INA ER
S ry
Other Permanent
Garage T Z Sq. ft. Municipal Utility
Other
Private on -site Well
Plus basement (05;000,0a
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, on the Depa ent or Municipality; and certifies st that all the above information is accurate.
SIGNATURE OF APPLICANT N
%�L" (Fvr/) DATE Z /,1_
CONDITIONS OF APPROVAL This permit ist issued pursuant top the following conditions. Failure to comply may lresult in suspension or
revocation of this permit or other penalty
'_i Jr�..r .i L .fit■► I& LA L D- _s r .2/7
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TOWN ❑VILLAGE CIT ❑COU Mun icipality Number of Municipality Number of Dwelling
STATE R IND P NDEN Inspection Authority Location, it different
Plan Review 1 10.0'0 Construction
HVAC Ci jY NA
Inspection Electrical f 4 3 c1
Wis. Permit Seal 3 •Q Plumbing DATE 7/13/9 Z
Other Other
-7 CERT. NO.
TOTAL O
SBD 5823 (R. 8/90) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner/Agent
Revised: 89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: /00 faai ZONING: r l
PROPERTY OWNER /CONTRACTOR: JA. 4 ,i 11/4 6y
CONSTRUCTION DATA: ✓1GEW CONSTRUCTIO ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
1 Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra t 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: C®.�1:,�4.1
a
The Director of Community Development, o d must approve all plans, exc 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 referral to the Director of Community Development, or designee.
4, APPROVED DENIED
Plan Commission Action Required
Variance(s) Requi ed
REVIEWED BY: OATS:
WES:I:FIELD HEIGH'I'S SUBDIVISION
HY HERITAGE HOMES OF OSHKOSH INC.
6
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Unplatted Lands
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Unplatted Lands 1 -2- 1.. I
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11 L AUR C2_8
2 r AE LAURIE 0 AVE. 11 100
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Unplafted Lands it- 1
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M BLOCK 02
LEACH'S AP OF 1894
2
ov- scAtA l 60
sr co-.- Sac.on 15
I IfiN .11161 1
60 r, 100 2(1
DATE 1/2 3 /7
NAME /T2i1Aa 7 /17-x40- ADDRESS
LOT I BLOCK WARD
SUBO I V LAd! ZONE
STREET NO. 1 I O /J 6.4, LOT 01 MENS I GNS
SIDE\ALK EXISTING YES EJ NO 111
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 7 /ZI ,I9 92 BY /4N
FEE:$t0700
//SC- 06
DEPA TMENT OF PUBLIC W A RKS x.
1, the undersigned, owner or agent of the above described ro ert agree to have th
P P g the
grade established before excavation has commenced.
City of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address ///0/ Owner's Name LL2 /L
Name of Subdivision n.1-4
Lot Bldg. Permit .P g FZ
No. of Units 1
Fee Required 1 00 .00
Fee Paid /00.0d
Owner's signature _i��,'4 Date
Inspector's signature 1 Date "7/1-Y/1
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
620246
t
LOT 14, WESTFIELB HEIGHTS SUBDIVISION, CITY OF OSHKOSH, WINNEBAGO COUNTY, WISCONSIN
117.91'
g'
6' PUBLIC
r__ 40.001-
28.00' 1 UTILITY EASE.
PROP.
N 2 ST. ESE.
W/ ATT.
GARAGE 8
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ct.
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33.00
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405° SS..--•°°.11°
41. CAROW LAND SURVEYING CO. INC. "`E
1":20
t 1837 W. WISCONSIN AVE., P.O, BOX 1297 PAWN BY DAY
0 APPLETON, WISCONSIN 54912 -1297
P AOJECi NO.
PHONE 414 731.4168 FAX 731 -5673 A927.46
'1
OWNERAL A a ADDRESS T H (0 1
DATE JUL 2 3 1992 PERMIT USE__)2 a/v
WoYk consists of
GENERAL CONTRACTOR
MASON CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
T1 ®t O/G
W 1 /9? o pi, %4
A
V
414 A
0
X
4.1
04
Front of lot MAILING ADDRESS