HomeMy WebLinkAbout0040827-Building is
CITY OF OSHKOSH N 40827
PERMIT APPLICATION AND RECORD TYPE: BLDG v, HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS I 5 ate 6th' PLAN NO. /09 -04
OWNER fcEC UR/ T frioinE, ,i,&
DESIGNER a-
USE /NATURE OF WORK A e4J S�,NGC, A^1 tQ?7 cR 1 6T v
BUILDING CONTRACTOR av/2/ f
Q
Size Sq. Fj. 2
Rooms au/2 Stories Height /-S
Foundation �UCIZ
i E76— Class of Const. Occupancy Permit
s
HEATING CONTRACTOR J=.>
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 00M 1 N
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR A
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 Permit Fee Paid /O �I d P ark Dedication
ISSUED BY tx Date 30 q,/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE cf— 5 5 Li
AGENT /OWNER DATE
ADDRESS
TELEPHONE
,50 5 6 F„. D' '1 i lz
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT D. F i`
Safety and Buildings Division
P.O Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy)
PERMIT RE UESTED Ir C ons t r HVAC Elec Plbg .Erosion ❑Other:
Owner's Name Mailing Address Telephone No (include area code)
SEC�. 1 tDARn 1 I NC 50S >p b CS AKoS 4 H N -04 --aaak
Contractor's Nam Mailing Address M Telephone No (include area code)
Lot Area
PRO C LOCATION Sq. ft 1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
l l 5 S,f may'. CT. w �vcz 1� 10
Zoning District(s) Zoning Permit No. Front I Rear Left Right
Setbacks 20 ft. 5 ft. 1 5 ft. ft.
PROtECl`
:3. OCCUPANCY 6` E1.ECTR1 L 9t. H1VAC EQUIPMENT: .12.. ERGY RC1"
Jew Repair Smgle Family Entranc oeI orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: /W amp Radiant Baseboard or Panel Gas
Addition Move Garage Service: Heat Pump Space Htg in
Other (print): (S Underground Boiler
bb Overhead Central Air Conditioning Water Htg VI
Other Other ❑Dwelling unit will have 3 kilowatt or
C1 >:Et�1lN?Idl'1'1�t: led electric space heating equip.
I i he g
Site Constructed {Concrete 4O. PLUMBING more installed Infiltration control option is Full sealing
anufactured Masonry of joints. Blower door test. Exterior
2 ARE A tNVOI::VED Treated Wood Sewer air infiltration barner.
Unfinished Basement/603 Sq. ft STORKS Other 0114V1unicipal
�1- Story ❑Septic Perm "13 :O.t1; T *.gniiiKiI: 140.
y >8* USi+ .:i' it No Envelope .3 74 BTU /HR
Living Area Sq. ft. 2 -Story Seasonal
Garage
j ki,Permanent
't� ..E1t Infiltration BTU /HR
O Sq. ft. Other ❑Other Municipal Utility 14, EST B LLDING C S
ti Plus Basement Private On -Site Well 94 0°0
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 Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED cc
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or othe pen
A C
/Y) /IV LX..., -.70 f(. .;XCx:t l /2/'Lire.SCP' &III( 7 1 2
ISSUING Town Village Cit County State of: Municipality Number of Dwelling Location:
U.RISDICCIOI 6'� ,>/i -i 6 6
�Es
RmtT S.::U FORM:P R
t
Plan Review c onstruction n
Inspection HVAC Name
Wis. Permit Seal Electrical j 1 Other Plumbing Date CY
Total r I- rosion
El Cert. No. g
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
5-C,- pap z
tO
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 1 1 15 c2)0,z-r- ZONING g
PROPERTY OWNER /CONTRACTOR:_ 1 I k)C-,
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
COMPLIANCE CHECKLIST /gb3
qamgQ y69 Piz
DEFICIENT COMMENTS
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
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.
C /APPROVED DENIED
Plan Commission Action Required
Variance(s) Requed
REVIEWED BY: DATE: C 4
CATE
NAME blerrZ /7os ADDRESS
LOT BLOCK ?•FARD
S U8D I V (arm 117
ZONE
STREET NO. 71i)� Z[ (-%a LOT DIMENSIONS
SIDEWALK EXISTING YES NO a
BUILDING GRADE ELEVATIONS STAKES SET AT SITE j ,19 9'V BY
FEE; $15.00
1 "e 4/-1 1 ,1 ;17c-
DEPARTMENT OF PUBLIC 'WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
c OT7-055 4SX, 6,
am_
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address /g u i EZ C1
Owner's Name ��2� r
Name of Subdivision L EST >`7
Lot /C- Bldg. Permit (3
No. of Units
Fee Required /O
Fee Paid VIC()
Owner's signature J. -AO Date Y
Inspector's signature Date 7" 3 V
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
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