HomeMy WebLinkAbout0029828-Building CITY OF OSHKOSH N 29828
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING le-/ FLOOD PLAIN HEIGHT
ADDRESS_� e- -7 el PLAN NOri q /060 79Z- /C-.
OWNER V.01,--ocr-- y ,&A-
DESIGNER �/f
USE /NATURE OF WORK [.1“)
BUILDING CONTRACTOR 6thi2t../(
Size Sq. Ft. 1 4..61 S Roonfs 3/3-I--, Stories Height .20
Foundation Class of Const. Y Occupancy Permit
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 30) 000 0D Permit Fee Paid 00 Park Dedication /00. 0 o
ISSUED BY "9"*" 1.(/6 /A Date 7 4 3 Z- Final /O.P. ZPD/q 3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE v 7' ---?/'Z') q 2
AGENT /OWNER DATE
ADDRESS
TELEPHONE
State of Wisconsin
Department of Industry, WISCONSIN UNIFORM p Z
Labor Human Relations BUILDING PERMIT APPLICATION NO. O g
Division n of Safety 8 Buildings
Box 7969
Madison, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 (gee Insert ions on back olfpink copy) PARCEL NO.
PE RMIT R Q ESTE
CONSTRUCTION HVAC ELEC PLUMBING OTHER:
Owner's Name Mailing Address Telephone
J f �41 -10 u'� 6-61 1.(� 1
Contractor's N e Mailing Address Telephone
Lot Area
OJEC L N.:
Sq. ft. /a, /a, SECTION T N, R E (or)W
Subdivision m
Building Address bdivision Name Lot No. Block No.
II 30 T7 4 L x(/
Zoning Dis riot() Zoning Permit No. Front Rear Left Right
Setbacks 3,0 ft. 3 f" ft. ft. Z T 3 6 ft.
':::E::::::: P G O
MT' 1 ENEI #G�.�OU�iCE:
New Repair Single Family Entrance Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar
Alteration Raze Two family Size: 0 amp Radiant Baseboard or Panel Ga
Addition Move Garage Service: Heat Pump Space Htg.
Other Underground Boiler WaterHtg..,
Overhead 0 Central Air Conditioning
Dwelling unit it will have kilowatt Other !I a Other tl or 3 ow
more Installs electric space heating equip.
Concr :T.::;::..
Si constructed IO. Infiltration
st ucted �����1;::::::;:::!::::;;:<:,. t ation control option is: ❑Full sealing
A: E tT Manufactured Masonry S er of joints. Blower door test. ❑Exterior
Treated Wood Municipal air infiltration barrier.
Other
Septic
Unfinished Basementl�° sq. ft. .;�r:.#T#IEM€ 1: AT�OSS Calc�leti�e�€
Permit No.
�i 1- St Envelope r26 BTU /HR
Living Area i 't O J sq. ft.
2 -Story ory Seasonal 1:t AY >::::<::z<::: Infiltration 7 ,3ST BTU /HR A Garage (j/_ Other Permanent
9 1 `e 7 Sq. ft. Municipal Utility $T'�L:
Other .g...:;.;.;:.
Private on -site Well
Plus basement 5 S 00O p 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 Depart ent or Municipality; and certifies th all the above information is accurate.
SIGNATURE OF APPLICANT DATE 29 /e5
CONDITIONS OF APPROVAL This permit is i pursuant top the following conditions. Failure to comply may result in suspension or
revocation of th permit or other penalty
it ...."....6, Cdr s..i i A X a/./,'
.S2,-uya-L/ .e. r zez.c.- 1r /ii,. r t...e ,-ril
I�IDI TOWN VILLAGE CITY COUNTY Municipality VIL of
Municipality
P 1Y Number o
I�I. i n
0 STATE INDEPEND' r T Inspection Authority
ocatio, if Number of Dwelling
9
U IS C TION y
=P
t
1 :Plir
Plan Review 40'00 Construction
Inspection HVAC NAME 1-4114 /I'c'
Electrical Wis. Permit Seal. $,30E 0 Plumbing I 1 (43 9 9 DATE 7/ 7 L
Other Other 0
TOTAL /0 r0 0 CERT. NO. ..1-..5-3
SBD 5823 (R. 8/90) WHITE Issuing Jurisdiction YELLOW— DILHR GREEN Inspector PINK Owner/Agent
r z Revised: 8/84
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ZONING: (2...
PROPERTY OWNER /CONTRACTOR: A/2, e A.
CONSTRUCTION DATA: —1(E W CONSTRUCT O 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
Use
Lot Width
Lot Area
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:
m n or desi n
The Director of Community Develop must approve all plans, except the
a t, g pP
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.
LPPROVED DENIED
Plan Commission Action Required
Variance(s) Requ1/-d
REVIEWED BY: BATE: ,7 ,7 T
WESIFIELD HEIGRIS SUBDIVISION
1 BY HERITAGE HOMES OF OSHKOSH INC.
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DATE 7/2 3/9 L
NAME /gocta'' ADDRESS
LOT f Z BLOCK WAUCQ
SUED I'✓ ZONE
I �.ZGy
STREET NO. 3 (in A41 a (.d7. LOT DIMENSIONS
SIDEWALK EXISTING YES El NO III
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 7 44 I g �I` BY /e/
FEE $10.0$
//5
DEPA TMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
4,4 ti°
City of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address /130 jet.„ 6 1 4--
Owner's Name j 7z/ 6ye
Name of Subdivision ak
4 i/
Lot /Z 7 Bldg. Permit �W
No. of Units
Fee Required e ,0 o
Fee Paid /64 o v
Owner's signature 7` 1 *-X Date 2/ 4 2)/7 2
Inspector's signature Date 7/Z 9 L
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
$2024$
LOT 12, WESTFIELD HEIGHTS SUBDIVISION, CITY OF OSHKOSH, WINNEBAGO•COUNTY, WISCONSIN.
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118.03'
g
30.00' c- 1
52.00'
M
PROP. 1 ST. HSE. 1
N W/ ATT. GARAGE g
11,67' o0
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24.33' R co
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11 7.97
X CAROW LAND SURVEYING CO. DRAWN BY
INC. SCALE 1"=20' 1837 W. WISCONSIN AVE, P.O, BOX 1297 DAY
-0 APPLETON, WISCONSIN 54912 -1297
PROJECT NO
l PHONE 414 731 -4168 FAX 731 -5673 A927.48