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Home My WebLink About0022372-Building CITY OF OSHKOSH N°_ 22372 PERMIT APPLICATION AND RECORD TYPE: BLDG i kr HTG ELEC PLBG SIGN ZONING r --1 FLOOD PLAIN HEIGHT 0 29 ADDRESS 54 t 4A- PLAN NO.67/ 0 S.- Z// 9'//1 OWNER /v �C4C ^i"k.v" DESIGNER USE /NATURE OF WORK /_/C.t) I// ��A BUILDING CONTRACTOR �,:0-TK/V n `f rjc D I /mat t.6✓ ,E L Size 9,- Sq. Ft. 34' Rooms /7.— Stories Height Z t/ J Foundation Class of Const. er Occupancy Permit HEATING CONTRACTOR Y Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR /re. Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /h 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 2 400 Ov Permit Fee Paid 30 eo Park Dedication 46:0 ae ISSUED BY f✓ Date D A-V9/ Final /O.P. In the performa this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR 4 y� i GENT /OWNER G j ATE ADDRESS (9 `.s d /O TELEPHONE Revised: 8/89 ZONING /LA USE COMPLIANCE CHECKLIST JOB LOCATION: 960 (U -1 z%/ li ZONING: EV y PROPERTY OWNER /CONTRACTOR: i m,La. pl›.1-�, J aviZ CONSTRUCTION DATA: ,/NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) y,/ .X C 2-5 S-Sg /-x'2' //74 COMPLIANCE CHECKLIST (Check only those applicable) CO PLIES 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 R V IEW AUTHORITY: 6, 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 referral to the Director of Community Development, or designee. L/ APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: _4419,1 G 0 S -2 91 R State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor Human Relations APPLICATION NO. 7 2 Division of Safety Buildings BUILDING PERMrr Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO. pg it*.pirteaugaso STRUCTURE El HVAC El ELEC 0 PLUMBING Owner's Name Mail g Address Telephone Il:d- ,d --12-9 47‘0444 2-33 4// eV Contractor's Name iling Address Telephone a 0 714-A i:PRiCliigiatUVATRII NE::::::::::g:::::::::::::::::::g:::::::::::::::::::::::::::: 'A, 'A, SECTION T N R E (or)W Building Address Subdivision tlame Lot No. Block No. 1 4 776.4.- fo-c.,-c.f" G2 Zoning District Lot Area Fron Rear Left Right Sq. ft. Setbacks ft. 3 .7 ft ft. ft. la ft. :WELECIMICAL.M .:4V:.'fiVAC:::ECtiM PINENTME:E:. New 0 Addition 0 Raze ,ff G Single Family Entranc Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar as Alteration 0 Repair 0 Move Two family Size: amp N Radiant Baseboard or Panel 0 Other Service: 0 Heat Pump Space Htg. V10000 0 Other M Underground 0 Boiler Water Htg. 0 0 0 0 0 Overhead 0 Central Air Conditioning 11i:a'aARAGZ:i:P:Fii*:::.:::.::::::::::::i.::: :VCONSVEYPE W 'FOUNDATION::: 0 Other 0 Dwelling unit will have 3 kilowatt or XAttached L_I 0 Detached Manufactured Site constructed M Concrete :::'.01 ViltijiinittOri;:i::::::::::::::::::::::::::::::::::::i;:::::::::::::4::: Infiltration control option is: 0 Full sealing Masonry of joints. 0 Blower door test 0 Exterior 1:;:i.Artgliil:::1::;::;:;:niiiii:Mign:::::.::M:;:; Treated Wood Municipal air infiltration barrier B ts lk:i. STOR vets. 0 Other Septic .::13:::.11EATIOSSAtilailiiiii asemen s ii4157 0. F z--- t::::: USE:::::::::::0.::::::: Permit No. Envelo --Aleo BTU/HR g1-Stor Living Area 4 3Z.-- S q• 't6. 2-Story 0 Seasonal :11 ::::::WA1ER::::::::::::::::M:::::::::::::::::::::i:i:::::::::::::::::::::: Infiltrati 3 s"E" BTU/HR Garage /1 7' Sq. ft. 0 Other Permanent m- Municipal Utility 1:01ri:: T''::1301111iii4iitOtt.::::m::::]:::]:::: Other Private on-site Well The applicant agrees to comply with the Wiscoi Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no :gal liab ity, express or implied, on the Department or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICAN A _2 ■111, ■Atir DATE CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. ki/.../..../.,a_ 0:- X:24- /7-0/ 04 ..-t-t-- 44./ 5(1J—/ Ae.A..0.*4 „,,t, z,06(4.1-sze, z#..6),se 4 iiiiiiiiiii:i:::::::::::::::;:t:::i$::: 0 TOWN 0 VILLAGE IcITY 0 COUNTY Municipality Number of Municipality Number of Dwelling 0 STATE 0 INDEPEND T Inspection Authority Location, if different JURISDICTION 2 0 2 6 ':::::::::::::m:::::Wm:::::: OF .eiegl Fitlm::::::::::::::::: :::::mPeleaStiiii::::ii]:i Wla:VNIFORM _.,LPEROffii!iiiiiiiiii:::::::::!:iii::::::::::::::::::::::::::::::::::1:::::::::::::iiiiii:::::::::::::::::6:::::::::::ii:::i:::::::::::::::Miii:i::::::::::::::::::::i:::::::::: Plan Review do Z1 construction 0 HVAC NAME Inspection 0 Electrical 9/3 Wis. Permit Seal(s) 3e) s ID Plumbing DATE /9 Other 0 Other TOTAL CERT. NO. S-- 0 70 )-0 SSD 5823 (R. 4189)(1.., WHITE -Issuing Jurisdiction YELLOW DILHR GREEN-Inspector PINK-Owner/Agent 64/ Doe? .00 DATE Z/ z. %i NAME 4,1 1,1 ckt,„. ADDRESS LOT -2-1( BLOCK WARD SUED I V i' r� Piit -sr- ZONE STREET NO 9 50 i'•// /1 71. _�tA-) °�"i LO D IMENSIONS SIDEWALK EXISTING YES NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,19 BY /S FEE: $JA :-g& 6; /Kr DEPARTMENT OF PUBLIC WORKS J .S I, the undersigned, owner or agent of the above described property agree to have the grade estaoiished before excavation has comme Qd. ..ae Dr-.7 004287 City of Oshkosh 1 /1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /95 J, 1-e2" DA Owner's Name 17,14 -t. z Name of Subdivision 57o C Lot Bldg. Permit 22 a 7?— No. of Units Fee Required /DD 0- e Fee Paid /D/ d Owner's signature Date Inspector's signature I A Date z.1/3/9 Parks Subdivision Improvement Accts. Rec.: 362 -041