HomeMy WebLinkAbout0041711-Building H
CITY OF OSHKOSH
N
PERMIT APPLICATION AND RECORD
TYPE: BLDG 10 HTG ELEC PLBG SIGN ZONING _-I--L FLOOD PLAIN HEIGHT
ADDRESS 0 W1x:.J`7 /fiab wil PLAN NO. F O b -g/`'"
OWNER USCA Gizaq7c_)
DESIGNER
USE /NATURE OF WORK 4 au 0 j066-',-rg lL C 6
BUILDING CONTRACTOR )SCI
Size Sq. Ft. 1099 Rooms 6 Stories Height /y
Foundation CO Class of Const. 8 Occupancy Permit
HEATING CONTRACTOR (rZDk)
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR Corn l
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S /4
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 Alt r 000 Permit Fee Paid ��0 V I 1
Park Dedication /C O- 12-
ISSUED BY *Ot-diLOA Date (9-(2/Q V Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,/k"
AGENT /OWNER DATE
ADDRESS
TELEPHONE
T \-}l..k cis -\k-e s 1--. I 0.s,�g
0--/° ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: L 3 K I 1 U3A ZONING /9
PROPERTY OWNER/CONTRACTOR: SCE
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE O CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
n
1 b�� 1051 -Q-c?-
COMPLIANCE CHECKLIST ait Q, (-141 4. ---4
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 i PP VitCY—la/142411L)C.
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.
APPROVED DENIED
Plan Commission Action Required
Variances) R ed
ir REVIEWED BY DATE:
r
T si 50 Fa dlo '3 nt'?
Wisconsin Department of Industry, WISCONSIN _UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT 411-1
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 REQ EST
i �onstr HVAC El Elec 0 Plbg Erosion Other:
Ow= a e Mailing Address Tele hone No. (include area code)
p
C 0 6 UL �,J Y hone
Contractor's Name Mailing Ad red s Telephone No. (include area code)
Y �`E-
Lot Area
OJO S ft_ 1/4, 1/4, Section T N, R E (or) W
Bui W S I d�LX.� Na K J Fa L"f Block No.
Zoning District(s) ning Permit No. ront r r Rear Left
t�l/ Right
Setbacks 2) 1 ft I ft. (V ft. ft.
Oit.• ii`':: i: hw w :VOCOPA. t....t... iat. 1tisj:: ':L.I:iillitAt:tt«Y1;rty 0
lew Repair Wingle Family Entrance Panel v❑orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: /OD amp Radiant Baseboard or Panel Gas
Addition Move Garage Service: Heat Pump Space Htg V
Other (print): ErOnderground Boiler
Overhead Central Air Conditioning Water Htg M
Other Ot her *9 Dwelling unit will have 3 kilowatt or
%ST'#'I more installed electric space heating equip.
[�'tite Constructed Concrete Infiltration control option is: Full sealing
Manufactured Masonry
t. Exterior
Y of joints. Blower door test. El
:i .R iiiii:ii: i:iiiiii: i:i
❑Treated wood Sewer
unici al air infiltration barrier.
SEc:. ORI Other
Unfinished Basement S ft.
,k
q
❑S >HRT�!Q►S�'..�'::' fi�«<
1 -Story i `:I Ir frN.i .:i''; <s Permit No.
Living Area 1099 Sq. ft. 2 -Story Seasonal Envelope fir BTU /HR
441; AT i:i 3;y :Infiltration Q: /�ry. ere BTU /HR
permanent 1.;::::;•.;:..;:.:::.
Garage i t* Sq. ft ❑Other
luniupal Utility 14. EST I N.ra.', OST >s
Other
Plus Basement Private On -Site Well 50 ooO
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 implie the artment or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE i09"IA,' DATE SIGNED c /4/99
APPROVAL CONDITIONS This permit is issued pursuanttothe following conditions. Failure to comply may result in suspension or
8 .4- 44i-W
dunoti*
13
revocation of this permit or other penalt
T own Village City ['County State f: Municipality Number ofDwellin
9 Y ❑C u y e o 9 Location:
MURISDICTIO os Nm sX 20 a 6
:::::::i: {•i:::.•:: :W1$ K
n.. @�.(a.. .:niv: is v::::::::::.:
::::::i::::i:: ::::::i$ }i?::i:::
i:::YtE1"4. 4:. 0 i:::i:y v :!:!:y::::::i.: ::v: ii i: iiii:::i:::i:i i:i:::i:i:i:; i S ::i: :i i ::jj::i::i: i i :i :iiii::i::::i::: :::i:::•::i ::::::::'.:::::::::::::i::iii
<ii iiii: Yii:iii:i
}ii:iv::iiii iiiiiiiiiii iii iii i:` vi >:i:4iiiiiiiiiiiiiii Ili 'IY.
Plan Review WO Construction le r r
Inspection I HVAC Name 4 i, .4 l� i
Wis. Permit Seal 3Q. qii Electrical
Other 9 Plumbing Date a .Vi Q
po Erosion 9�`
Total c J5 Cert. No.
SBD 5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
ygopa
CATE 3
NAME Ar,//f0 AODRESS
LOT y 5' BLOCK WARD
5 U80I V lVAd4C6-1,A- 344„7�✓ ZONE
STREET NO./c) kV`jQ e—laL CT.I
LOT DIVINSIONS
SIOEWALK EXISTING YES LJ NO 1
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
1 9BY
FEE; $15.00
DEPARTMENT OF PUELICACRKS
1, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
O 1748
DATE 3 3c 96
NAME \L S LA,
-1A.4-1 AOORESS
LOT kt
BLOCK %.1111:1
SU80 V. N\)eS-Vle
S 1, J- fns C ZONE
STREET NO. \t--in I LOT I MENS IONS
SIDEWALK EXISTING YES NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 1 ,19940
FEE' $15.00
DEPARTMENT OF PUELIC wCRK.
I, the undersigned, owner or agent of the above described properly agree TO have the
grace estaaiished before excavation has commenced.
O3
iif/ .1.,. 14
CATE q) aa\g4
NAME RuSC.K ADDRESS
LOT '1 BLOCK
WARD
SUBDIV. c LE tAT-m3 ZONE
STREET NO. /.,S0 LN t 1'1E U.1AJ LOT DIMENSIONS
SIDEWALK EXISTING YES El NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE .44 1, ,I9
FEE: $15.00
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.
005
Sc..l G7iLF CA/bS 130-0P.
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FE E COLLECTION RECORD
Address a90 WAy
Owner's Name J%SC W
Name of Subdivision TZ67 6a/115
Lot 1 4 1 Bldg. Permit I- 117H
No. of Units
Fee Required g-1
Fee Paid 1
Owner's signature a Date
Inspector's signature Al 1 0 Date ico Q
Parks Subdivision
improvement
Accts. Rec.: .362-041
S h1 0�it 1 2: 1 c P 4_t
Nor%h
Fest L E IIWIII t -fast
1,
south
SCALE: 1" 30'
FP V F
0
#;252
le
%'s
C.,x\ 7 A
LOT 42
rte' 7`-4,
m
0
2 —CAR N
GARAGE
24 .0'.0' 1
f 25'
1 13: k PROPOSED
o u
DWELLING
1 42.0'
PI _7,5
C)0
I:, 124.98'
LO'' 45
r
2 —STY
14.7 FRAME
DWELLING
#7238
PROPOSED BUILDING
LAYOUT FOR
TOM RUSCN AUGUST 70 7 994
ROEHLIG
LAND S LTR v1 "YING
84
CONS VLTX.N`G LTD.
41? North Sawyer Street Oshkosh W1 54901
N I
Nn 7 LAOA (414) 233-2564