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Home My WebLink About0029428-Building y CITY OF OSHKOSH N 29428 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG 111 `-r ELEC PLBG SIGN ZONING /1 FLOOD PLAIN HEIGHT ///TTT ADDRESS 1 NOt43 OWNER r ed DESIGNER Q USE /NATURE OF WORK /7• �°ef-( BUILDING CONTRACTOR ©6 r Size 1/ T Sq. Ft. 1/ t, Rooms 5 Stories I Height f J' Foundation Class of Const. Occupancy Permit t HEATING CONTRACTOR /3,12.141-1.4 Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR l'././�m- G 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 DO fO.O'V Permit Fee Paid 0 1. (0 a Park Dedication /t9 01 ISSUED BY .4'_ Date 4 2 ,1 z_ ti Final /O.P. 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 2 1 9? AGENT /OWNER D A ADDRESS TELEPHONE Revised: 8/89 ZONING /LANG USE COMPLIANCE CHECKLIST JOB LOCATION: f Z vi i., ze.)6 ZJ ZONING: ill PROPERTY OWNER /CONTRACTOR: /Z;.a.e.:-A 6 CONSTRUCTION DATA: L---NEC CONSTRUCT0 ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) 0 COMPLIANCE CHECKLIST (Check only those applicable) COMPL ES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area Floodplain Front Yard Side Street (frait 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 The Director of Community Development, or des gnee, mu t 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. PROVED DENIED Plan Commission Action Required Variance(s) Requir -d REVIEWED BY: f Alqw g 3 9s:, 9Liie- State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor Human Relations BUILDING PERMIT APPLICATION NO. 2.9 4- Z. i Division of Safety Buildings Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (Soo Instructions on back of pink copy) PARCEL NO. ERMIT :R E ATE CONSTRUCTION HVAC ELEC El PLUMBING OTHER: Owner's Name Mailing Address Telephone Contractor's Name Mailing Address Telephone o 6 rt. .a 2 7 4 o /,f i D 4- i/ .aale- Lot Area 5 «E:;.;»»>: Sq. ft. SECTION T N, R E (or)W Building Address Subi Name Lot No. Block No. Zoning District(s) Zodyng Permit No. Front Rear Left Right e w Setbacks ft. ft. ft. ft. ,::i::::. OJE i :ii t :::::'i ..t..:>: ma y: Eyp E E ..y G��i!' ��ATii;::: aFR: i RTAC:: ��fw1'. �v...` TwNERQ�a �OU�E...:...::::ii: New Repair ,$[Single Family Entranc, papel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar Alteration Raze Two family Size: 0 amp Radiant Baseboard or Panel G as Addition Move Garage Service: Heat Pump Space Htg. Other !Underground Boiler Wa Htg. El Overhead Central Air Conditioning Other Other Dwelling um will have kilowatt or more installed electric space heating e Concrete P 9 qwP. ite constructed >��s Infiltration control option is 0 Full sealing ARi is D: Manufactured of S wer nicipal of joints. Blower door test. Exterior d Wood Mu air infiltration barrier. z S Other s T IE Septic ::13:1 T::LOSS:::. Calculated; Unfinished Basement Sq. ft. i ip; Permit No. O C '/1/ 1-Story 8 USE Envelope I h 2. BTU /HR Living Area /J T '7 S. q ft. 2St ory Seasonal l: #x:<WS101. 23, Infiltration lD SI BTU /HR Garage Sq. ft. Other Permanent Municipal Utility 14 :ES'I COS'C Other 11 Private on -site Well ❑Plus basement 'O iO.Qv 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, o Depart Mu ipality; and certifies that all the above information is acc rate. SIGNATURE OF APPLICANT Z.-' DATE d y f. 2 CONDITIONS OF APPROVAL This per is i pursuant to the following conditions. Failure to comply may result in suspension or revocat of th perm or other penalty. eZ+2 4�7 17J 14e nL(.. i-u A-X14 ea u k- g e x. R 4 1 w >7o 60--01- -e-r,© k Je- 4 'a-o•-ez--r i �R T OWN ❑VILLAGE CITY all Number of COUNTY P ty Munici all Number of Dwelling STATE 1 DEP ND N Inspection Mu nici Authority Location, if different RIS N WISi. UI M°OR ffERMIT.L Plan Review Tk• Construction H VAC NAME Inspection Electrical I y 67 41 /C Wis. Permit Seal. •�?0 ❑plumbing O' DATE Other Other TOTAL 00 CERT. NO. SBD 5823 (R. 8/90) 3 WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent DATE b tZ f /9 z— NAME /L l �9,�/_, ADDRESS LOT 020 BLOCK WARD SUBDIv. d -c ZONE STREET NO. r� LOT DIMENSIONS SIDEWALK EXISTING ES 0 NO EI BUILDING GRADE ELEVATIONS STAKES SET AT SITE 0 25 19 yz BY FEE $1 G $15.04 (2;:' DEP 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. 00'71563 4 57 62 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /2- /'�i Owner's Name /i,,�a�ei p Name of Subdivision Z.1.i2,-}n 1 Lot Za Bldg. Permit 3 L9 5 No. of Units Fee Required 6-v o Fee Paid /vo• 0 Owner's signcture ncture 2--- Ae"1 Date 9 Inspector's signature 44,46i4)---0-7---" Date L Parks Subdivision Improvement Accts. 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