HomeMy WebLinkAbout0027489-Building S
CITY OF OSHKOSH N 27489
PERMIT APPLICATION AND RECORD
WPE: BLDG Ar HTG ELEC PLBG SIGN ZONING g -i FLOOD PLAIN HEIGHT
ADDRESS /1 H A k PLAN NO. 3 2:7,02-92J-e._
OWNER
DESIGNER
USE /NATURE OF WORK )i.e
BUILDING CONTRACTOR DLZ%72(iC
Size 1 Sq. Ft. /Z3 S. Rooms 5°7-364" Stories Height F
Foundation 0 ...P Class of Const. U Occupancy Permit
HEATING CONTRACTOR 4..LW -Gt..
Heat NC Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 4 -7 d t.,
BT WH Disp WSoft CBasin
_Lax/ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $f 004.0 0 Permit Fee Paid 7,0c-.0 Park Dedication fg?}.Da
ISSUED BY 09 Date 4 -Z Final /O.P. a 9,
In the performance of this work I agr perform all work pursuant to rules governing the described construction.
SIGNATURE TL--
c7 9—..P8—?(D
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: /Z"(7 AJ Z ;i ZONING:
PROPERTY OWNER /CONTRACTOR: i6L c [�d7
CONSTRUCTION DATA: v16 CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
i
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 REV EW AUTHORITY:
The Director of Commune Development, or d- ignee, must approve all plans, except the
following: (1) Alterations or interior wo 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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: CA— DATE: G-7,/1---
3zZOZ ?z l 2
State of Wisconsin WISCONSIN UNIFORM
Department of Industry,
Labor 8 Human Relations
Division of Safety &Buildings BUILDING PERMIT APPLICATION NO. 2-7 4/85
M od i 7969 n, APPLICATION
Madison, WI 53707
Wisconsin Statutes 101. 63, 101.73 (See /nsbuctlons on back of pink copy) PARCEL NO.
RE UTI`
P EtM m::: R TION 111 ELEC PLUMBING 111 OTHER:
�CONST UC HVAC
Owner's Name Mailing Address Telephone
Co actor's Name A Mailing Address Telephone
276 o
Lot Area
Sq. ft. /a, /a. SECTION T N, R E (or)W
Building Address Subdivision Nam Lot No. Block No.
/2-V7 ing Distric s) Z ng Permit No. Front Rear Left Right
Setbacks ft. ft. n. n•
1 ROJE `.:Occupancy:: S:: ELECTRICAL: �1 NT 12 :ENERGY SOURCE
74 New Repair Single Family Entrange Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
Iteration Raze Two family Size: (0 amRadiant Baseboard or Panel Gas
Addition Move Garage Service: Heat Pump Space Htg•
Other )5Underground Boiler Water Htg.
Overhead Central Air Conditioning i
3 kilowatt or
Other h
❑Other: Fl>1 w e space eating equip.
Dwelling unit e
more installed electri h
C oncrete :1 Infiltration control option is Full sealing
Site constructed C<::: ,#�M�
0 ❑Masonry Sewer of joints. ❑Blower door test. 0 Exterior
Treated Wood I Municipal air infiltration barrier.
Other
Septic 7.5 .:.:iE�kT:LOiS (Catcl�iat)
Unfinished Basemen Z3S Sq. n. Permit No.
1 Sto USE...........: Envelope BTU /HR
Living Area IL3S .ft. ry
g -Story asonal iii AT Infiltration BTU /HR
Garage 1 Sq.ft. Other Permanent Municipal Utility 1 4 ST tLIN r�`OST
Other Private on -site Well
Plus basement L
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 i on the Depa or Municipality; and certifies that all the above information is accurate.
SIGNATURE OF APPLICANT 1 DATE Q7
CONDI IONS 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. w
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❑TOWN VILLAGE CITY COUNTY Municipality Number of Municipalit Number of Dwelling
STATE IN EPEND N Inspection Authority Location, if different
ISO N OF 12-
U R M PE tT
S' PERMI )WIS PERMIT I
Construction
Plan Review p HVAC NAME
Inspection Electrical
Wis. Permit Seal 3O.0 Plumbing 0(0 3.2" 0 DATE Z 7 Z
Other Other
TOTAL $70 •0 CERT. NO.
SBD 5823 (R. 8/993o WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Ow,
DATE
NAME /e—Gt49e ADDRESS
LOT 2-9( BLOCK
WARD/
SUBDIV. ZONE
STREET NO. W LOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE .2 ,I9 1,Z_ BY
FEE:$-1
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.
00
42‘11/71
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address t2-(1(47 z
Owner's Name A 6-
Name of Subdivision /11.6e"d2
Lot 2-54 Bldg. Permit 7,77V0
No. of Units
Fee Required /0-0 d 7
Fee Paid OD. DO
Owner's signature `ad.. Date
i
Inspector's signature Date /244Zr
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
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