HomeMy WebLinkAbout0029931-Building CITY OF OSHKOSH N°_ 29931
PERMIT APPLICATION AND RECORD
TYPE: BLDG, HTG ELEC PLBG SIGN ZONING r-/ FLOOD PLAIN HEIGHT
ADDRESS S (4 t ri7/ PLAN NO. ��//70 79 Pt"
OWNER l �G 7
DESIGNER �r
USE /NATURE OF WORK &4.) C..W.,-
BUILDING CONTRACTOR l G'r!.
Size .921 Sq. Ft. /0.S Rooms 3 Stories 1 Height /S-1 Foundation 41' Class of Const. 2 Occupancy Permit
HEATING CONTRACTOR /6A.Lex.)-et i
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR /'..u. yn-6,n
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ,J /i
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 2D 2 0 S 0 0 O
Per Fee Pa Park Dedication
ISSUED BY Date 7` c/9 .2.---- Final /O.P. .3
In the performance of this work I agree rfo all work pursuant to rules governing the described construction.
SIGNATURE 71 q
9
AGENT /OWNER D E
ADDRESS
TELEPHONE
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB ,LOCATION: IZ s 7,f),/e26) ZONING: //Z
PROPERTY OWNER/CONTRACTOR: e
CONSTRUCTION DATA: y NEW CONSTRUCTI{N ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPL ES 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: la/041-1K„,
The Director of Community Development, r design must pprove all plans, except the
following: (1) Alterations or interio 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.
(./APPROVED DENIED
Plan Commission Action Required
Variance(s) Requir d All
i1
REVIEWED BY: me„ DATE:
/7 7q2-,
4 ■111■1■11•111••■•
State of Wisconsin
Department of Industry, WISCONSIN UNIFORM
r
Labo Human Safety Buildings BUILDING PERMIT
Relations
APPLICATION NO. f ,29 931
Division of
Box 7969
Madison, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 (See Instructions on back ot pink copy) PARCEL NO.
PERMIVREQUESTEDM
CONSTRUCTION 0 HVAC 0 ELEC 0 PLUMBING El OTHER:
Owner's Name Mailing Address Telephone
Contractor's Name Mailing Address Telephone
JA(ACrdejt•- /44,Z Gt .276 Q Zei,e-at,ger 4at4tedli •5 2 3/-43Z-3
Lot Area
iifROMOTtOCA111010 0:;
Sq. ft. 1 4, SECTION T N, R E (or)W
Building Address Subdivision Name Lot No. Block No.
/a 51 (ii tiel
Zoning District(s) Zoni Permit No. Front Rear Left Right
Setbacks 3 ft. 1/41-G ft. ft. ft
i:a:1;itiOiiiiiiiieeil iLliigtilitaittlit:::::::!ii::t::::HVAtitteittigMittd:::::!:::::::i:::::::i::::::::::::::IL:::ENERCIrSOURCE::::::MgM:,::-
i ew 0 Repair Single Family Entranc% Panel Forced Air Furnace Fuel I■ L.P. Oil Elec. SolidSolar
Alteration 0 Raze Two family Size: /C' amp X Radiant Baseboard or Panel
0 Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg. 0 0 0 0 0
0 Other ;El-Underground 0 Boiler Water Htg. 0 0 0 0 0
0 Overhead 0 Central Air Conditioning
0 Other :4'g :7 FOOMPAIION:i:i: 0 Other 0 Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
ilCiPLOMOMOM:::!:!::::::::!::::::::::::ii::iiIiiii::::i:::::::::::: Infiltration control option is: 0 Full sealing
:,,:.,.:.,.....,,:„.:.,.,t(S 0 Concrete
Ste constructed m
of Joints. 0 Blower door test 0 Exterior
Z Manufactured I- Sewer
0 Treated barrier.
Wood 'Municipal Septic Municipal air infiltration
1/1 0 Other
s ff EAT:LOSS ei illdiiiiitiiid)
Unfinished Basement Li 4
44 7 Permit No.
Envelope S 34 63 7 BTU/HR
Living Area JO S o )(1-Story
21:1 Story 0 Seasonal 11 WATER Infiltration ZE
Garage 528' sq. ft. 0 Other ermanent ff municipal utility .i; tdttigmo
;:lOther Private on-site Well
0 Plus basement 41 000, 0 D
The applicant agrees to comply with all applicable codes, statutes an. ordinances and with the conditions of this permit; understands v ds tht the issuance of the
permit creates no legal liability, express or implied 4 the Departm r unicipality; and certifies that all the above information is accu ate.
SIGNATURE OF APPLICANT I 'I. iA DATE 7
CONDITIONS OF APPROVAL T
re h v is
oc of this permit o
issued pursuant
thuoanetr pe ity
tothefollowing conditions. Failure to comply may result in suspension or
el r i i AINITA Mr/WPM r ffNillff ir O w A nralLe Ari l r 1"
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A A r i i P- ....o' F'- .:e. Z... eL
iiiiiiiiiiM 0 TOWN 0 VILLAGE Et ralCITY 0 COUNTY Municipality Number of Municipality Number of Dwelling
::T ::::M::::::::0:: 0 STATE 0 INDEPEND N Inspection Authority Location, if different
P144M0019119!fl OF: eA/4,0.a-A-
7 _a- 2 k 12_
Fi te v ,„„„„„„„„„„„„„„„„„::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::,:::::::::::::::::::::::::::::pe WWWIFORiffentar;:iiiiiiiiiii6iiiiemi:::::::::::::::::::::::::::g::::::::::::i::::::::::::::::::::::::::::0:::::::::::::::::::::::::::::::::::::::::::::www::::0
0.i i::::::::::::::::::::: :::::::::::::::0'.:::::::::::::::::::::::::::::::::::::::::::::.:::::::::::::: ::::::::::::::::::::::::::::::::::::::::2::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::k
Li0,0 0 D Construction
Plan Review
0 HVAC
NAME 1-.7 t- --1. t- ie.<- 1 .4.-4 0-- 7
Inspection 0 Electrical N (no
Wis. Permit Seal.
3o 0 Plumbing DATE 7/3o/9 2—
Other 0 Other
TOTAL. 70 .0 0
SBD 5823 (R. 8/90) x WHITE ITE Issuing Jurisdiction YELLOW— DILHR GREEN Inspector PINK Owner/Agent
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DATE
NAME 4647 ayz,4--/ ADDRESS
LOT BLOCK 'F.lAD
SUBDIV. 4/147C-61e-2A ZONE
STREET NO. /—?..C G
ef- .(.4141 c LOT DIMENSIONS
SIDEWALK EXISTING YS
No
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8/ 3 ,1992 BY K.--r
FEE: 4+9:96
S- a
✓l4? 7t d�11
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.
OfV
Ok116
City Of Oshkc.sh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address t
Owner's Name ifv e CA e-ey z (,e c am'[
Name of Subdivision iL� 1.1/s1%
Lot L Bldg. Permit a
No. of Units
Fee Required /00.0,0
Fee Paid )po,oD
Owner's signature c- 0°ale/ Date 7 3 //f)
Inspector's signature )444-//tex,64t,frA,--- Date )/30/
Parks Subdivision
Improvement
Accts. Rec.: 362 -041