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HomeMy WebLinkAbout0033826-Building ff� CITY OF OSHKOSH N° 33826 PERMIT APPLICATION AND RECORD TYPE: BLDG X HTG ELEC PLBG SIGN ZONING 0 FLOOD PLAIN HEIGHT ADDRESS /ZeP 7 GC/Q�f PLAN NO. P I 7 Z'OSq� n- OWNER DESIGNER USE /NATURE OF WORK Yleui BUILDING CONTRACTOR ject.41-e.4- L Size Sq. Ft.1(0 3 Rooms (0 Stories 64.4..A-4 Height Zc Foundation �.m� Class of Const. Occupancy Permit HEATING CONTRACTOR se.G111.Glil Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR d Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /If 1Cr 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 30, 0 OO, O a Permit Fee Paid 10 0 Park Dedication 434 .Oct ISSUED BY Date 5713193 Final /O.P. In the performance of this work I agree to erform all work pursuant to rules governing the described construction. SIGNATURE AGENT /OWNER DATE ADDRESS TELEPHONE 3 3 Revised: as ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: /2-0 W i,cZONING: PROPERTY OWNER /CONTRACTOR: C CONSTRUCTION DATA: „AIN CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) A COMPLIANCE CHECKLIST (Check only those applicable) CDM IES 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: The Director of Community Development, or de gnee, st 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. �PPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: 577l J b 1 7 o c t Wisconsin Department of nd WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 3392-6 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) PER IT C onstr HVAC Elec Plbg Erosion Other: Owner's Name Mailing Address Telephone No. (include area code) Contractor's Name Maili g Address Telephone No. (include area code) 1-76 v .i a- ;tozw(- Zee 2 -8243 :::ai Lot Area ....il!.i OJECIA .;.•.•..K•.:.'A'•.'•.'•:":`IONE Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Address Subdivision Name Lot N Block No. Zoning District(s) Zoning Permit Front Rear Left Right X Setbacks ft. V T ft. r ft. ft. W 'a ?i:::i i5, :.i �f <i ?ii:3i:::: ?i; <Siia :i•.::i iii:::::::: :i iii:::: ":t J ��1a ...i��y Ii:L:i:: •i�••: �wA AE.. A. :�..�I.Ik. 1iM'. A.. Y $i t ..�b .Ju. ew Repair P ingle Family Entrance Panel ,orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar Alteration Raze Two Family Size: /0.0 amp Radiant Baseboard or Panel Gas Addition Move Garage Service: Heat Pump Other (print): Jnderground Boiler Space Htg O verhead Central Air Conditioning Water Htg El ID ID Other Other Dwelling unit will have 3 kilowatt or more installed electric space heating equip. ite Constructed oncrete '•.'�0 �„�;,i Infiltration control option is 0 Full sealing ❑Treated Manufactured ]Masonry Wood Sewer of joints. Blower door test. Exterior :,K•:.rl i h r Municipal air infiltration barrier. Unfinished Basement l� Sq. ft. Ot a Septic .Mi lrttiT�i�T� 1 -Story E: »i• Permit No. Envelope 5 BTU /HR Living Area p0 7": S ft. 2 -Story Seasonal 41"`':'� Infiltration Z. S. 7 her ermanent,. BTU /HR Garage S ft Sq. 9 unici al Utilit Other P Y ��5�x:: t_ s:l ii Plus Basement Private On -Site Well J 000. D J ii The applicant agrees to comply with all applicable codes, statutes and or antes and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or im t or municipality; and certifies that all the above informatio is act te. APPLICANT'S SIGNATURE DATE SIGNED S APPROVAL CONDITIONS This permit is issu`fsd pursuant to the following conditions. Failure to comply may resul in sus nsion or revocation of this permit or other penalty. 4-' 3 L Town Village it County State of: Municipality Number of Dwelling Location: 9 Y Y P Y 9 '2-- G 6 ii:: v i vvi:: t vvvL: vi L: LIRI. M •ii'K•::::::::::::::::::::::n �:::n�:::::::::::::::::::: iii::::::: i:: v:::<:::::::::::<::: ii::::::: ii:: i:!:: i<J:: i:.':::} 5:::: ISSUED $I�' �4�IYI. i::: ::::i i ii:::T: i:: i:::: ii::: 1:: i:< iS: isi:::: i.:::::} L: L::::':::::::{}::: Lv:: i: i:: i:: j` j":::: :::::::::ti::::::�:::::::::::: Plan Review 40 to O 7Aonstruction Inspection HVAC Name Wis. Permit Seal 30, o 0 Electrical Other Plumbing Date <��3 Frosion Total 70.04 Cert. No. y T O SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent 30 1•••';1'' 1, il I 1 1 1 I 1 i i I i 1 i .6., i !i,i.:IiiiII: 1 ;Ili p,,!.:! T.,r, ,il Hi I 1 M.. •!'11'11! I I W I I I IH. i i 1 W I!" I! II II:I IIIHI II ...II,' I I 1! I! 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''..1: ',.:':•I :II:1, II:_I::III ,1 1,1 1 t 1 1: 11!Ii 1 1 J 1.-i 1 i i i I ail I 1 I i 44. 1 i I ..i i i i L.Li i 1 1 1 1. i i i •Hil,' li 'i'!: i 1!;li';: 1•., I. .1 i 4 H i i -.-1 ;Ii H .T :i '1:1 .!1!_l I i :11.1 i ,I, i11 1 I .1 •'•i :1 K i l l i 11i 1 jj:11:11::1', 'i r. I •'1 i'.•• '1 i, ii j ::i..1: 1 •Ii;!•;";!!,;;i1'::1 1 ;1 ':1';;;H;i:111'1,11::11111K:11j 1 •1 1 ill1;111 I 111111111WIll i IL j .1..11 1;1[1111 1,1; 1 ;1; 1 r I POINT 1 OC I NE 1 Z 1 k I IX 1 DC I r M A DC I I( 1 PC •m��� 1 STAE_ imEND, 11 STRAW SALES POINT )CO( FILTER FENCE PROPERTY UNE /.2 67 10 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /247/5e Owner's Name e44.(4461- Name of Subdivision A441-6rfr4, Lot 33 Bldg. Permit 33.k2-C No. of Units Fee Required Fee Paid C)(). 00 Owner's signature Date Inspector's signature Date S1/2-/93 Parks Subdivision Improvement Accts. Rec.: 262-na7 CATE S/z 43 NAME iet.W e ADDRESS LOT 33 BLOCK WARD SUBDIV. Lj a._,z- ZONE STREET NO. I Z47 (A) T i.d LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE r 19 73 BY FEE; $15.00 44( ..s li si /e1•04*.V 0 DEPARTMENT OF PUBLIC WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. OO, 14‘,6/1/