Loading...
HomeMy WebLinkAbout0035020-Building /Co N° 35020 CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BLDG j' HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 7 dVA PLAN NO. D 2-3 0 793 fZ OWNER l I'∎t- DESIGNER �j USE /NATURE OF WORK 17-elf) �/C BUILDING gq CONTRACTOR 4-1-4-64 627-e-/1". Size ylil Sq. Ft. /1 Rooms Stories c .c Height Foundation a Class of Const. (P Occupancy Permit HEATING CONTRACTOR /CJt.1.G4' Heat A/C Vent Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR eer./7 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 FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation 30 0 Permit Fee Paid I 0 S m o O Park Dedication '0 o ISSUED BY /.ii Date Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 8 05 AGENT /OWNER DATE ADDRESS TELEPHONE b 1 123 D 753 Wisconsi epartment of Industry, Application Labor and Human Relations WISCONSIN UNIFORM No. Safety and Buildings Division BUILDING PERMIT 3 5 P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) .E Co_nstr HVAC Elec PI b Er I os on Other: Owner's Name Mailing er Address g Telephone No. (include area code) Co tractor's Na e Mailing Address Telephone No. (include area code) 0 .1/4 ,.t I1'i_ Lot Area ;L.CA. Sq. ft- 1/4, 1/4, Section T N, R E (or) W Building Address Subdivi n Nam Lot No. Block No. 72 Aitk r a PO e tc �aJ! Gv 0� 1 y6P Zoning District(s) Zoning Permit N Front j Rear Left r f Right Setbacks S ft. ft 7 (0 ft :;L: �::::n �::1 '.i: is :E: f': 'ic'i'' V :iii:iyi ::i:: i: ii Yii i:i:::•iiii:: ..d,.} .a, Y!:`�.3i�. .�Yi�[1s. �A- ,tN.N�J.1.f,.,.. :���:,f7f �E,: i'•: �5 `��:�i }:::y::: ::iri:;: >:.y,,,.`: 74 New Repair ingle Family Entrance Panel orced Air Furnace Nat. L. P. Oil Elec. Solid Solar Alteration Raze 1 0 Two Family Size:, O amp adiant Baseboard or Panel Fuel Gas Addition Move Garage Service: Heat Pump Other (print): Jnderground Boiler Space Htg Other D Overhead Central Air Conditioning Water Htg Other Dwelling unit will have 3 kilowatt or ite Constructed Concrete more installed electric space heating equip. Manufactured MasonryPIP.I Infiltration control option is Full sealing ortes ❑Treated Wood of joints. Blower do t. Exterior Sewer air infiltration barrier. Unfinished BasementSOt S. (ORIE :iii `'';i ❑Other Munici al :::::s: p E It >::i: Y.; >:s Perm N i t o. Envelope Living Area 1 ©3 s ft. a ZZ 2 -Story Seasonal ti (?ZZ. 1 BTU /HR 3<' Infiltration Z- O ther imp ermanent 3 Y3 0 .4, BTU /HR Garage 7 b Sq. ft. Other unicipal Utility 4Ius Basement Private On -Site Well T 4 ©a 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 im d on th e m t or municipality; and certifies that all the above informati n is accur te. APPLICANT'S SIGNATURE (/L_,_ DATE SIGNED g .S APPROVAL CONDITIONS This permit ation of is issuth p it or ot er the penal following ty conditions. Failure to comply may result in suspension or is perh Town Vi Village e Cit county 9 ut State to f: Municipality Number of Dwelling Location: U�� �!!yyF �F//!!���� Y it I IC I 3 is its•':...:::::.::.::.::. i::;:::>:: i::: i:>::.: ii:. is »:::::�it� i ::.i::. YYom^■ i ......................::.:::v �i7.. ...:::::.i�l� ■may ��K ��!f �i.•:::::::::::. •:::::::i'.�:. i:{•::•i iii:::i: :i i i: v::: ::::::::::::::::liii }::L::::. i si::• isisi:• is4i: SV:??:i: :::j':iii ii•• iiiiii i Plan Review 0.0 0 Construction Inspection [j IVAC Name ,a Wis. Permit Seal 30. ❑Electrical Other Plumbing Date E rosion Z t f F' J 3 "7 Total S 0, a o �(�j`� Cert. No. c7, 0 SBD -5823 (R. 07/924, WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent Wisconsin Department of Industry. WISCONSIN UNIFORM Application No. Labor and Human Relations Safety and Buildings Division BUILDING PERMIT P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) PERMIT REQUESTED Constr HVAC Elec Plb 9 ❑Erosion ❑Other: Owner Name Mailing Address Telephone No. (include area code) 2L4 C/h ,?74/ u.L.¢et r 3/ gd O 3 Contractor' Name MailinAddress Telephone No. (include area code) A q92! R OjEC' O ►TON lot Area Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Address S bd vision Na e Lot i No. Block No. o. Z, Zoning District(s) ts) Zoning Permit No Front tt, Rear t 1 w Left Right k r Setbacks a' ,.:;ft.: s� 71 1 OjECT' 3.;� h t ft. QCC rngle Family Entrance Panel LNANCif 6.. >ELECTRFCAL t :g::.. VACEQUIPMENT t2.:::ENERGII`:SOIACEN €RP New Repair )fo rced Air Furnace Nat. 1.. P. Oil Elec. Solid Solar Alteration Raze Q Two Family Size: /0C) amp Radiant Baseboard or Panel fuel Gas Q Addition Move Garage Ser Heat Pum Other (print): nderground Boiler Space Htg 0 0 Overhead Central Air Conditioning Water Htg 0 Other ❑Other Dwelling unit will have 3 kilowatt or ����a��Y: urooAna�N rt e Constructed oncrete more installed electric space heating equip. >I 11%.1/110104101U filtration {�:.:s Q Manufactured ❑Masonry In control option is: 0 Full sealing �•:ARlw1l111f#7L11Ei� ❑Treated Wood Sew of joints. Blower door test. ❑Exterior llj h> Unfinished Basement Sq. ft" a Other SO air infiltration barrier. t Story r; Septic tOSV t t 0 y f i sl:` z ra xa:'fA Permit No. Envelope 2 -Story ❑s�easonal BTU/HR Area Sq. ft. Garage S ft_ ❑Other liArmanent :a f Infiltration BTUMR q Munici al utility x QOther P y 1 ES gatti rOStin };v Plus Basement Private On -Site Well l /(j 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 lie n Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE �•�L r DATE SIGNED APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. O AC EAZI/1 I 1 I I ra L e I I I MI e/ 1 £IL (1 c 4i ❑T own ❑Villa e City ❑Count t l< ING t 9 0 Cit County ❑State of: Municipality Number of Dwelling location: 3P'.ff w::.� v +viii t�U•.hC+.:••.;v S .f� }:f•\...5 IpERmt s����! rti �'••c:. f. Q} �i .6� ^.,'tit•'. :.vkt£S:`•:5: }�::4: ",,';o+: c.:v nny .�v. v %.r4:.i vy:• :Y }x x t.. ti :::�4: •Y.4::n..:•' .^G }`:i::<; t }.ii; t::ri ''vti' :.i:� .f�:: 'i %v: "Yi':v.'. :1 7 vii i t i::<:....•. S SUE b ..•w Plan Review Construction Inspection S ❑HVAC Name Wis. Permit Seal S Electrical Other S Plumbing Date Total 0 ANN ['Erosion S t Q Cert. No. ofe c Revised: 8/B9 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: Z 7.5/,(/ ZONING: PROPERTY OWNER/ TRACTOR: CONSTRUCTION DATA: CONSTRUCT:MIN ADDITION ALTERATION PARKING LOT TYPE OF PROPOSE CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES OEFICIENT 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 designee, must 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. IPPROVED DENIED Plan Commission Action Required Variance(s) Required �REVIEWED BY: DATE: z 1 Vi i'' i!'l i, I I 1 F; UI3 I 1 6 1 I I i i 1 fo 1 l i _i iz' i i t 1 I I 1 1 I a 1 Q. L 1. 1 a 1 i i w d W t I I W t i n 11 t i i i I. 1 L 1 III r j W W i It 't W. 4 I W i t t i t I i i!} i; I j 1 y CN 1 j 1 i 1 I r i I i I! f1I i i i I CC c I I! I' f i I. 1 j41I( 1 H if1/4\ LLII ILI i �>I I I.; I I 1 c Y i1 I f ti G I li'f j j i }I!' 1 :i,i l t 1 I i ,..6 POINT l t PC IX IN I 0 I X 1 x 1 I x a 'X I I ix a 1 0 1 1 l I IY I SIRE=� as POINT 0 STRAW BALES )00( FILTER FENCE PROPERTY LINE 4F .611 (1' 4 ill 17-LP CATE 141/o S3 t--fr re 0 NAME i��,vJ c k 6)1.4` ADDRESS LOT /'1 BLOCK WARD /3 Q`Id UBD I V d ZONE STREET NO./ /14Getd-d/// LOT DIMENSIONS SIDEWALK EXISTING YES El NO E BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8 '20 ,19 013 BY KrA FEE; $15.00 DE, ARTMENT OF PUBLIC WCRKS I, the undersigned, owner or agent of the above described property agree to have the r0 grade established before excavation has commenced. V 00'1783 City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD K Address 1 7 ��t.¢.,-7 1C/ Owner's Name fl' i.c26OL 674 Name of Subdivision 4444 Lot Bldg. Permit 35 No. of Units Fee Required /00.0 0 Fee Paid /00 .0 0 Owner's signature "2 Date Z Inspector's signature 0114--' Date Parks Subdivision Improvement Accts. Rec.: 362 -041