HomeMy WebLinkAbout0035817-Building i/0
N°_ 35817
411011r _CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG TG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 19:c? Wt P■ L1) W MJ PLAN NO. F r`) 0
OWNER C e ?r Pusc
DESIGNER
USE /NATURE OF WORK If' .ci /06 /V A74C/ 12/2 ,4 6 6-
BUILDING CONTRACTOR Q BENZ-t °b' fi t. 5�1.
Size �q. Ft. Rooms v 3 13 Z 1 Stories A D Height 8
Foundation Q-Ia 7 Class of Const. g Occupancy Permit ytsl.
HEATING CONTRACTOR a'
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR COMM/ A./6,C
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR �1F•
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
c�
FEES: Valuation Per it Fee Paid �bb Park Dedication J g
ISSUED BY 1'�'t' fi S7 L�� Date 9 417 Final /O.P.
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L'
AGENT /OWNER D E
ADDRESS
TELEPHONE
Ft i'l 7/93 R
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
BUILDING PERMIT S S
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)
PERMITAREQUESTEMI::::::T
i,.:::::: r
1onst 0 HVAC 0 Elec 0 Plbg .Erosion 0 Other
i m i
Owner's Name Mailing Address Telephone No. (include area code)
s k S EL 'zI RN
4 R) 4->Q-1-k al CIS q
Contractor's Name Mailing Address Telephone No. (include area code)
Lot Area
PROJECT LOCATION e5 s ft. 1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
/ags worACAezz kAity 64)-2(2-471 /1(0
4/2414/7
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks 25 ft. _s3 ft. i'.5
ir:.:...i= .;.1 ::::::':faCtit:T I: i Niiititti::::iliritittititdt
11 ew 0 Repair 0, ingle Family Entrance Panel P. orced Air Furnace
F Nat. L. P. Oil Elec. Solid Solar
0 Alteration 0 Raze D Two Family Size: 160 amp 0 Radiant Baseboard or Panel u Gas
0 Addition 0 Move fl Garage Servica: D Heat Pump Space Htg 0 0 0 0
0 Other (print): &T1 nderground 0 Boiler
0 Overhead 0 Central Air Conditioning Water Htg
0 Other
;:TMSTVEYPEIM::::FMOATIOtiti *0 Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
'OP"Site Constructed ILE-Concrete 404"10MANW,:iiiiiilliiiiiiiiiiiiiiiiiaini; Infiltration control option is: 0 Full sealing
2voiReititimmeowillso 0 Manufactured p lylaesaotrzywood of joints. 0 Blower door test. 0 Exterior
Sewy
54 ii tuttoititti::::::::::::::::::::::: u r
0 Other 04 unicipal air infiltration barrier.
Unfinished Basement 4 0/ 3q. ft.." 4-- 1::::::1030:1114AnOSSUAItiatian;
S—........-..... 0 eptic
0 1-Story AL:i.:USEME•:::i1]::!:•:i;i:i•:i:•i•ii: Permit No. Envelope a2 Q,Ic 1 BTU/HR
Living Area /M Sq- ft. 0 2-S)afy 0 S9senal
E1W6theor L r Oetrhmeranent
Garage 74
ATERE:::::::iim Infiltration /3 (9 06 BTU/HR
5 Sq. ft. ilfunicipal Utility 441;20SP.: Ri.44)S.V.iii::::::::::::::::::::m:::::::::::::;
0 Plus Basement 0 Private On-Site Well L lano 0
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; i nderstands that the issuance of
the permit creates no legal liability, express or im pl n the Dizt ent or municipality; and certifies that all the above information is a urate.
APPLICANT'S SIGNATURE DATE SIGNED c i/0 fj
APPROVAL CONDITIONS This
revocation hi s permit of this s the h conditions. Failure to comply may result in suspension or
1+1 3 C.SZ- N-- cVzif 1,1, cl-t\L>-• kl■)C._
-1 S- 11 4.■
0 Town 0 V illage it Y n Count y n State of Munici pality Number of Dwelling Location•
.:iiiiiSSUI14.0MEMME 7
ii1OltigriittONE __CA\eSk., 0
NOMitay::::::::: ::::womosnmovtpeamm IN 4
:6.""
:i7MNii:igiRing:iii:i:
Plan Review Lko.Q:? kt,Construction
Inspection 0 HVAC Name l'\ SS
Wis. Permit Seal ...?it>. ft e 0 Electrical
Other D plumbing Date 9 1 g
Total ce S osion 3 3139 Cert. No. 4
SBD-5823 (R.07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner/Agent
3° I bC> CI
Revised: as
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: (�j �j C,OHEAr /E WA ZONING: (Y
PROPERTY OWNER /CONTRACTOR: C K f
CONSTRUCTION DATA: 4NEW CONSTRUCW ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. ence, pool, sign, deck, etc.)
je _Sr 6L6 1 L q 47 f 4CJ/ED 661245e 2 rX z
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
\\\\1/4, Vision Clearance
Height
REVIEW
The Director of Community Development, o 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.
-PROVED DENIED
Plan Commission Action Required
Yariance(s) Requir
REVIEWED BY: OATS: e
i
i I 1 I
,i, 1,.---.1 1 11 i hi 1 ;1■111.111 MI Iii 11
1
,i, L.:.. 1,,,, i 1 1
..RI.w, i i W H 11 i!I il ill! 1 ii 1 il 11 ifilli:
i I. 1 1.1 .1 111" WI 1 11 1 1 1 111 1i: :I•
1 11 1 1
1‘ 11 Hi 1 1 I 11 1 1
J• .1 1;.' 1
1 1 II 11!
it•;i4 ••II!;1 I I 1 II I
1 I 4' 11
1 11: 1 1 i II 1 1 1 HII 1
1 I! I I Ii 11 1 1
iii. I
1 11111 11 111:1 111 1 •11
11;11:11;1"; 1 II IIiiii. i 1 1 I
1 61 I .:::1: III 111111 1!',111',1111,1111111"1:1
1
::•11_10(1); 11 1111,111111 11,11111111111111;1
.L.L. ?II !II
....1::,,; ;;111:1 III! 11111111,11,1111.1!1•11 IIII;
1,..cciU.1!", :•';!1:1I'..!!:;---..I'Ili:
ImII II !,1:„Ii1;11H;;;,;..11:
•I" "I1:11'
I I ,n,, :,u
il'Il i:i 7 11"111i.t..
!Ia..;, ic:) ;H 1' 1 1 1f 11 11 1 ii!: il
i .1---,Q1; ;:1,!;.;1•:. I ;I! i i 1 1 i 1 1 f i I
110 1', lill !WW 11 .11
i cii,,.i':i,11 i:ti 1 1•Ml i ill H Hi'
it,11I i
.,1 II! 11
III ill 1 1111.1 I! 1
I, 1, T 11: 1:Itliili••. .i,
1 1 I I-1 1 1 11 1 1 1 1 1111 I II 1 II I IIIII 1331 111
11 ILUII II•1111ii:j1j1;11I1;' +Ili! 1 ,1 1 1 1 1 1 1 1 1 4 1H 11 :1
I 1 I':•; l ii 1 C 1: 1 1 I I
1 1 1 I 11
JOI i
i Ce'l I; 1 I I I I I i 1 1 I i I I I I J I i I i j
W 1 Q_ 1 1 1 1 i I 1 1 1 I j I-• I I I 1 I 1 1 1 1 I V 1 I
1 j 1 I i 1 i 1 I I I 1 I 1 1 l 1 1 Ili
i l l 1 1 I 1
kli I J J j j I I I I j I 1 I I j 1 1 I I 1 I -.I j I i j! I
'i I I I 1 I I i I 1 I II W
:1
1' i
:,:,:i:•i:;; I !!!!..,1 In! 4
i •,:c1 I''!"!'>1 i i', 11
--I 1! !!it:Luil" 1•!,,0
!!,.','"',•"'•!!„:11 cn II !!!,1 4 111 -,,t
::',!'"!!1!1 r .....liiilij cu'ill'i 111"'•''
1 "1:1_/•11 ::,1 1
•'!!!;1!
,1
iii illni!•i; 1 1 i, ',11,
i!: :1".'"!!!;IL:1 "I 111111 1 I II I
I Ii.1 1 11'1; 1 ,1 1 H; IIII1 III I l l I III I li i,,
11:::::: ';::;11: 1111 1 I• 1 ,11 1 I 1 11
1 I I 1 II 1 I '11: 1
i I
II1 IIIH11111; W 111 I I II
11 1 I I i
-r•
i
I'' i 1, 1><If,
ill':IZ
1, I
i .i,Ifiti: lir
I i I I
•!!!!!••1,1, 111 I
1!;;!::•.!!.!1••;,1, 1 1!Ii1111 -44111'1;''
1 i i 111 t
1 i:!,' ii'll
1 1',i Illi!II!I11111!" 111 it iiiiiiiit --,01.•
1 l b■ u j I 1
i Q,c4",• Hiii:1,!t1., II] i 1 ii I.
1
I I 1 111 III 1
•II"': jj
1 1
I I III 1 i i !I I t Ill ;1\9 I -,z• 1 ,1--i !I II
1 t III I i H III 1 I i t:I I C/1 1W
I l !In! I ll i 1 ;I i t; II WO I I II I I I I
I I
1 I I 1 i .1 1 1 1! 1 1
1 1 I I I I I I I 11 I I 11 1 I; 1 1 1 I 4 11' I I 1 1' 1
i 11 11 1 t I I I III 1
I 1.1 I 1 i i i I
1 1 I I I t
I i 1 iw. I i I I II 1 I
I 1 1I !H :1 !"Ii i 'Gl i 1 I 1 I I i 1 1; I
I I i I I I I I 1 i 111 I i I
t I t
:1 I t I I I I>I. I 1 1 I 1 I I I I, I I
W• I
1 I I WI I I 1 I I 1
--l• 1 I I I
W .‘I` II 'I '-il I
i wl I 1 1 1 I
13
11 I MI
t !III)!
,1 H .,1 1„ii!! Ii!Ill 'II,'
1
••3"i!•••
Lu:
–J.' "'"i■ii.: 1,!;. '!Hill 11,1 ,1iill'Hij> iiih,•
4
u'' 11
C ;ii:
1. •Iii! ii,ili,ii i i
I!! f
i 1 I
1
i
I 1
1 1 .1 I I
1 i 1 H i i 1 1 1 1 1 i i i 1 I I I I I 1 i I 1 H I i
t i !MI i'lli:ill
ii. r i!lil
I i i i 4l 1 i I I I i 1
I 1 1 I I i 1 1 1 I I t i I I
.1 i
1
i 1 i i i !LI! 111 il 1 'III I I I I i I I I t 1
i i 1 1 "I:1;1:1111i' 1 111111 111 1 .11!:11 1
I I I 1 I 11 '11 1 1111d I I I I II j 1;1 !I I I I I 1
it „,I, :ill:: I
POINT
1 I i 1
I
x
I N 1
I
ix
a 1
4
1
a 1
1
1 xxxrcxxxl'c
-.-STREET to
POINT 0 STRAW 9ALE5
)OOC FILTER FENCE
PROPERTY UNE
//6 0
Zi j i
CATE
NAME AI I .Ha vi ADDRESS
LOT l BLOCK WARD
SUBOI V. (,()94/PP/3/k. f G 2,p) ZONE
STREET NO. V �'-c —A-/
LOT DIMENSIONS 5
SIDEWALK EXISTING
YES NO El
BUILDING GRADE ELEVATIONS STAKES SET AT SITE J J, 0 ,Ig 93 BY
FEE; 15.00' 4-
4/y41.///0i/te
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.
7'7
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address 0 LolwaikiaCCL batA
Owner's Name 3I \B c 4-
Name of Subdivision W4.A \n ES'p,A S
Lot 116 Bldg. Permit 35 g /7
No. of Units
Fee Required /000 °U
Fee Paid /00 A a�
.r
Owner's signature IF
Date
Inspector's signature MICA q 93
Parks Subdivision
Improvement
Accts. Rec.: 362 -041