HomeMy WebLinkAbout0036384-Building go
CITY OF OSHKOSH N9 36384
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS mg W H T6ELb 1AI Al/ PLAN NO.(r V /0
OWNER gi.) cfi1 CarrROCMNI
DESIGNER NA
USE /NATURE OF WORK k ?AJ L rnity bums' 1 47-mc .,7 /2R6&
BUILDING CONTRACTOR N
Size Sq. Ft. rUSC.-
Rooms 6- s gC Stories Height 7
Foundation 0o4t2EriE Class of Const. 8 Occupancy Permit ____y____
HEATING CONTRACTOR e
Heat A/C Vent Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR I1t/14t11//UPS
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR il'
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
_WC FDr _SP Ur __Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 3 0 C
Permit Fee Paid Park Dedication
ISSUED BY Z'tii S7 L j Date /0 /f S/ p Final /O.P.
In the performance of this work t agree to perform all work pursuant to rules governing the described construction.
LIGATURE 771- D gl g3
L�N�: Y�. WNER
C.�. ADDRESS 2 f3
TELEPHONE
r\ IcAct3
Wisconsin Department of Industry, WISCONSIN UNIFORM A pplication No.
Labor Human Relations BUILDING PERMIT 3� �y
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)
ST Constr NHVAC Elec 9
PIb Er
oslon El Other:
W Owner's N Mailing dress Telephon (include rea code)
.7GV��� X3/..3
Contractor s Name c o47ne.... Mailing Address Telephone No. (include area code)
>:::'.E Lot
f r
?::::p.::.R F�` i a
(�t/ Sq. ft. 1/4, 1/4, Section T N, R E (or) W
Buildin rte/ C/ s ubd is me 9 +f�' c 5 0 1 rl�'as Lot Block No.
V/11 q Zoning District(s) Zoni Permit No. Front R r Le e Right, /J
Setbacks J
S
ft.
ft- 6 ft-
4 New Repair NI ingle Family Entran nel Nat. L. P orced Air Furnace P il Oil Elec. So So ..li
lid d Solar
❑Alteration ❑Raze Iii Two Famil Size: Fuel o
Addition ❑Move y amp Radiant Baseboard or Panel a
Garage vic Heat Pump Space Htg
Other (print): Underground Boiler
Overhead Central Air Conditioning Water Htg
❑Other Other Dwelling unit will have 3 kilowatt or
ore installed i
nsae electric space heating
iteConstruded "'y�"��'.#''s� �y"�•"'�+ P equip.
f PL U BINRii`, iE Infiltration control option is: us lin
anufactured ❑Masonry Full sealing
P
of in
❑Treated Wood e r 10 is Blower door test. ❑Exterior
air infiltration barrier.
Unfinished Basemen >s Other M unicipal
S q ft. �y`y]r� Septic HE r
Living Area 0 Sq-ft- 1-Storry iOSE •...:..•.•.•.•..•......i.• Permit No
E BTU/HR
�;1 f1
Y Seasonal
Envelop
fl AA'f c! >;<`r[ Infiltratio prod >4 BTU /HR
Garage S ft. ❑Other �ermanent �J
g q- Municipal Utility
Other
Plus Basement Private On -Site Well 36i dse� The applicant agrees to comply with all ap able codes, statutes and ordinances and with the conditions of this permit; undettands that tt the issuance of
the permit creates no legal liability s o i pli on the Department or unicipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED /b -ly 3
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.
t1 ,R s g.t
T own
Villa
e
Cit
Count u t State f:
9 Y o Municipality Y a t Number of Dwelling
>I�.. P Y Location:
ii
Name s:
Plan Review F� construction r_
Inspection HVAC Y� (Q.b-
Wis. Permit Seal S °d Electrical
Other ❑Plumbing I b2 Date 1
PErosion Cert. Lk bb
Total 7L/
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner/Agent
Revisal: 8/S
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 12%, L)€ (A)WE.: C.124 A ZONING:
PROPERTY OWNER /CONTRACTOR: t -k -k- L t
CONSTRUCTION DATA: EW CONSTRUCT�N ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
NSW kTA .A Gi1/4
Ptoo`l 1/ 36 4)-i- (436:ce 4/1/D4
COMPLIANCE C1 (Check only those applicable)
,,,:=:'2,:*„:::. ri
COMPLIES DUI I DEFICIENCY /COMMENTS
Use
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
RE'1I AUTHORITY: ,2L...--! V
The Director of Community Development, or d e, must approve all plans, except the
folio ing: (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.
C/AROVED DENIED
Plan Commission Action Required
Variance(s) Requir
REVIEWED BY GATE: `Q/l0/
l''' —1 "'ll I I 'tit
1:
i i 1
1 1;,.- •I'l
.t II 1 1 1
1 II.
t
1 1il 1
i.1 1 I "'!Hli I Li f!
III I
i 1 1 ,i'It
■1 I I iii i
1, 11 i, i•.• i'•
•t 1
I i t il
I 11
1i 1!! If I t 't, •t i I i
ti t .",t, .'t
t• i. i! 4 •t•
i 1:: .:t.
i 1.
1 t•1
I; lii i 1..•
i
l II.i
ral II !WI I:14 i
I; e.<: HI 1 1!",'; ;,!1` l'":'; :;rn
1;1:.„
;'.III II
•I I; II II 1 1 1 11;11: ..1"
Ifni 1 .....11, rri I,,•, 1:!
1 I r- 1 i art,-•:' r
rri
.;i;: 1 t i I 1 Ir
i l t if;
'•••it.•• i I ••tlt :t
'il'' 'it.'.'l tt, I.. ••tt.tt ti:t1
,:t ••,:t'..1, 1 1:i .1 1,:,..;:',!: '.1,.
ti•! t
i t i f I I I 1 1 1 I i 1 1 H I t
!Ht. 1 ;1,
tt.1;iIII1 "•;;•,i..1 ;LI 1 1 1 ..1 ii,:
11.•:"1 -1," t 1 1:1. ;;;;;;;;;,;;;;;I:.,;:1
-14,1ti 1,, !I 11 „1,• :H 1.,.:
itilo: ,i
11 I!,
111
1 111;1 11 t lii ,1-••1
t
Iii '';;Hlit' 1:1 i'
E.'Itit lit 1 I
ii
1 i ::•,',1,..
1
i: I 1 1 1 I 1 1: 1 t 1 1 i 1 1
I,; 1 I i I 1 I I i 11
1 1 I 1 1 1 1 111
111 1111.• I ;11 1 1
1 I I II :1; 1! 11; 1; I i 11
11 11 11 1; 1 1 1.* 1 i 1" 1 1
I
t 11 1 11 ...I' H d i p1.
11,....:-..
1 ;11,...„; 1:iiiii ii! I ii., i1.
11.1.1!!;111 iiii 1 1 I
1 ci
i 1 t
i
;1,,Iii„1 rill I I II! 1; it:
IIIIII l,, !Jill
i!I 11 11J1141t1i! I!HI 11!"1 li!il tli;;•: i.
1..IIIII-ILIII II il; 0.„:' '4%I'lli'liI!,
IIIII 1,1‘1
111;11111 pi
I 1 i'. I I I 1 T 1 o
I i r I I I I 11 ini ti
tr i. ili: II :I iT;
..1 I. i i eigl!'i:‘, :1:!!;'j:.ii.;! H ..i,...
1 rTi„ 1 1 •rn
141;11 p illi i 1. -'1 1-, 1 1"1 :!!1!/ (0... '6-f,1! 1 .i1-!.
i0 1 !i
00! -.1r n IHIliii 1 ,11i
1111ii!;..,,, i 1:
4 H"Ili! ir 1 1 11. 1:t1•1;;;; 1
''r.n "1!
ill!irni 1 ;leoitilii;i, 1
iliii I: :!1
•!1:i 1 i 1! 111 1 111;
1 11 t 11 r71 1 14 J '1•1 1 1 r/
1 HiIot-it;
,1' 1 11 •)::.-1;.-o
t1 1,I
1' l '•''1 it; i I Ht Ittt. ti,•r.—".,
111 11 t tt; I 11
il: !i 11:111
111 ,,,,,1,11,1;,;;
I I IIIIII1 II 1IIIIIIIIIIIiIII::C,IILIE-D!1:21;:
,:i IIIII :1•11
I
It i 1 ;,,_....1-
II 11:11 111 1
!II!IIIII1111:11Iii1
,i1 7 1! 11 I '1 I 11111; 1 1 .1111111111 1 ii
11' 1 1 4 1, 11 1 I
I ;1:1; 1 •..L! ;0•)!D"
II, 1 1 11111; '1'., I 1 1 11 11 i 11 1; l'' r- 1
';';1:;1■; l i ilit!,,1111 H H,11:':::. !:1:, f•-, __I
1 11 11 1111 l l 1
1 1 1111
1 1 I I I 11 1 il Hi 1 1 t 1; •!n
1 1
1 111; 1 1 i 1 11 1 1 1 1 1 1! 1 1 1 1 1 i
IIIILIIIiii;:!
1 :.1 .11
l;'!ii!!! iii I"*'n i
lf!•:!!1! •,,f i 1:1i 111 11, 1 t t t, I i
1 1 1111 i I 1 1 n 1 1 t 1 1 i t i
i '.1'. I I
11 1
1:1 +1; 1111,I 1 I11 Wit IIII:WHII (q 1I
1
IL. 1 ,;111:1!1,111 t;;;; ;i 2•.(zi
IIIIIII 1111 ItWit1I.1
1
it•;:;•::t 1 s l
t 1
tit,t1,1titt .111 II 1 i l 1 I„:::
;1';IHIII, I:I WW1 I. 1 11 WH I11111':111
;:t :111,-
11:;;; ,11:111111! '0 'I''.; ''9;1;
1; I. ttt,;!
1!:, if,
i ''i I■ HI '.ii ''''''li I
CATE
NAME Gf\B ADDRESS
LOT I H BLOCK
SUED I V L 3 v E\b rz ZONE
STREET NO. 1a% U e1& S OT DIMENSIONS
SIDEWALK EXISTING YES L NO a
BUILDING GRADE ELEVATIONS STAKES SET AT SITE O c /1 ,I9 7 BY o 6-4A-''
FEE; $15.00 G
OEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
i
00'1855' o
fi/4 stsr cn 7 c frs7 F- //4-7,7
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address NY6 /i) i fiez1) I,(M
Owner's Name LUSC (ijLr7
Name of Subdivision Vt/&s✓ C 6V 1,
Lot Bldg. Permit 368y
No. of Units
Fee Required ff c
Fee Paid /(O
Owner's signcture 9 Date C1 I y- 3
Inspector's signature 4 ,w Date /0 5/7$
Parks Subdivision
Improvement
Accts. Rec.: 362 -041