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HomeMy WebLinkAbout0038194-Building Clo CITY OF OSHKOSH N 38194 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS pg 16V f j IA/ Ay PLAN NO. ""7 —CY S 0/9 OWNER OSC G I u 4 cAJ DESIGNER r r' r USE /NATURE OF WORK A! SiAI 1`�Ini� y 4 r7 D r 4'-'- e BUILDING CONTRACTOR -5GH Size G 9 'c. 1c=1/ S Ft. #Rooms #Stories Height Foundation /r,/2 Class of Const. Occupancy Permit 7� HEATING CONTRACTOR Z :&PCWFR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR (?u,'444 /AJtS Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR c Y BT WH Disp WSoft CBasin Lav _Sh h DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation /CS; Fee Paid :i Park Dedication /0:- ISSUED BY ©.r,1 i< Date &/a9 t QV Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7. a-4 ZZ-- AGENT /OWNER DA E ADDRESS TELEPHONE Gcr LK71.c) IEL cI 0 Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 1 ci 4 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) €:€PE:I I: ::REQ ES I onstr VAC lec P lb Eros Other: c� r� a a j g Owner's me Mailing Address Telephone No. (include area code) J,`..G.1A d4L___ 0 2 r J I 4 L 4 1 Contractor's Name Mailing Address Telephone No. (include area code) I c y�!� l Lot Area >:PR COAT f I Sq. ft_ 1/4, 1/4, Section T N, R E (Or) W Building Address Subdivision Na me Lot No. Block No. 1a W L� rl� ]Y3 Zoning District s) ing Permit No. front Rear Left Right etbacks ft. �o ft. g ft. ft. 7, New Repair ingle Family Entrance Panel Li rced Air Furnace Fuel Nat. L. P Oil Elec. Solid Solar Alteration Raze Two Family Size: amp Radiant Baseboard or Panel Gas Addition Move Garage Sere Heat Pump Space Htg 0 Other (print): nderground ❑Boiler Overhead Central Air Conditioning Water Htg Other K' `y El Ot Dwelling unit will have 3 kilowatt or more installed electric space heating equip. ite Constructed ncrete P g 'l. z ;i :i :m: Infiltration control option is: Fulls lin Manufactured ❑Mnry P sealing AREm t Treatasoed Wood Sewer of joints. Blower door test. Exterior air infiltration barrier. .t:::: Other nicipal Unfinished Basement Y ft. Septic ViiikINA:T:: S• tact• 1 Y KAISE E.i: ::<:E Permit No. Living Area ?et. S ft 2- r ❑Sea al Envelope C� S BTU /HR u ::1> MI ;i:::E':::::`: c:<::':.:>': >3 Infiltration r BTU /HR T the ermanent l�/ 7� Garage Sq. nii I u c a Utility P ❑Other Y �5��: ��,ti >:`s Ki Plus Basement Private On -Site Well 4 10 d© en The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issu nce of the permit creates no legal liability, express or implie a or ..pal y; and certifies that all the above information s accura APPLICANT'S SIGNATURE 1.-.--, 1i DATE SIGNED e9 1'7 APPROVAL CONDITIONS This permit is issu'Ld pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. 1 L1 29m 7u s `�canlr, -z) IV A `cy f^V1e ue.g I4./i2_ mil. /awe Town Village i t Count State of: 9 Y o Municipality Number ofDw Dwelling Y P y e Location: 9 RJSS ICTION::: c' 2 ?6 6. i:;:;:;: isi+ iiii' riiii i:; iiiiiii:+ i:;ii'rii ?ii:�:''r:;iyt ;:;C::i: iii: �}ii:;:;J'i::�iiii .���j:::N ■r'1 '<i: :::::::•ii :iiiiiiii'riii {i i:::v:viti v i ii: Ji•: :•::C ?:iiiiiiii i:i:ii i L::{::: i:: ::i i::•:: i:i +;p}::::L i ••i i:<i:::::: v;•: isvi::ii}::: :J:;:: v::• is4: 4:•:: U ii:• is ^:4::: ^i:`::ii:L:4:•::4::i: ii :4i::� i:• Plan Review z/C. osa onstruction Inspection WHVAC Name Wis. Permit Seal 30, G° Electrical Other ❑Plumbing `n Date erosion I t Total Cert. SBD -5623 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent S Of ©•o LET 1e_,m Revised: ?/L ZONING /LANG USE COMPLIANCE CHECKLIST JOB LOCATION: f r WA"; ZONING: I PROPERTY OWNER /CONTRACTOR: i1 aASC CONSTRUCTION DATA: NEW CONSTRUCT:{N ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) NEW n1 J L y -rrAc, mR.1: hk q%-'1 4, Y0 COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area Floodplain Front Yard Side Street (fro -t 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: 4 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. 1.-- APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: Z A67- 9)/ i1�I ill 1 I l I!I !1 ;z• i I i I N I j 1 j I j I f i f I5I III 6 V 1 .N.. I j 1 3 I t I 1 1 cn I i I I i I �cc o Ii 1 1 1 ..;;T:,;,, Z IQ i i t• t oa W 1, I i i J 1 I I t� 1' 11 i i a I ca I `∎s l i H. I 1 1 1. 1-- I I A I o l`I I ;'I I I I i .Ij z;›. j1 l i�l'1 IFS I 1 I 1 1-- i I :cc J i iJ ii I 1 1 i I i 1 W 11 I 1. li l i I {j1;1 li II J i i 1.1.1 1.11 4 t t ill i i 1 .will ru-r.....1.0,, -J i 4i W ii I !i !I iII 1 i` 1 1 t I Illi III i i is!I I 11 Ill 1 t� !'Ilf!I 1 T. II; I 1 i i j I t Se I I 1I; i!I i i I! i 1 Ii II l ;il I I I w I I 1 I H I I; I i" I 100 Ci) I I I 11 I I 1; 1 1 :l it i i•, I I i l ;'II 11:i1i I!I1It F 1 1 1 1 j I ;1I :i1 I :�I� Illl,l I 1 ii1I 1' i v f :.11; 1 I! 1 W I t 111 i .:.'{i�l.w w II I1 i. I II 'i 4. I I i `W 1i I j i III i :1 1 W ,11!;1 `!t I j I I I I i i I i 1 f i i' i I I I I 1 1 1!' I 1 i' i I i i I I: 11 I tf I i 1 t 1- I, I,! I! I 1 I 1 I I 1` 1( 1 f 1 I i i I 1 I I. 'II.: t s1 11 t I 1 1 1 I II 11,1 I; I; I i I 1 r I I i I I I, City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 71 Owner's Name USC .4JSJRr-770/V Name of Subdivision te(WLE f/?n1Y Lot Bldg. Permit gg i 9 No. of Units Fee Required /N). C- Fee Paid -r /a), Owner's si gncture C___. Date W Inspector's signature Ar L A K Date #2;/9/ Parks Subdivision Improvement Accts. Rec.: 362 -041 C CATE I NAME V�� =1� \Dr ‘,..1 ADDRESS LOT BLOCK ?BARD 5U80I V .SL A E ZONE STREET NO.Rn 1.A.AE kAh5 LOT DIMENSIONS SIDEWALK EXISTING YES NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE Z J Z 8 ,199..f> BY KIJ FEE; $15.00 ,u.�. kn DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree ro have the grade established before excavation has commenced. 00 (13 5 417141-