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HomeMy WebLinkAbout0040526-Building HZ) CITY OF OSHKOSH N9 40526 PERMIT APPLICATION AND RECORD TYPE: BLDG ;�J HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS ('(/C/ LJ a PLAN NO.Fa -OOI 7 i7' a' OWNER /YO S P C DESIGNER i �,p USE /NATO E OF WORK A d /64 _F i/ �T�JfC7Y� /ol ((owe2 CL //z. otuFiiu/s /460 6 17 30i3e -E $72h nED tA.XRK pRiok 70 C 2 /r /5560 BUILDING CONTRACTOR USCI� Size /g c/ t Sq. Ft. Rooms 6 163/2 Stories 4b AD Height Foundation C Class of Const. 8 Occupancy Permit i HEATING CONTRACTOR (----7.&204.) Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR ?U,44 /A&S Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR T( BT WH Disp WSoft CBasin Lav Sh DW DF _San. Sewer WC FDr _SP Ur _Storm Sewer Sink LTub _Eject _SS _Water Other 1Q;(2., O© DOOBLE Fw' FEES: Valuatio IP O1• Permit CT Q0 ermit Fee Paid 1 Park Dedication ISSUED BY !I Date 7 0 1 0 /V Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE y 4`^ 44 0/4y ¢y AGENT /OWNER DATE ADDRESS TELEPHONE A .505 ra ©O/ 2-/qy- lP Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT H DS aL 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< E a E TEDmi L i onstr x 11 c Eros 0 Other: Owner' ame Mailing Address Telephone No. (include area code) d a3/ �2o3 Contractor's Name Mailing Address Telephone No. (include area code) lAA Lot Area 0i A. OI .1 s:: Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Address S bdivision Na Lot No. Block No. to/ get CU ji,C, tOoL Zoning District(s) o nmg Permit No O Front Rear Left Right Setbacks a-6" ft.I 53 ft. 10'6 ft. /0'6 re ft. :::1:A: E :i iiiii;.,.;•, isi �::4:•: i ..1 •i: ii:i: i: :.:i:: ::*i.ii:::::i: :::i�yy /y'.. :::i::::::i: {�.y�'. ::i •'�'�L{'�::�6 tiff: i:: i::::: i:: }j)):i::::::(: ?::ii::ij:: ..�....�E.�i�{. ...iJ �.rAlw I{!'.��....... .�Li..�E�}Y:�.s•Y�Y{� r, ew Repair ►i Ingle Family Entrance Panel 7 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 See: Heat Pump Space Htg Other (print): Wnderground Boiler Overhead Central Air Conditioning Water Htg Other Other ❑Dwelling unit will have 3 kilowatt or ''.::IPP `e more installed electric s ace heating equip ite Constructed oncrete P g lh :PLU I0114:; :ii Infiltration control i n i Manufactu Masonr o option s. 0 sealing ID Exterior ❑Treated y Wood of joints. Blower door test. Sew air infiltration barrier. ?5 Other unicipal Unfinished Basement (t ��4 ft ........................S'i'i s e ti c 0 >HE>ttT< C 1400dfi Living Area It (0 Sq. ft. 1' Story ❑Sea al Permit No Envelope fou O oh 1 BTU /HR ❑2 or R E1 ::'<i Infiltration �3 BTU /HR ther ermanent t Garage 7 Sq. ft- f 1unici al Unlit Q Other Y I�S 'lus Basement I Private On -Site Well 59006 The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; uderstands that the issuance of the permit creates no legal liability, express or implied, on the De a nt or unicipality; and certifies that all the above inform tion is accurate. APPLICANT'S SIGNATURE 7A.....—.., I DATE SIGNED 7 et f 1 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. 5Gifrew it 1, el CaccS t ivsck.. zc- Qzc cvU /l?64 /GNP Z/. A:1S'. Town o Village e it Co nt u t of: Sate o Municipality N m r u fDwlli 9 be o e n L n: i Y oc t o Y tiRISIIC}ION oC 6 :::::otiesti:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::::::::pumnoy::::::::::::vinsforittFoomp:E.Rmitommitiguiiiivoiiiii.iiiiiiiiimingimogilmaimmiliiii'iimil Plan Review 9) {Construction A tagl Inspection HVAC Name Wis. Permit Seal 9,7 Electrical Other Plumbing j Date Erosion C. 0 Total �11" J 7 Cert. No. SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent 140/6k5t) ZONING/LAND w _USE COMPLIANCE CHECKLIST 1-7 JOB LOCATION: IaW1 W I l j dr Wc.k_ ZONING PROPERTY OWNER/CONTRACTOR: USQ,} l C ,1� CONSTRUCTION DATA: 0 New Construction Addition Alteration TYPE OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.) /V D g/7U6L /74 /(_-_-y 4 ii ci e 6W/66E. Z COMPLIANCE CHECKLIST NeeS� Il °y�-� 2 DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards 44 Drainage Plan v REVIEW AUTHORITY As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval 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. APPROVED DENIED Plan Commission Action Required Variance(s) Requ ed l 776Y REVIEWED BY' DATE: i 1 I i I lo, 1 i 1. 1 0 m 1 1 I I '„.•lu)1.1 II 0, i d.,,„,.. ..1,,, i 1 Iii 1 1 IV) 1 I I 1 I •Lj I 1 I i I 1 :i I 1 I X I i I I (I) X MIU)I I III i i I 10 I 1.i. •I.: 1 1 1' 1 i. I I 1 i 6 t I 1 i 1 i i 1 I Z/- 2 1 1 1 1 't I 1 1 ct (1) I ■Z__,. U 0 II! 1. 1 i 1:inilu-) w 1, i ,i0 .t I,: i i oi l i li ::0-11 z 1 1 1 1-LI .-Jii 1 i ',•=zt 1 1 c4 v IIJ 1 Ca •(...0 1 1 Ltd t I 1 tit ,-.:i 1 1 1 1 co 1 L.\ 0 Lij 1 1 i 1 I i 1 I I I 1 1 1 I _J t 1 I 1 u., 1 1 0 t q. 1 1 3/ 1 1 (11 I 1 i 1 I tti t i 1 I 0 tu I i III :ii I .11II 1 H I I i 'T 4 1 Cr/ 1 1 1 1 1 1 1 ••••;..111 I 1 Ili 111,1 1 I 1 1 1 1 1 1 1 .I III 1' 1 1 1 1 ,•1'" 1 1 i 1 1 'ci-,-... hi 4, 1 1 1 1 1 1 i ....5: 1 1 1 1 /AS. 1 1 1 /St" 1 1 1 1 1 1 I I I 1 I 1 I X 1 i- c19, I, I 1 1 1 1 1 t.0 1.1J CC i I 1 1 1 l 1 I- I cn i 1 I til I 1 1 I I 1 I 1 1 I I I 1 1 1 4e GI 1; I 1 I I I I r X 1 1 I j I X I i i I _1 I Lij al• 1 1 I 1 I I 5 i i. i:i eil 1 1 1 1 i I i I 1 I i -I I L 1 I I UJ i 1 1 r if, .1•., L If II 1.,1,,•.1, :11:1 1 1 f 1•,.. ii. 1:. fi., i• I 1 ..i. ii.. „I 1., 111 1 1 g,. •I I:1 ..1 1 i• CATE NAME aSO41 61037e1)C"C° ADDRESS 15 7/;77■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■waWCK■■■■■■■■■■■■■■■■ ;?/K0 swot v (VG ZONE STREET NO. 0/ to LOT DIMENSIONS a zb SIDEWALK EXISTING YES NO a BUILDING GRADE ELEVATIONS STAKES SET AT SITE744_22,19_11Y FEE; $15.00 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. fr; <'*-Z City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address a E v Owner's Name U S e/! l �/�1S /-o /00 Name of Subdivision l k) �f y Lot 1/3 Bldg. Permit qD5a6 No. of Units Fee Required 4/00 Fee Paid 47 Owner's signature ?or" 1 4 D at e �1 g Inspector's signature Date a0 Q m. Parks Subdivision Improvement Accts. Rec.: 362 -041