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HomeMy WebLinkAbout0036385-Building /PO CITY OF OSHKOSH N9 36385 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS J a96 6 Hai iAby PLAN NO. n- 6 493 R OWNER �'t7 COOS (Tt..l..,d cv'J DESIGNER USE /NATURE OF WORK! kiod �A ./6LE Flni& GO TM J1 JTIQGi(6L. 6; ,46", BUILDING CONTRACTOR F a 9 r Size Sq. Ft. !IN Rooms 6 7 Stories �L)AD Height i e9 Foundation Class of Const. CS Occupancy Permit 4ES._ HEATING CONTRACTOR CE Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 3 )MM 1 Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 44 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 Permit Fee Paid Park Dedication 'C t ISSUED BY .I j!+- L A Date /BAS Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 14IGNATURE 1-11 4 i /3 f •WNER DATE ADDRESS 276 `'V ,4 cpi /'eZd TELEPHONE \g2 \o\ Q3 IR ,cox Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 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) >:i:• onstr HVAC lec P bg jrosion Other: Own ame iling A ress I Telephone No. (include area code) Serf —F 7& f aur/co I 4/4.23 f 82403 Contractor's Name Mailing Address Telephone No. (include area code) MPROjECROCATIONE l5 ft. 1/4, 1/4, Section T N, R E (or) W Building c r cop fig u am; p� e� Lot NS q Block No. Zoning District(s) 1 Zoni Permit No. Front Rear,. Left Z, Ri If S Setbacks 2 ft. ft. ft. ft. »r i yh may! yam w Repair itSingle Family Entran nel Forced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar Alteration Raze ID Two Family Size: amp Radiant Baseboard or Panel Gas Addition Move Garage er i e: Heat Pump Other (print): Underground Boiler Space Htg Overhead Central Air Conditioning Water Htg A Other Dwelling unit will have 3 kilowatt or more installed electric space heating equip. Site Constructed Concrete a::: 1106a0 »3: Infiltration control option is: Full sealing Manufactured n P 9 mektNv a Treat ry Wood er of joints. Blower door test. Exterior Munici al air infiltration barrier. Unfinished Basemen Sq. ft. lirt........OR........10.......IiiiiiiiIi;i:iii ❑Other p Story pp� Septic >'�:::>FI #w': y Permit No. Envelo e BTU /HR Living Area G v Sq. ft. 2 -Story Seasonal x �i :W�.'TE•.': >:E :':iii i Infiltrati 02.2. BTU /HR ther Permanent:.::::: 1 Garage Sq. ft. Municipal Utility Other Plus Basement Private On -Site Well e, Ode 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, expre or plied, the Department or munici ality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED 1D -13 APPROVAL CONDITIONS This permit is issu'fsd pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. J.) rnrr 7 1 CA„6, To wn Villa e Cit County State of: M e o Municipality Number of Dwelling Loction: 9 Y Y P Y 9 i $00 D- 6 ruction Const t t�� A Inspe ction t oast Name 1 I Plan Review Wis. Permit Seal ..`3o Electrical Other Plumbing Date 1 ©l J 1 q Total e Erosion r�('� I I D Cert. No. SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner/Agent Revised: E/ ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: I F l.. F\ I� 1�� ZONING: ki y PROPERTY OWNER /CONTRACTOR: Q l 4 A'\ CONSTRUCTION DATA: XNEW CONSTRUCT ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) 1/03 .4z-) 576 -V-t- G) COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS I Use Lot Width Lot Area Floodplain Front Yard Side Street (frtnt 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 C 4)4(1 1/ 4 REVIEW AUTHORITY: The Director of Community Development, or d signee, 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. LPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: ZA DATE: 0 k 11 4 1 t 111 1,1 I111i l'il i Ilill 1, I ,„1•,,. 4 1 r• 1 4 .-4.11 14 I 1 iHIII1, I 1 IiiIII. 1; i i d I 1 i 1 I ...I, 1 I 1 I 1 i (1):6! 1 I I 1 1 1 1 1 1 I 1 1 1 1 61c. 1. i 1 ,0;.. .:J.H il! 1 4 4.• 4 ,i1111 11, II! 1 1 I 1 MI 1 1 1 1 I MINI': ()I i 1 i 1 j 1 1 1 1 I 1 ".4 k2( 1 1 Iiii li 4 1 1 !itii 1 I 1 I I I I 1 1 1 1 1 I I i I i I 11;11 1 11' Iiii.!IIIIi. ,1,1;!!,,1:1 'IIII:i WI' 11 1, ''ili'•--II'',:i '•:II1'.111'.'ll', :.tr ,iI, 1 ,;741,1• I 1 1 1 u I .0 i 1 H 1 k■ Y., 1 1 i 1 1 1 1 I 1 !I.!! 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LI! 7 1 11 1 1IIII!'• ';',SZ30,/:, Iii•; ill i ll I i llciiiIi•'• 1 k 1 I 1 1 I i (3----;--. i LLI i 1 1 1 I 1 I 1 1 1 i 1 1 1 1 1 1 1 Li 1 1 1 f l. 1 1 I i 1 4 1 1 I 1 i l 1 i 4 1 1 1 1 4 1 i i 1 1 1 1 i 1 i 1 j 1 i 4 i 4 i 1 1 1 4 1 I 4 4 4 i H. 4 I i i l i i l f i i I I li l i i li I i .4 1 1 ."1111;111;1;1! 1111iill! 1-11 l'llillii I i i 1 1 1 1 I i 1 1 1 H i i I i 1 i 4 1 i 1 l 4 I 1 1 i i i 1 1 1 1 I I i 1 1 t i 1 4 1 t 1 1 1 1 l I I 1 1 i I il i 1 1 i f i i i i f f 1 4 1 1 I 1 I I t i 1 1 111 ll 11 Ililli i i llh Hi! 4 i i 1 I I I 1 1 1 1 1 I I I 1 1 i 1 i 1 i i 4 4 4 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address GAG W4lt12b Owner's Name ■_.}1 C 1 TA Name of Subdivision WIEvliEl6AA. ,brizoNS Lot 1 3ck Bldg. Permit ??!E> No. of Units Fee Required 4F) ©9 Fee Paid 00 Owner's signature i late 7°/i 93 Inspector's signature 1 #.d Date /%S ?3 Parks Subdivision Improvement Accts. 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