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HomeMy WebLinkAbout0038400-Building 1 /C) CITY OF OSHKOSH No 38400 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 1 gL/ W Wry PLAN NO.K -*le OWNER gY->C/4 Coin oC2aR.) DESIGNER .C/ 61I7 USE /NATURE OF WORK V w /'7) f j yT NcD BUILDING CONTRACTOR R2S atl Size Sq. Ft. /OS6 Rooms (6 3M Stories Height i Foundation ao Class of Const. Occupancy Permit HEATING CONTRACTOR Iti Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR r Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 1 BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation CY'° Permit Fee Paid Park Dedication ISSUED BY 114 Date °17X Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ?SIGN ATURE L, G 7 l,/ l AGENT /OWNER DATE ADDRESS TELEPHONE (23 /-{q 45 FEg oga 3 /qy Wisconsin Department of Industry. WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT SFyco 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) :PERNIEURE. U ESTED ons biglitbAC 15E1 oc 04 El Other: Owner's Name Mailing Address Telephone No. (include area code) e a'cill Co11/2A CLLR r l ed 82O3 Contractor's Name k Mailing Address Telephone No. (include area code) Lot Area PR.O EC'T LO'CATLON Q QSq O ft 1/4, 1 /4,Section T N, W R E or Building Address I• (/J r Subdivision Name Lot No. Block No. /J 1 i l G( n. v '0,1 136 Zoning District(s) Zonin.rermit o. nt Rear Left Right '4 i Setbacks ft 1 ft;::..:. lL �L�#. C`#::.;.:;:. CEit?! l► �t! �1C.;: >a.EC'�� :A�#�i.�It�M��7;.:..::. [few Repair Ingle Family Entrance Panel Worced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar Alteration Raze Two Family Size: /00 amp Radiant Baseboard or Panel Gas Addition Move Garage Ser Heat Pump Space Htg Other (print): VOnderground Boiler Overhead Central Air Conditioning Water Htg ❑Other Ot her Dwelling unit will have 3 kilowatt or ::4r ONSTVI :::E :.NOA O I to Constructed oncrete more installed electric space heating equip. Infiltration control o ti Manufactured on is: Full sealing door test. Exterior M d Masonry of joints Blower do E air infiltration barrier. <::A K:INVOIN DI:iii Treat Wood sewer ::00m i:: Other I uniupal >.;<:;...:<.;:.;::z: Unfinished Basement I (o Sq_ ft 4..............‘ HAT c? Septic V- Story »lK S Permit No. Envelope a BTU /HR Living Area 1 U.7�o Sq. ft- 2 -Story Seasonal >'��s:iii.VA :i:>' :z Infiltration r- j, p�Z BTU /HR Other (�nanent Garage .J S Sq. ft- ❑Other unici al Utility 14 EST t PJG o.S.. a P Y 'Plus Basement Private On -Site Well 116/ DOO The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; un erstands that the issuance of the permit creates no legal liability, express or lied, on t pa ment or municipality; and certifies that all the above information is a curate. APPLICANT'S SIGNATURE s DATE SIGNED 5 APPROVAL CONDITIONS This permit is issued pursuant to the following conditions- Failure to comply may resul in suspension or 1 revocation of this permit or other penalty. 1+) /{ol5(40.- X 7((.+ V:Sit)3 ✓V E fJT S ate !«R 6V, S..) 3rn1' n&s 7 c DIZA we0J6s Town Village P t Count State of: Municipality Number of Dwellin 9 Y Y P Y Dwelling Location: J (Jeg Q9 8 10 �.:.I�I�Et3RI$It:PIw�I�'�`:.;:: x.;::.;;;:;.:;;:.;;;;::.;•;:•;;:•;:;;:•>;:•;>;:•:::•>;:. ICI« �5.;:.;;:.;:.>:.;;;;:.;;;;:..;.:::;.>•::::: <2: <::IStSii: ::::'::::::::i:: :::SEAL:NO: >E:: ::i >s »:i:::!r,::>::> :.<.s ::>::::::ng::::::::>::>::::»>:::«<:: i:>: z<:>::>::::>::> >:isE: ilio:: >:::i Plan Review 4 Construction 4 t i 'Inspection HVAC Name JLJ,.L Wis. Permit Seal a). sr Electrical 9 Other Plumbing Date Erosion ✓Jp1 (x5 u 1 9 1 Total f �/D l Cert. No. .401 SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent qS; U6) ZONING /LANND COMPLIANCE CHECKLIST JOB LOCATION: 3 `D OltiFE WI ZONING PROPERTY OWNER/CONTRACTOR: l )SCE C CONSTRUCTION DATA: X New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) /kit/ 7n) A zr ,477; Qc /2 T v COMPLIANCE CHECKLIST c.-� /0s6-02) (ed/e46. .5;357-R 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 ,„//ie,q-- Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan 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. V APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: G2� DATE: /d 9K i I f i :i! I i i 1 It 1 .i t I i i i1, 1 i 1 i 1 1 1 m i f 111.1 i,1 'I ;i: m i 111!':1; }1 t 1: Ii m I r rr1 1, 1 1 1 1 1 1 r rr� };i!j i i II JJ ff OW I T II t i�j�j!Ij !'i I 1; 111;1 1 i! I' i l t j' 1 1 I 1 f 1 I�� t 1 i i 1f1 1 1 1 i i I f 1. i! I i 1 1 1 f I! I i' I t i j ,I �i I f >1 i f f I I 1 1 1 I 11 j ___E;.!!! 1:1 m I l i 1 filfi 1 111, '1;i I 111111 1 11 1 1.'11 1 075- ;go! i 1 I 11!!11 1 }i i j 1 11! 1 •ff I 1 i 1 i )c 22) �Y 1 f 1 1 1�1 f 1 '1.•, '}1111} ;i;} 1 i 1 Ii i r 1 m i' 1 i 1 c Jr i f 1 11 m v I poi, 1 iJ i 1 i i r- 1 i t je MP a.-.; f f 1 r; i M 1 f 1 i i 1 1 I Mt 1 j t i i I I i 1 I I i 1 R1 to 1 1 i ii I f 1 o f ill f m N 1 1 DP I i j i. f i! I j N 1 I 1 f1fn i .i!'I 111 �'l (1l j i 1 1 1 1ZIa i, f f i i i DATE ?Ng g NAME USCW 6A)5772 U C7 7 t ADDRESS LOT /36 BLOCK r. jdF�D SU80 I 2rn5 ZONE STREET NO. /346 toi LOT DIMENSIONS SIDEWALK EXISTING YES NO 41 BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,19 q G- BY KO FEE: $15.00 DEPARTMENT OF PUB L L C G'NCRK_ I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 0 41 City Of Oshkosh 1/1/85 PARKLAN D DEDDICATION FEE COLLECTION RECORD Address 37 0 0-6(17 /1(M y Owner's Name W,2e7)/ (i,cis IRLCR©IJ Name of Subdivision 1 /057W6H 1' vIR ry7S Lot S6 Bldg. Permit qW VW No. of Units 1 Fee Required il l Fee Paid it/a), Owner's signcture Date 3 //9/9 4 Inspector's signature lir" 4124_ Date Parks Subdivision Improvement Accts. Rec.: 362 -041 OWNER &Q4 aiLlSiROCIU ADDRESS _390 6--*Ff/Q..A LAI DATE .//0/ qy PERMIT SVCD USE NSF= ,4JT, J 4 z Work consists of GENERAL CONTRACTOR MASON. CONTRACTOR ZONE Width of lot DATE INSPECTIONS REMA _S f r rv6 a App .-W k- V C 0 91 ly �ZA. t ,o, cA f Z) �dc cQ w v Aka-c- ,00,- D4/ occ.E.sp ce 6r-tutu mx-, ...../i.)5per-rice1/4.) o .0 reK 6cn� Win, 0. 0 4 v Front of lot MAILING ADDRESS