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HomeMy WebLinkAbout0041026-Building i rD CITY OF OSHKOSH N21026 PERMIT APPLICATION AND RECORD TYPE: BLDG ri HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 1341 W 1AT V EL \)3A-k4 PLAN NO F 003 WW-)P OWNER 4_) OJDwcczvc c»3 DESIGNER USE /NATURE OF WORK r VJ Ct Qc- 1 L A' f\ c R/ BUILDING CONTRACTOR RO. -N l Q1.- 5 -X- 1 1 k Size 1 �S S Ft. c�� Rooms 6 3 Stories i Height 12 Foundation CO �.tZO Class of Const. Occupancy Permit HEATING CONTRACTOR .8a.06., Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR G-DM t 1.:6 Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR S4- IA BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr _SP Ur _Storm Sewer Sink LTub Eject _SS _Water Other FEES: Valuatio _t 0 Permit Fee Paid I y a Park Dedication 1©C) c c ISSUED BY ATAASX- Date .a 1 i 1 1 q Final /O.P. l In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE )/16--. 8,7274/1 AGENT /OWNER DATE ADDRESS TELEPHONE 5015 F Cow 41(1q- MP Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 1 1 OD(c, 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) :IT1aE #ESTEi3' 111:: c c t 0 HVAC Elec Plbg [jrosion Other: Owner'ame 1 Mailing Address Telephone No. (include area code) k e f l 2 t X60 Leo. r a3 1-gza3 Contractor's Name Mailing Address Telephone No. (include area code) Lot Are PROJECT OCATIO NI 7 9 20 1/4, 1/4, Section T N, R E (or) W Buil i Address Subdivision Name Lot No. Block No. ,o, to District(s) Zon Perm o. Front Rear Left Right Setbacks 51 ft l 56 ft. '7 r r ft. 7 ft. "l.... SEC'#' .P. qtr ...t.... .�....Ef.ECT#;d�,�t..... s. Et3GY: 7 ew Repair 0 Ingle Family Entrance Panel 0 orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar Alteration Raze Two Family Size: (DO amp Radiant Baseboard or Panel Gas Addition Move Garage Seryice: Heat Pump Space Htg Other (print): 14'Underground Boiler Water Htg Overhead Central Air Conditioning Other Other 0 unit will have 3 kilowatt or more installed electric space heating equip. irrite Constructed oncrete >1 Infiltration control option is Full sealin Manufactured Masonry of joints. Blower door test. Exterior g IME IN :VED Treated Wood Sew air infiltration barrier. I .4S .:11.1..:0. Other L7munlapal Unfinished Baseme �Sq. ft. �'T R1ES >HE tT< 1. at Septic Story Y Permit No. Envelope i BTU /HR Living Area Sq. ft. 2 -Story Se sonal :1'X14titi tiRT E y Infiltration BTU /HR Other ermanent .1.1.1 r ft. Garage yet) S i I flit q u me a Utility g ❑Other �P Y 14 s1�$�s �1 lus Basement Private On -Site Well 3 nn The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or impl d partment or municipality; and certifies that all the above informati n is accurate. APPLICANT'S SIGNATURE 7,w•. A DATE SIGNED 8 QV APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. 14 1 Nom .Au.. k. Ei tev- (vNEAss,. S pest. WAIL a\ 1QS- 9,) F v ;z1.- t sp. 112.5ass. Der^tc,.S ol,-$ .s. t CV Fog W M‘ 1 1 t�1ot t Town Village it County S of: Municipality Number of Dwelling Location: ::sf 9 Y Y P Y 9 )thil DICTIO a 6 .1.1 d�Nf�e�N .1.1.1.1: .1.1.1.1 .I1IT 11.1.1..::. ::::11:.11: :11 Plan Review ;i::1 1 :.1� 1111 uct .1.1.1 n .1 nn P "p HVAC o Name WQ. .ti 1L� Inspection Wis. Permit Seal 3. Electrical Other Plumbing Sill 5"--\ q� I clO 'C1 0Erosion 1 Y6( 1'-' Total Date Cert. No. (ce SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent I 1 ZONING/LAND USE COMPLIANCE CHECKLIST 1 JOB LOCATION: 3� I Liit `-c)4 ZONING ___LL___ PROPERTY OWNER/CONTRACTOR: (Y CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) A.,a3 sik36_tE trIL Au T 5 Al 13+ 5 Z- COMPLIANCE CHECKLIST b`�S 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 et-9 --7-46 42-4- 7 4-k----- 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. L— APPROVED DENIED Plan Commission Action Required Variance(s) Requi d REVIEWED 74 DATE: i 9ci LI5 N Li Go' (11-a2gOA City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address t 34 Owners Name Name of Subdivision WCS1 1-16 -1 tfl`RsviS Lot 1 Bldg. Permit 1 //04 No. of Units Fee Required Fee Paid 0/( Owner's signcture Date Z 9 Inspector's signature 1 1,I �/1.a of_, Date Parks Subdivision Improvement Accts. Rec.: 362 -041 CATS O iiIq i NAME \3 K ADDRESS LOT L DB BLOCK ?•1 RD SU80I V. (..JO L 61A) FARMS ZONE STREET NO. /3 /j WAFAl1 \E LOA( LOT DIMENSIONS SIDEWALK EXISTING YES NO El BUILDING GRADE ELEVATIONS STAKES SET AT SITE L /2. 1 9 9 1 BY a.5%L FEE: $15.00 4 Q 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. e:L.--1°4.-- r O "::.®!5 Ux.d,k_7„,.., 4,.r%C4 fcs ,A.6-