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HomeMy WebLinkAbout0036382-Building 11 CITY OF OSHKOSH N 36382 PERMIT APPLICATION AND RECORD TYPE: BLDG X HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 13p© L Vim' R% F7 PLAN NO. cipz r !S OWNER QS I l© DESIGNER USE/NATURE OF WORK N t t ��'■l w' .k 4 44' ;`4E BUILDING CONTRACTOR C RlGl-1 Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Pe1/Q Z Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR COMM( S Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 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 C Permit Fee Paid I ®S' G 14 I Park Dedication ISSUED BY �c.A Date l 0114 l Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 41GtIATURE LP' /0/ GENT/0 NER DATE J ADDRESS TELEPHONE F? IBS /o/93 Wisconsin Department of Industry, WISCONSIN UNIFORM p lication No. Labor and Human Relations BUILDING PERMIT 0a 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) E nstr VAC Elec o i*Ibg rosion Other: Owner's N Mailin Address Telephone No. (include area code) a/ bCv if/14$ ie 4 114 2-3 i- 24,3 Contractor's Name Mailing Address Telephone No. (include area code) ���LJ G Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Addt r Stbdyyision N me S Lot o l Block No. f L Zoning Districts) Zoning P- it No. ..F ront Rear Left Ri t l Setbacks ft. 2 Y ft. L Z• ft. ft. iivnilis' k' 4 ?iiS is o i:iC? e. ew Repair ►1 Single Family Entranpq,anel Forced Air Furnace Alteration ❑Raze Two Family Size: P Radiant Baseboa am Fuel Nat. L.P Oil Elec. Solid Solar Addition Move rd or Panel s Garage Service: Heat Pump :I Other (print): underground Boiler Space Htg Overhead 12 Central Air Conditioning Water Htg Other 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip. i te Constructed oncrete �k M ,w P g _:i �li��lw� �i i Infiltration control option i F II Manufactured El Masonry s s u sealing of joints. El Blower door test. Exterior sewer I 1 Sq. ft. e Treated Wood air infiltration barrier. ❑Other unicipal Unfinished Basement �y ❑Septic i 3 Mg �:5: 31.*: 1 i iiiiiiiiii 1- Story R Permit No. Envelo Living Area 11 Sq. ft. 2 -Story Seasonal p' BTU /HR ti ATER »I Infiltratio s I BTU /HR g 1 4 1 -10 Sq. ft. ❑Other ermanent Gars e uni ci I Utility a Ut t Other ��.>E� Plus Basement Private On -Site Well r.3b 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, expr im ed, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED f fl /ZT APPROVAL CONDITIONS This permit is issu"%d pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. 1.) 90am IT mss RAAiS. T f Town Village it C Count 9 State of: Municipality Y Y Number ofDw Dwelling e Location: Iiiii1ORISDICTIONM n �r. iii:.::::::• i:;• ii:• ii:<•::;• i:• i:•:;;<• ii .t. 7,{ ..Y.1rt�i..��1 }y. i a i y( ,y` :::;ti• iii; 4: i isitiL! vv' :::::::::::n:�::::: iiiiiiii:::: i:::::::::::ii:ti:::iii::i:!: iiiiiiiiirYiiiiii ;:ii::ti4iiii:4iii >iiii; {:!ii ii:S i i ;::Yi: ii. 'iiiiiii::. IM. T. K... ii 4i ii; isw :::::::::iS:4iii }ii' ■r''�� iii:. ii :Liii:iiiiii:v.i:�ii:�iiiiiii: i: iiii: iii: riiii:::. i':.:: w .:::::.:::::.::iiiiiiii:�i iii:::::::::::::: iii: iiiiiiiiiii: iiii }iiiiii:: ell CJ::• ish: i 4i:!: 4ii vi::.4:Gi::•�•iiiiiiii: +ii Plan Review L/Q• Construction Inspection iVAC Name 9•-c� Wis. Permit Seal a Electrical i Other ID Plumbing t Plumbing Date rOSion 1 Total Cert. No. `1� SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent Reiised: B/S ZONING /LAND USE COMPLIANCE CHEC <LIST JOB LOCATION: /6 O k6AFTEZ..D ZONING: PROPERTY OWNER /CONTRACTOR: 6 y iaub CONSTRUCTION DATA: ,NEW CONSiRUCT01 ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) ,l/i /t� AU!) ,d1.4c� Z i /gage 1136 (61/246e L/ /D COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area Floodplain Front Yard Side Street (front 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: Gf'i The Director of Community Development, o sig r 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. L./APPROVED DENIED Plan Commission Action Required Variances) Required REVIE4ED BY: DATE: f /I J7 s 1-''II ••'!:1 i; I r rt: r ;1 ;w 1!!1111 11'.,'H !li 1 IIIII1 I li; 'ill u a t;71,• f /1, ill I i illi i T ■I !:II I n 1 1: u) 'it;';'-,;; I' 6 ,!!!;:.i!!!: I I iH 1 1 f. ,,L)._. 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I 11 I Ili ifinl i'l!!.1::' III 1 1■ 1 I i •i t ;i. ''"H;1 !i 1 'il 1 II CATE l di i` 1 K;3 NAME vP--la AOORESS LOT 135 BLOCK WARD SUED I V IA.) T1__'E1 izziA (Z�SYIS ZONE STREET NO. Gc1 (1--4- ��f a.Gd LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO a BUILDING GRADE ELEVATIONS STAKES SET AT SITE 0. d ,19 93 BY FEE: $15.00 DEPARTMENT OF P U B L I C 'WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. ,1 1 ,/mss fA ^g ��.y 4.185' 3 r- City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address Ian Owner's Name bk Name of Subdivision btl 1(ZI'VLS Lot 1 Bldg. Permit No. of Units 1 e Fee Required /C ©Q Fee Paid /00 Owner's signcture Date /Of A3 Inspector's signature Q.� Sly Date OM/93 Parks Subdivision Improvement Accts. Rec.: 362 -041