HomeMy WebLinkAbout0038522-Building //V
s
N2 38522
40) CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 I 1)3 9 t x \AAS PLAN NO c 3/1`) R
OWNER QSC.+\ C/DINIZ.S3C.
DESIGNER
USE /NATURE OF WORK 1 1 3 t t nnt` I f A
BUILDING CONTRACTOR tk
v.
Size Sq. Ft. Ina Rooms A' 3 gdC Stories Height
Foundation eDA/eROF Class of Const. 8 Occupancy Permit X4
HEATING CONTRACTOR P=ReteVER
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR eUn
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ■>1--
BT WH Disp I WSoft CBasin
Lav Sh DW DF _San. Sewer
WC FDr _SP Ur _Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation AO. Permit Fee Paid 9. Park Dedication L w' Q2
ISSUED BY a. Date g /a /J9/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0 .3/&A y
AGENT /OWNER
ADDRESS
TELEPHONE
A- 4465 89 C5a6 SII,
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT 3S 53
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)
PE €RMJT RED `.:DES.:TTED>
konstr ii4�- he Erosion Ot her:
Owner's me Mailing Address Telephone No. (include area code)
i� e9U4 0 7 o cv,zetrrteer, Pe. 023 120,3
Contractor's Name Mailing Address Telephone No. (include area code)
>::z Lot Area
i 4 iii Q n T NR EorW
�OQ Sq. ft- 1 /4, 1 /4, Section
Building Address Subdivision Name Lot No. Block No.
0
Zoning District(s) coning Permit No. Front Rear Left Right
Setbacks a ft. 71 ft. o �6 1 f ft. O 6 e ft.
gyp`
.lit
rt ew Repair L7., Ingle Family Entrance Panel 0! orced Ai Furnace Fuel Nat- L. P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: 100 amp Radiant aseboard or Panel Gas
Addition Move Garage Seryjce: Heat P mp Space Htg 2
Other (print): nderground Boiler Ht
Overhead Central Air Conditioning Water g 0.,
Other 0 Other 0 Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
it Constructed p'C`oncrete :f'. Infiltration control option is 0 Full sealing
A Manufactured Masonry of joints. Blower door test. Exterior
2x i c` IN1 m Tr eated Wood Se er
air infiltration barrier.
Unfinished Basement 137Z Sq. ft.
i:Zi: Other uniupal
❑Septic ><z: >::HT.:�:!�T��: �i�� #�d�:;
Story P N o.
Envelope .41T r BTU /HR
Living Area 372 Sq. ft 2 -Story S asonal
�s?AT'`<[: >3':z`<'' Infiltration l2. 5 BTU /HR
5
7
Other y' tSe T!
ft
Garage S
S i i I flit
nc a Utility g El 4d 'v p Y `:�?�sv����
(Vlus Basement Private On -Site Well 62600
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 De. m nt or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE I4.--� DATE SIGNED .l i 4 V
APPROVAL CONDEMNS This permit is issued pursuant to the following conditions. Failure to comply may resu in sus ension or
revocation of this permit or other penalty.
/AJSTA(� sac. /aU r»C9asv//e5 /(11/4 ah 2S
2, SuPn nr 17Zo5s Per cWS
T own Village it Count State of: Municipality Number ofDwellin
9 Y Y P Y 9 Location:
U ISDIC°TION Ocikt5i4
Plan Review S 4O
Inspection KCpnstruction
HVAC Name �L1JVC.�
Wis. Permit Seal Electrical
Other .3 4�
La Date
Q Erosion l
Total tLkaory„ Cert. No. Li bog
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
3SGee)
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 3/ (,ON 4 k/A ZONING
PROPERTY OWNER/CONTRACTOR: j3 ,r' CA)S112(.
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OOF CONSTRUCTION: (i..e. fence, pool, parking lot, sign, etc.)
a /06L6 /�4/h1a 17,1CH&J g,i
COMPLIANCE CHECKLIST 13 2 ,.Z
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 ay
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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: 746-a,e---_------- DATE: 7A7
1
11 1 1
i
6 I I
I I —I I I 111 I 1 I. i 1
ii
t I
I II .1., ...i
„5 :I I
.Thil
u)1
111;::
60 ;1
l'
(i..-, II i;
1 I 1
.(n i
e 1 i. I 1
I
1 o
i ,c)1 i i 1 1 I
1 i ci LLI co Ii■-1 i 1
al
1
I i
..1
0_ I I I 1 o tr) r i
I— l l III III I I 1
i
c:1 1 III I i .1
I' I
I 0 I 111
__I pl I t, i 1 .1j I II;;.:
1 11 I Zi>.,„, I' HI 1
.1 I I IH- I i ;Ili;
I I I I* I I I
ii .1...!
I I :7,...jt
0
!..01 >-!!I:.
1 1 I Ce :La/ ''l I 1
11.1 1 a.
!_ii
W
1 4 I I
--I
I I I
I I
w
ILI I •;II
41
1 i I I I
i L.ZY
1 i
I
1
Lu Lu
1
I 1
I I
e
1 1
tA'
II I I 11 i I:
i t I
1:• Ill I
t I i t
l': I
t l IIIR i I ii
1 I I !I
1 t f I .i 6 .1 1
1 1 i OP i
...-..-7.,. .t I I
Vt.! I t :I
cZni t f
1 I 1. 1
1 I I
t: I
t I 1 i
ii i•:!:
1..L1
111
1.i fjii.•tiIi IIII;
111:
1 I.
t '&'+I
f 1
I t .1: i t
V)
1 I; 1• 4
i
f I 1'; .i
1.11I t I, 1 i I t
III it 1
i
M
1
I I I I I t I i i I 1 I i I I
I
I
I I
I 1
I I I
1
I I 1 1 1 I i I i
4 I 1 I I
I
I
I I I I 4 I I
I I i Lu .,,,.....s
11.1
I I I; I i:. .j _I
i 1:; I I I.:: I W .NO 1.1.1
1 4014
i 1
I S I .V,
1.11 I t I I
1 1
11.
Lt.11' i ,II:.;
I I 1. III I II.;
i' I 1 1
1
l I I I
I 1 I I 1 I 1 t 1 I I I I 1 I
1 I i i I 1
t t f i i 1 1 I !I• 1.11 1
I
i 1
111
1
1' !1 ,1 I
r i
1; '.1 1 i i 1. I
ii „tee, 0 GATE 3 1? qV
NAME V DUTt 1075172
LOT
D1 ADDRESS
a LocK
SUBDI v. S-C-L�l S Tr
6[ Wri ZONE
STREET NO. t El
SIDEWALK EXISTING LOT 0 ►MENS►GNS
YES 0 NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
3 9 9 9Y //e/.. FEE $15.00
DEPART
I, the undersigned, owner or a P�Er;T 0 I C bvGRKS
grade estaaiished before e xcavati�on commencedascribed propert a gree to have the
717
00,7,953 48 a
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address 36 LVtleiQT -1 w4
Owners Name
i1 SC S7 x
Name of Subdivision _WES7Z 76 2122C
Lot 9 Bldg. Permit
6aa
No. of Units
Fee Required
Fee Paid 4 4 0,0L
r
Owner's signature MOW
Date 3 ZL f
Inspector's signature 4.11/11trE Date P
Parks Subdivision
Improvement
Accts. Rec.: 362 -nai
O1,:NERI)SC,+1Cibt
S C ='s�^� 1 W
ADDRESS 44
DATE Aa1 1 Q4 PERMIT #3g USE
Wo consists of
GENERAL CONTRACTOR
MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
A REMARKS
��4.6 r`J &e (JQA rO
c 399Y/9/ MOUE re) cjYziccorao
A �..sL'l Cs� OK
.2 v G ts�) tATei7Fk <(1FU A:4
o A
I7x
.c 9:0g /NSut_. -r ifit.)S UC QC ,SPIT
T
v it AMT ?i 3
m RD Rd no L CA c /vrvZIC
c�
Front of lot MAILING ADDRESS