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HomeMy WebLinkAbout0036380-Building /LQ CITY OF OSHKOSH N9 36380 PERMIT APPLICATION AND RECORD TYPE: BLDG X HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 33/ I 4TFi WA PLAN NO. 63 1 4 3 K OWNER Ty--.s._,i.k fl DESIGNER USE/NATURE OF WORK NEV-) 5lq Flomt ATEE-1.`'ke X X7'+1 a BUILDING CONTRACTOR SCK C r i c c. Size Sq. Ft. 1103 Rooms S "A i l Stories �U Height Foundation Cake —Re Class of Const. g Occupancy Permit YE HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR U/1'I.n?(Me_,S Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 5+ 14 ____BT WH Disp WSoft CBasin _Lax/ Sh DW DF _San. Sewer WC FDr SP Ur Storm Sewer _Sink LTub Eject _SS _Water Other Wc'K S7742Te PR /D2 ro S6e,i, 2 //V6 y' p ��o` Ofl E2m/T 1 bc)a.,6 f FEES: Valuation C Permit Fee Paid ©J )(9 Park Dedication ISSUED BY Date e ID/H/3 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. V-- SIGNATURE /o/ i/ 3 •WNER DATE ADDRESS �3` "�F2 V. TELEPHONE Ft- '3- tclq? Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Lab °rand 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) ''PERMIT`REQUEYEI' Constr E lec Ibg Erosion Other: Ow 's Name Mailing Address Telephone No. (include area code) t,(Jck (,bA1. );7hr) eQ Co ractor ame Mailing Address Telephone No. (include area code) PR OJECT L CA. OH. k Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Ad r ss l Su divis n Nam Lot Block No. Zoning District(s) Z'ning 'rmit No. Front R ar Le j Right l i 0 Q Setbacks ft. ft. ���•jj II FrCC r,� ft. ft. A.p6p.p W A..A. •:.6wll.rf'. .�Y1��iYi:iY :J VA $A ■i?.:- ^i: :t2Yq:.EPat.! V. v::: n New Repair Single Family Entra pRg� nel 1 Forced Air Furnace Fuel Nat- L. P. Oil Elec. Solid Solar Alteration Raze Two Family Size: (UU amp Radiant Baseboard or Panel Gas Addition Move Garage S vice: Heat Pump Other (print):lJnderground Boiler Space Htg Overhead Central Air Conditioning Water Htg Other Other Dwelling unit will have 3 kilowatt or more installed electric space heating s ite Constructed Concrete P g a u q g u Manufactured Masonry >Lk����s'• Infiltration control o tion is: Full sealing P 9 ❑Treated Wood ewer or test. nor o joints B ower do Exterior air infiltration barri r. Unfinished �Munici al e finish B m ❑Other P ed ase en� Sq. ft. ti se tic €:''�3'{ C���d# 1-Stor K: P 2 S Y ��I�.' ^ii >3� #ii "r.� #2 Permit No. 0 �o Living Area d q. ft. 2_Story easonal Envelo BTU /HR <W #s' >i T^ 22j BTU /HR Other ermanent Infiltra Garage Sq. ft Other Municipal Utility 14 EST x BJILD9GCOST 'Plus Basement Private On -Site Well The applicant agrees to comply with all appli able codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express r i plie the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED 3 APPROVAL CONDITIONS is permit is issuLd pursuant to the following conditions. Failure to comply may res It in suspension or revocation of this permit or other penalty. i SL) n1 tr f12L BANS. L S r )r DUe tt S'TiQ277 AJS 2102 1Z� vRiN6 vi4 ,zrn tr Town Vill a e Count State of: Municipality Number f 9 Y o Dwelling Location: P Y 9 •::7'. TK ::::::.::::....................i�! .Yi.::::::::::. r ISSUE SEAL NO. :::.::.>:•::a::•::o:::•::•::•:: Plan Review Construction Inspection VAC Name Q... Wis. Permit Seal 3E7• Electrical 1 �y Other Plumbing Date Total Tu' 0 rosion 1 ®`-I Cert.No. SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent Revised: 8/s ZONING /LAND USE COM LIANCEE CHECKLIST JOB LOCATION: /3i C,oh -7e r (a_qt ZONING: k l-- 4 PROPERTY OWNER /CONTRACTOR: l gh U ,SCA CONSTRUCTION DATA: EW CONSTRUCaN ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) k) 9/06f i AA-1L 47-7dc f4 oosc 77 �Pr (6 42qee_ 576 =2 COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS 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 REVIEW AUTHORITY: -'7() o The Director of Community Oevelopmesrt, or designee, 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. „/APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: /6/03 1-, ii:1 '-i--'1::•:.....,,,,: 'ti;illi'' i .;•i;., .;;•1::; Hi i. i.iiii 1,;1 ,t! ;11f i i il i l 1ii ill i ii i ;I i i i I I!•; 1 .M. 41:111 ;1 i i i :iiricn I, 1 1 1 I 1 1:I 1 :cnicl i i 11 11 1 1 1 1 II 1 1 :II I 1;1 i i 1 t i 1 1 i'6io :1;11! co i 1 1.1 i ill' 1 ,1 I 1 1 1;1 I. 1, I =1 P1' i 1 i i ill 1 14 t I ()I 1 I ii I j 1 i I 1 Ill I i I I I 03 i i I 1 I 1 .M■cn ;11f 1. 111 i ',I 1 ,1!:11; 11 1 ,i 1 1 4 1 icele: :1; .11 1•;: ,1 1 .1 i 1 1 L:, i 161TH 111 11 :I.H11 1 1 i II 111 11 Ii I I I 111,,,,1 1111I,II! 11 1 11. c4 !LII LaI 'i 1 '1 ii1111111!, 11 i ::1 ,c.! 11 1 11 H :‹cici)! .1! 1: .1! !11 1 HI I 4 :1 I, I- i 1zI, i •:,cilc431!' 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III !I i I i III i I 1 11 :111, I I f I i I '1 I I I• 11' 1 1 i 1 i l■ t i '.11 I 1 I •1 0 ;ILI 'I, 1, I i i i l', !I i 1 III I I i Ili 1 i i 1 i 1 ii l i 1:1,!: li i I Iii 1 1 i 1 •11;iii CATE P/ M 7 3 NAME gk 'k"c N AOORESS LOT lOCR BLOCK '.4AED um) J s l 1 1_ 61-1 rh2111c ZONE STREET NO. /-7 Ld�� l/r- 0 -4 aG "i- LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO a BUILDING GRADE ELEVATIONS STAKES SET AT SITE C .k ,t9 J BY ki FEE; $15.00 /6 DEPARTMENT OF PUBLIC WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade estaoiished before excavation has c e ced. 043/71851 5- City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address WAe4 FEU \XWy Owner's Name d G7)4 —A 10N Name of Subdivision WEST E \b� W N'a Lot ME) Bldg. Permit g� No. of Units Fee Required t5I fi Fee Paid [CO Owner's si gncture I., S Date 2'l Inspector's signature I CAA, Date 0 l qe3 Parks Subdivision Improvement Accts. Rec.: 362 -041