Loading...
HomeMy WebLinkAbout0038981-Building 0 a. N2 38981 CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BLDG W HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 151 'T l G b A PLAN NOTC[JC 0 5 I X OWNER l)Ck4 G15;r14 DESIGNER USE /NATURE OF WORK SI 1\1 L TT 4 /'n I C. 4 TT 4 BUILDING CONTRACTOR v_7.:..-l'C plop 7 Size tRS�s Sq. Ft. 2 y Q 3�iZ q• #Roo p' Stories q7Ab Height i lJ Foundation 0.-o&XR T Ll.)PLL Class of Const. O Occupancy Permit HEATING CONTRACTOR�z Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 0 34 MM L'lVCts S Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR L> 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 1 i 41 v 2 ,r Permit Fee Paid Park Dedication /0 o ISSUED BY 7I[ I0 O Date a©`Z 1/y y Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ,--g SIGNATURE 7------ ZG A/ AGENT /OWNER DATE ADDRESS TELEPHONE viTIkko DQ.-- osl L-■\SLk `R Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 3g�1 2?) 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 :`t;I LD :I ;::.;:.;:i: [T<onstr Erosion Other: l Owne Name Mailing Address Telephone No. (include area code) ona. x760 Wool.., /2 .3/ -'2_03 Contractors Name Mailing Address `fin Telephone No. (include area code) J�lY E P 3 J Sq. ft. 1/4, 1/4, Section T N, R E (or) W Beildir9 Address Subdivision Name Lot No. Block No. ,.i. ..i -�i /LLi Zoning District(s) /Zonin Permit N., ront P Rear Left Right Setbacks r ack s v�J ft. ft. I o ft. AU: ,arm. ACT :��:E�.`!'�. z} �'A�....... li<iA�.E EPM��'........ �Et��a1F: SEt t� L' ew Repair i ingle Family Entrance Panel orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar Alteration Raze Two Family Size: ZOO amp Radiant Baseboard or Panel Gas Addition Move Garage Ser e: Heat Pump Space Htg 0 Other (print): nderground Boiler Overhead Central Air Conditioning Water Htg Other ❑Dwelling unit will have 3 kilowatt or more installed electric space heating equip. ite Constructed oncrete p g Manufact r Infiltration control option is: ❑Full sealing u ed Masonry 7i o joints. ❑Blower door test. ❑Exterior z: Bated W ood Sewer air infiltration barrier. ,,,t L Other Aunicipal Unfinished Basement 8 Sq. ft. septic ':ii ::HgAT::: A4 ii: is 1 -Story #fi :�.:,::....�.!�'.f c?'� ,l Permit No. Envelop o BTU /HR Living Area 02,/ Y� Sq. ft. 2 -Story Seasonal AT >E:::: Infiltration e 6 BTU /HR Garage 477• Sq.ft. u a P Utility Q ❑Other nisi I t��......G.. Plus Basement Private On -Site Well '70 6/66 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 implied, on the D i Z rtment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE i'&•‘ SIGNED /Y 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. I to) I NS1A&. ,i(L 3 /cxU 1 t /LNL 1./ Sl) 5<c) #/7 tT,b.1s 74 /cs '3) l7 e.A55 .S f- TY2Ac04 1 Town o village i t n County State of: e o Municipality 9 Number of Location: Y g 40,RIS ICTI+ C1.Wc l 6 :::.tT� Plan Review p Construction Inspection H AC Name Wis. Permit Seal .5Dc ems' Electrical W7?/QV Other Plumbing Date g onion g Total l G Cert. No. SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent 44 000 l DO Y. ter ZONING/LAND USE COMPLIANCE CHECKLIST N.S7 JOB LOCATION: lLl.J T W ZONING PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) i tJ G LEE Aryl l AiTY"-CA'kfa. l� COMPLIANCE CHECKLIST vSc g c9/ Z Z A� 6 PI 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 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) Req ed 74 REVIEWED B DATE: o f !E 1 i s� .I Ifi j 812; I 14 I ct' O t I I! I i I i Z i •F- O i I I I i f_ Q �i 1 ;t 1! 1i 1 a II i g i i t t' t i at o ,ar 1' I I! j j o I i ll i i W t a' i W t j l w V I J j 1 W i t I j! I i ►yJ,l n �1 I i i 1 J I 1 W W i 1 i l i. ILLI 1,.:„,. .„1 t I. I --N., 1 I.,. ,t {i BG i! h r C i i s HMI; i l t I I 11 1 I j1 1 1 i 1 vJ LIJ 4. 1! t I 1 1 1 F- i 1 ii U I f 1 i 1 f"6 1 i i j I 1i1 W I I I 1 W �9 J I I ZS/. W (3 k.I.U i 1 i j Y W t I I I 1 I i. City Of Oshkosh 1/1/8 PARKLAND DEDICATION FEE COLLECTION RECORD Address �LS\ W\�1t. SP.S Owner's Name V Name of Subdivision AJl= Ltc1f ,k, j?JVI. Lot CO3 Bldg. Permit No. of Units 1 Fee Required 1 CO Fee Paid /ip Owner's signature 4111,_ Date Inspector's signature O Date v Parks Subdivision Improvement Accts. Rec.: 362-041 CATE 9//9/9V NAME (�SCh( C2)105 7a,C1 1t J ADDRESS LOT /©pQ BLOCK WARD SUBO 1 V. FA ZONE STREET NO. Lao 47 J4JAC LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO EF BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4/0-€) 19 ,`t' BY eN FEE; $15.00 DEPARTMENT OF PUBLIC 'WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has comm.._,., 09',198..7 g,/0