HomeMy WebLinkAbout0047655-Building I/o
CITY OF OSHKOSH N- 47655
PERMIT APPLICATION AND RECORD
TYPE: BLDG' HTG ELEC PLBG SIGN ZONING pi FLOOD PLAIN ad__ HEIGHT 16
ADDRESS Q Lilt. o c 4■ 0 t N) ek •PLAN NO F MO
OWNER Sk■1 5 V C-1:::).--1 5i
DESIGNER q r
USE/NATURE OF WORK i'i S 1""
BUILDING CONTRACTOR "•-i. 4..1-N
SizeiC` Sq. Ft. l CK% 2re Rooms fr3 b Zcw's Stories 1 Height 16
Foundation fit e Class of Const. 8 Occupancy Permit reciv:fe
HEATING CONTRACTOR Br- c_._.,
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR .1 S
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S a-4-
_BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP _Ur _Storm Sewer
_Sink LTub Eject SS Water
Other
O
FEES: Valuation �""'I�j l")00 Permit Fee Paid 1 y o� �C7°' Park Dedication n
ISSUED BY /56 Date Final /O.P.
In the performance of this work I a e rform all work pursuant to rules governing the described construction.
SIGNATURE P7/6/9
AGENT /OWNER A
ADDRESS
TELEPHONE
Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No.
Labor and Human Relations PERMIT APPLICATION L—/ 7 G
Safety and Buildings Division
P.O. Box 7969 (See instructions on back of pink copy) Parcel No.
Madison, WI 53707 The information you provide may be used by other government agency
Wisconsin Statutes 110.63. 101.73 programs [Privacy Law, s. 15.04 (1) (m)].
>PERMI':': >R .EQU ST #r l Constr 0 HVAC 0 Elec 0 Plbg rosion 0 Other:
Ow 's Name Mailing Address Telephone No.
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Con actor's Names Con liKrec HVAC Plbg ic/Cert Mailing Address Telephone No.
Telephone No.
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Co tractor's Name: on Elec [1�4 VAC Plbg ic/Cert Mailing Add elep
4 Alti
C ra is Narrye: Cop ,aI Elec 0 HVAC SIbg ic/Cert Mailing Address Telephone No.
_l'' trainat Contractor's Name: Con Elec HVAC Plbg ic/Cert Mailing Address Telephone No.
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#PR OE T'# OCA VO I' #s>
w Lot Area
Sq. ft. 1/4, 1/4, Section T N, R E (or) W
Building Address Subdiv ion Na e Lot No. Block No.
If 70 Faiintio
Zoning District(s) oning Permit No. Front Rear Left Right
Setbacks aZ r ft. 1 1 7 ft. i 5 1 ft. 32- ft.
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w Repair &Single Family Entrance Panel [orced Air Furnace Nat, L. P Oil Elec. Solid Solar
Alteration Raze Two Family Size: 100 amp Radiant Baseboard or Panel Fuel Gas
Addition Move Garage Ser ice: Heat Pump
Other (print): J nderground Boiler Space Htg
Overhead Central Air Conditioning Water Htg
Other Other 0 unit will have 3 kilowatt or
.i; .IIAT�. more installed electric space heating equip.
ite Constructed oncrete
❑Manufactured ❑Masonry Infiltration control option is ❑Full sealing
2 ''(NI.VED Sew fir of joints. Blower door test. Exterior
C ❑Treated Wood ff air infiltration barrier.
Unfinished BasementIO5 S ft. .........$TORFE�; Other P i >s >s
q Se tic 4: ;a;$t<:: M ::i>E
l Story Y >;5? >r Permit No.
Living Area i OS Sq. ft. Envelope 18 o7 3 BTU /HR.
2 -Story ❑Seasonal
ATER z i
iag. >s Iniltration 2�.( BTU /HR
Garage 576 S ft ❑Other (Permanent f
g q Municipal
Utilit
❑Other Y 4. :EMIKOWINg:,_�,.1�. `:.i..n:;:::.:i•:::,:::.
Plus Basement Private On -Site Well A A O
The applicant agrees to comply with all applicable codes, s atutes and ordinances and with the conditions of this permit; Understands that the issuance of
the permit creates no legal liability, expres r imolied, liplepa' ment or municipality; and certifie's that all the above informaton is ccurate.
APPLICANT'S SIGNATURE /lam DATE SIGNED d q K
APPROVAL. CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
LL revocation of this permit or other penalty.
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Town Village a e i
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County State of: M
9 Municipality Number of Dwelling Location:
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4-'42' Plan Review 4-'42'
Inspection ❑1{VAC Name D c.er v, 8
Wis. Permit Seal °a Electrical oz 'II I°
Other Plumbing I 1 l` Date 0
Ourosion
Total Cert. No. S 3S
SBD -5823 (R. 06/94) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
(,./N., I ll,2���, Q 1 �,�J' ZONING V` I
PROPERTY OWNER/CONTRACTOR: �v 5
CONSTRUCTION DATA: NI New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) `v
COMPLIANCE CHECKLIST
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
O7) s yt r 14 C
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: GT DATE:
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1
LOT* 99
0
1470 UiHEfT F I D WAS' /35 x
CATE n /in 14'5
NAME 5 (..A../) C L
ADDRESS
LOT a LOCK t
f/YQ' ,J AFiD
SU80Iv. vQ -3k lec� (An ZONE
STREET NO. t")-10 WL.e -6 c; t 4� LOT O I MENS IONS
SIDEWALK EXISTING YES El NO e
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 12'1 BY
FEE $15.00
$15.00
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described properry agree ro have The
grace ester, iished before excavation has commenced.
oor211 6°
city Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address \k)(:) WA‘
Owner's Name V"-' S Uv►
Name of Subdivision e.S ft r w
Lot Q `"l Bldg. Permit x-11 S
No. of Units
Fee Required 1 0 0 0 0
Fee Paid 1 OO
Owner's signature Alt Date /g 9r
i
Inspector's signature Q\ Date 0-1.6
Parks Subdivision
Improvement
Accts. Rec.: 362 -041