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HomeMy WebLinkAbout1994-Building PC No 38628 0 CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BLDG W HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS &8O 'aI@-R U NCB Iv PLAN NO C)3 31 R OWNER wig (.E ©8 DESIGNER �1�� USE /NATURE OF WORK 1 v E'w St 7 A r" t ei e BUILDING TX WA /7 Size -1--4 Sq. Ft. 11 Rooms G 361Z. Stories Mt 12.138- Height U Foundation COULt/ Class of Const. 3 Occupancy Permit HEATING CONTRACTOR /1/ VI /C7 /V Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR COMM /AM S Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR --f kinS BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation y8 /O'er Permit Fee Paid /5D. Park Dedication ISSUED BY Date W Y Final /O.P. In the performance this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR 4 .L 6"--- 4. AGENT /OWNER DATE ADDRESS t0-t..9 J I L /Z� 3 y" TEL PROM# 6,,s 491 O e S)S 4 'Z. Wisconsin'Department WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 3g 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) PEI f C r HVAC Elec PI big /fErosion Other: b er's Name Mailing Address Telephone No. (include area code) wn ti,,w ,t,t�.. Ch.- oJsar� tCT I`� l�v- f\ .f_ 4/4- 231 —`33 F9 Contractor e Mailing Address Telephone No. (include area code) :z'•s Lot Area R O EC L TION l i d 5-0 Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Address Subdivision Name Lot No. Block No. $O "Ova Zoning District(s) I Zoning Permit No. Front Rear Left Right Setbacks 30 ft. I 7 1 ft. st:7--S— ft. °Z t ft. �D C�•� �y c f�.L.1 42< QtEtf�. 5 R :i ii: r.'' �1�4a: �ii�ijS:; ii i^'> i:? ii`: T i��''' `�.fF�'.� �:i +i: iiiiRiY? i� �Va: 7! f7 iG2'i:�Y:ai�a[A�:� k C flew Repair aSingle Family Entrance Panel rced Air Furnace Fuel Nat. L. P- Oil Elec. Solid Solar Alteration Raze Two Family Size: 1 00 amp Radiant Baseboard or Panel Gas Addition Move Garage v ce: Heat Pump Space Htg Other (print): underground Boiler Overhead Central Air Conditioning Water Htg Other ❑Other Dwelling unit will have 3 kilowatt or '''C S ND A O i nsta l ld lt space eating i Site Constructed ®.'Concrete more installed eec sealin g equp. >[�E����� >':''`z Infiltration control option is: Full Manufactured Masonr g Y of joints. ❑Blower door test. ❑Exterior Rlw !4' IVV EDg^ ::3 Treated Wood Sewer air infiltration barrier. :.::5 STOR(<::.`: ?'>`:::::M er unicipal Unfinished Basement /J Sq. ft. Y-0.............. J... Other 1- Story ❑S >M� y Permit No. Envelope r BTU /HR Living Area //O V Sq. ft. 2 -Story Seasonal :1: A: E ::E Infiltration /3 1 -O?. U' 352 BTU /HR i .0ther Garage 9 V Sq. ft. M unicipal Utility :1:4: ES': i0 Plus Basement Private On -Site Well S' 9' Q U 0 O 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 im s lied, on the Department or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATUR DATE SIGNED Z APPROVAL CONDITIONS This permit is issue pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. to j l A/$1 44- ,..-tit L 6 z /crc.l /4 cra2rSs ER /C–NA 22/ •/PS; a. .Svg/ r 772o55 L 4/c.S i T own Villa i n Village C t County State of: Municipality Number of Dwelling Location: 9 Y Y P Y 9 :IURISDICTI f C C ©s 2 0 a 6 G 104; ::::::i::::: E@� I i::::::::::i::;: iii:::::::;:i:::::Y 1 t:::::::: R;::;:::::: :i::::i::::::i:::.';:::::::i :::::::;:::i::::: ::g:; i;::: y: ::i::::::i::i: ::::::i ::::::i::::::: Plan Review L iby a/. KConstruction Inspection HVAC Name Wis. Permit Seal Electrical i 5 Other Plumbing Date rosion T otal lig 01 Cert. No. L °9 V SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner/Agent OD ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ZONING PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) UG)0 COMPLIANCE CHECKLIST 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 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 REVIEWED BY: DATE: r/k/Y n Z -25 2/ I Cr) //D Ego Z NG 4v Lot according to CERTIFIED SURVEY MAP filed in Volume 1 of Survey Maps on Page 2683 as Document No 824688; being a part. of Lot Nine (9) of Block Pour (4) in Jackson Height Plat, in the Twelfth Ward, City of Oshkosh, Winnebago County, Wisconsin. —tea'' CATE ICy Q NAME �L�iDIJA\/ NE J �jc ADDRESS LOT 8 LOCK__ f -1N ±i, 511801 v CX c_��, Fk'a`- ZONE STREET NO.� LOT DIMENSIONS SIDEWALK EXISTING YES El NO El BUILDING GRADE ELEVATIONS STAKES SET AT SITE II 19 9Y N FEE; $15.00 DEPARTMENT OF PUBLIC 'WORK_ I, the undersigned, owner or agent of the above described property agree ro have the grade established before excavation has commence. Ar (4,41 QOZ34 46/ PI