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HomeMy WebLinkAbout0038024-Building CITY OF OSHKOSH N2 38024 PERMIT APPLICATION AND RECORD TYPE: BLDG X HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS qj a vii LSc v' PLAN NO. 00g GMR OWNER M eoc 7 bki VESTMeO DESIGNER USE /NATURE OF WORK eV S ll1I6LL6 o rn /L ac./ A 0 GAR A6E. CR4wc 5pis u u 72 v (.;WAGx ,4, eakei s 2/72/r SSo 652D pen/ /oos BUILDING CONTRACTOR N/CDCEr IA/ 7>14Txr5 Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR 10 Sr 770A) Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR .S' 4 /Ex Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits )(PLUMBING CONTRACTOR .Jl47S BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer _WC FDr SP Ur Storm Sewer Sink LTub Eject __SS Water Other c FEES: Valuation 9 300 Permit Fee Paid 95 n Park Dedication ISSUED BY DUI 2 Date a) It-! )Q�{ Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT /OWNER 1 ��J� DATE ADDRESS /7 5C) 6`G` le. /2j✓� 2 5' Sa3 0 TELEPHONE ec-obc3 alg4R Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor Human Relations S BUILDING PERMIT ?'O9 y Safety fety 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) .hill': lit EST s 'T Q s D Con HVAC EI ec PI b 9 Erosion Other: r: Owner's Na e k Mailing Address Tel one No. (include area code) N, CO 1 0 1"'N Um ''f #14 n i S unS o t <tike ,t rCcp y) -235 5 a 0 Contractor's Name Mailing Address Telephone No. (include area code) I�#1 ��/yr Area r o l� $q- ft. 1/4, 1/4, Section T N, R E (or) W Building Address Subdivision Name Lot No. Block No. 14/2 4,4 5J 1/ Zoning District(s) I Zoning Permit No. Front Rear Left Right Setbacks QS ft. O ft. P. y may E i�� jH k•:.�K/{�.�.::. •:.�.:::r.L�.4,� ,��'''4: {:::::::F::::i.T� i ::i: }.1�h� .:y isi:: i$ iiC:: i:: i ::i::: ?�::::i:iiii::::::i':i: IN New Repair aSiragle Family Entrance Panel )}Forced Air Furnace Nat- L. P. Oil Elec. Solid Solar Size: 1O amp Fuel ❑Alteration ❑Raze ❑Two Famil Addition y P Radiant Baseboard or Panel Gas Move Garage Servi Heat Pump Other (print): n ground Boiler Space Htg ❑Other erhead Central Air Conditioning Water Htg i� Other Dwelling unit will have 3 kilowatt or !K•:.' „T1 more installed electric s a Site Constructed `Q1 Concrete p ce heating equip. Manufactured ❑Masonry of joints. Blower door test. Exterior :•�•:::;�::;:::::o::•; Infiltration control option is 0 Full sealing `i' iii'' �xisAimIi� :r1�En ❑Treated Wood Sewer 4.::: air infiltration barrier. Unfinished Basement S ft. Other Municipal ❑Septic 3' L :T ;._till _'a:: (1- Story m.... K Permit No. /'T: Y'2:� ><T::::::''.'•: i� TU /HR Living Area ft. E nve l o p e v_�j, g q 2 -Story S easo nal s T :T IE TT >a`.n'TT Infiltration I Garage /V S ft Other Permanent ..F BTU /HR q' S Q 0 Other P unici al Utility Plus Basement Private On -Site Well 33. O 00 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, expre o d, on the De art nt or municipality; and certifies that all the above information accurate. APPLICANT'S SIGNATURE DATE SIGNED 2)1' sy 1 APPROVAL CONDITIONS This permit is issu'Ld pursuant to the following conditions. Failure to comply may result in suspension or revocation of this perm it or other penalty. 1 S,M;1r 172v5S PLANS_ Town village a e i Ct County State of: Y o Municipality Y c alit Number of >�:�i,” P e o Dwelling Location: ::::::::::::::i i i i i ::i 11r K....................... ii:•i::•J:.;•? i:•i:ii: •i: 4111: :ii: i:<v::. �1 ti ■■��ii■■.� ii: :ii:i::> :i•i::: ii iiiii.•. i:•i ?11:•1.. i iiiii i): ?ii iii i ii 'ii•iiiiiii:111111: �iiiii':? Plan Review Y(7. CS onsruction Inspection VAC Name Q-A Wis. Permit Seal 3b Electrical Other ❑Plumbing Date a i4 ):Goy Erosion 39 y 3 Total Cert. No. SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent S, 3oo L ivlan ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: l 1/0LS0// ZONING PROPERTY OWNER/CONTRACTOR: �/C E /A/Ve57 CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. nce, pool, parking lot, sign, etc.) 67ti 5r/2 /C Mme, /c 6 COMPLIANCE CHECKLIST G/ L S/a�C U w fx�� 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) Re. 'red REVIEWED BY j %2' i 7 DATE: zit" CATE 4i0/gy NAME E L,_ �T�0.,), ADDRESS OD ESS LOT 3L/ BLOCK WAED SUBOI E, cauo -lQ, pl V STREET NO. ),4))L jO,A) At LOT DIMENSIONS SIDEWALK EXISTING YES P NO El BUILDING GRADE ELEVATIONS STAKES SET AT SITE ahS ,I9 91,L BY L'A/ FEE: $15.00 DEPARTMENT OF PUBLIC 7VCRKS I, the undersigned, owner or agent of the above described operty agree to have the grade estabiished before excavation has commenced. OO 928 41q,i), OWNER L /Vd /d ADDRESS /g/a? /Lsc'u Ad DATE, al /49y PERMIT it JgC 6 USE NSF .cc!)Qr7o4/ on■Qy' 37EuEZ.LS"E.0 6 Work cons is is of GENERAL CONTRACTOR e.,l S /4�4IZ E /U,S/ MASON CONTRACTOR ZONE Width of lot DATE INSPECTIONS A 5 REMARKS a? 35 SD3c) f 1 MA O c. V 4'o 112#14.10.1.4 Ra d A C 3d A;w7/06 ,tt_A oirc =`mi 1. 4 i 17� U612/ 'a /a 6 e' C.�'o' O ,v l a ©K F� I it V bK I4. S So 0 H G D40 /Jar i.Osr;imi... ,BC I)e7 /4 .0 err •6 Gbefig ,4.3'- /41,29-DD /41,DD /in a. g J ‘AArrAc c. .ba. o.AJ �7c.77c.5 J Z G2 lWC, $+t'�k Q (lam 4ori r'b' /A. SAT wow? 1.61/67-3 %r wiricA A2� _9 g F Front of lot MAILING ADDRESS ails X13 s'e rau s U WNER V ICOC&( I453/42675 ADDRESS //9 V L e_c0/1� DATE Q PERMIT 3709 USE .SF Wo-k consists of GENERAL CONTRACTOR MASON CONTRACTOR ZONE Width of lot DATE INSPECTIONS A A REMARKS 5kk ff2-,4 M /06 K. v rt A o C '-4 1 a A 0 .c PRgJEC` m C NOT CLOSED OUT A z Front of lot MAILING ADDRESS M N 05 ­'A 2 J AT sg Liao SA JTI &J* *40" AS 0 3 9*_ -owo_ Of A rm�m­ g M Y . . . . . . . . . . . . . . . . . . . . . ................... .... 22 . . . . . . . . . . . . . P fi . . .... . ... J J: V 'T , t P 14h, g Wa. r. 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