HomeMy WebLinkAbout0038738-Building /1D
CITY OF OSHKOSH N 38738
PERMIT APPLICATION AND RECORD
TYPE: BLDG 1® HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS at-.)1 V v, LSo►,, A,LJ ►Jl, PLAN NO 3 3)14 R
OWNER P.\€ 7 J 76,0/1 A DI
DESIGNER
USE /NATURE OF WORK L ll..,
BUILDING CONTRACTOR a cr v
tM
Size 1 Sq. F I OLVD Rooms .b ZF�R Stories Height 1 q
Foundation Class of Const. 8 Occupancy Permit
HEATING CONTRACTOR C PRtv"
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR aMM liJ6S
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR l MS
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr _SP Ur Storm Sewer
Sink LTub Eject _SS Water
Other
FEES: V:tb0n ua d Permit Fee Paid IDS,
WIMP Park Dedication
ISSUED Y A i t i Date 1 9 4 Final /O.P.
In the performance of this work I agree to p orm all work pursuant to rules governing the described construction.
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SIGNATUR' 4' -di_I<i Y--- g Z G
Y
f AGENT /OWNER DATE
ADDRESS e 44 Ail/ 0 r X 6s 2 3 S -6 F2
TELEPHONE
5 4875- -3 q
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT 3 7 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)
6 ER ITRE UESTED. A t 0 HVAC El Elec 0 PI bg I F4 Erosion 0 Other:
Owner's Name Mailing Address Telephone No. (include area code)
Pere it T SArn al, /511 oorev, .c.r 4 J a SHko5 1 y(`t 312.4, -37S
Contractor's Name Mailing Address Telephone No. (include area code)
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of Area
PRo c €alto cot
1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name Lot No. Block No,
I WI csoki rive ,S
Zoning District(s) 1 Zoning Permit No. I Front ft. r........... Setbacks ,,,,S ft. l ft. 7 Rear Left Right ft. 4 2: ft.
fit
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k..lf/.�iYlYi'.T{.�:: �i... l���I. s.
ew Repair gle Family Entrance Panelorced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: 2.0v amp Radiant Baseboard or Panel Gas
Space Htg
Addition Move Garage Service: Heat Pump I
Other (print): Underground Boiler
Sil4erhead Central Air Conditioning Water Htg
Other
0 Other ❑Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Site Constructed ,'Concrete g
�:R������ Infiltration cont option is: Full sealin
Ma nufactured Masonr of joints. Blower door test. Exterior
P sealing
Y
ri >A(tV ❑Treated Wood Sewer
i,•:.•::::.: air infiltration barrier.
5 iT RTES Other $IOluniupal
Unfinished Basement/65/05g. ft. S i 1% 9$ c. 1401c'?
for
y Permit No. Envelope BTU /HR
Living Area /lf y0 Sq. ft. 2 -Story ['Seasonal
11 t AT :r: fi Infiltration BTU /HR
n Other rmanent
Garage IS S ft.
9 q
ni i I Utility M c a Ut t
u
❑Other
P 4i> E5�I;I��1! I�G+�a!5�'<a<'' t;
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Plus Basement Private On -Site Well" 3 c
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 plied, on the De rtment or municipality; and certifies that all the above information is accurate_
APPLICANT'S SIGNATURE DLkrtL DATE SIGNED '3 3 o V
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.
l /NO Ce-. 5)/C. &22M/Cski f' E,GonG FE-e LN' al, /95"
a) pee AV 0. b3' 17- 6' /40 g ')15 IYLQv1 146 P7RS7 /�C�oaz_ St1044k
OE Lcc As 'o4TC ApArcT AS T cAL (A.b7 Ls DIA7f OBE "1/1
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Town Village e Cit Count State of: Municipality Number of Dwelling Location:
9 Y Y P y g cat n: o
90.01to.ididitig.t OS /)/i6514 7 62 6 6
Plan Review 0 tonstruction S.AeS2_
Inspection AP VAC Name
Wis. Permit Seal Electrical
Other Gy
❑Plumbing Date t i Plumbing
L, Erosion 1 1 I a/ 1
Total (J� V ��1,�./ Cert. No. INK Owner /Agent
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEDS c,
,"107 (.v /z. sots AvL'JO
ZO USE COMPLIAN CHECKLI JOB LOCATION: aD s L JICSV JQVE ZONING
PROPERTY OWNER/CONTRACTOR: CASCADE Cusm/ No/14E5
CONSTRUCTION DATA: 'X New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
NEW Sti6 LE f rv7 /L q U ED 6/24-
COMPLIANCE CHECKLIST /SE `O 0a
.Z
8-P1
DEFICIENT 67 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) Required
REVIEWED BY &c- DATE: 3/3-7/A7
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CATE V3 019
NAME (4 DC eVS/Q4 16 116 5 ADDRESS
LOT 6-0 BLOCK WARD
SUBDIV. ZONE
STREET NO. c26 L i L >ou IIVS LOT DIMENSIONS
SIDEWALK EXISTING YES EJ NO [7:1
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 313 ,19 94- BY
FEE: $15.00
Y ,1 e,ae(}4 4/-
DEPARTMENT OF PUBLIC 'WORKS
I, the undersigned, owner or agent of the abcve ascribed property agree ro have the
grade estaa;ished before excavation has commen d.
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