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HomeMy WebLinkAbout0041658-Building OD CITY OF OSHKOSH N9-41658 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING 'l FLOOD PLAIN HEIGHT ADDRESS k J I/'JLJ f �U 3 `Y PLAN NO. F I y� �fi l OWNER Th C J (1AJ1= m) G %�.&3 DESIGNER /1,-...<-- /1,-...<-- USE /NATURE OF WORK I bit/ /V 6 4/n /L 47i4oT c BUILDING CONTRACTOR J,�SC 14 Size S% Ft. J i c t4 Rooms s)` 3 Stories CS Height �D Foundation e Class of Const. Occupancy Permit HEATING CONTRACTOR A Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR OWn llik S Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR S BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation -i .i. Permit Fee Paid Park Dedication lam% d ISSUED BY �t' Date 9/4` Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 4:: 0/4 SIGNATURE f Z� �'y AGENT /OWNER DATE ADDRESS TELEPHONE .57oa \L5 9.1 I Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION �i' 6. 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 e used by other government agency Wi£corliiri tatrte� 1 g1.�i3 191.7 pro@ rams (Privacy Law, s. 15.04 (1) (m)). PERMIT MPERWIrtREQUEST.EaMiii Constr 0 HVAC Elec El Plbg Erosion 0 Other: Own CI 4 ame Mailing Address Telephone No. Contractor's Con EVe HVAC Plbg Lic/Cert Mailing Address Telephone No. Conti ctor's Name Al Cpn lec AC Plbg LiUCert Mailing Address Telephone No. Con act is Name: Co p EIed4 �bg Lic/Cert Mailing Address Telephone No. Contractor's ame: Con Elec HVAC g LiU P Cert Mailing Address Telephone e No. O 4 CATiiiiii s ,.I Lot Area /Sect, Sq. ft. 1/4, 1/4, Section T N, R E (or) W Build y� Aid r Sub�,jyisiName Lot No. Block No. is t J (177, f✓i 3 Luning District(s) Zoning Permit No Front Rear L'�!f Right Setbacks ft. Re 3s' ft. 3 ft. 36" ft. New Repair Ingle Family Entrance Panel ert orced Air Furnace Nat 'L. P Oil Elec Solid Solar Alteration Raze Two Family Size: ZOO amp Radiant Baseboard or Panel Fuel Gas Addition Move Garage Seryice: ❑Heat Pump CI Htg Other (print): �Jnderground Boiler Overhead Central Air Conditioning Water Htg Other Other ❑ini ll 3 tt TT" more Dwell installed g unit electwric s have ace heatin kilowa a ui Site Constructed oncrete p g q or g Manufactured Masonry Infiltration control option is: Full sealing e Alit.:lAs:`` Treated Wood Se r of joints. Blower door test. Exterior :i:.ii air infiltration barrier. Unfinished Basement/22Y �i ❑Other QMunicipal Sq. ft. Se tic CH T Wt gika: 1- for L....... ;::z Permit No. Living Area 'L�Z Sq. ft.t ory Seasonal Envelope p�/ p 4 7 1 BTU 3 BTBTU/HR AST; s# ><s Infiltration Garage .5 4 S ft Other Q'�ermanent `Y unici al Utility l� P Other ESUSIMOING:COMS>ii' [Plus Basement Private On -Site Well %4 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 artment or municipality; and certifies that all the above inform tion is accurate. APPLICANT'S SIGNATURE DATE SIGNED g /3/09,/ APPROVAL CONDITIONS Th permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. f NSi,dt r EkbS /tX) niE z. lGr1/?'— Zi. iZ 2.) j; -7R4S3 "ETA 1 CA/ Si 7 E f f r 2 1 C 7 7 ievX': 1,3 'L Le 6.. C 0.1-i• 6G .iCx` G)( >Q /V Stiy.k) ..iZC jQt ac c 01 5 1N lrsfi rzrx C' /r(✓�c; L4.44ct- Town village e i Ct Count State of: 9 o Municipality N m r f Y Y u be o Dwelling Location: �SUIW }q 9 JURISDICTION CSHNC WW -0 6 6 i i:: i i::yy Lv; C•::• iiii J iv >.:i' :.'.4` ::::i::i: �i: is::::::;� �K....... i: ii iiii: L ��..i `4. .:.:::i:J: }Jiiii::<iii'.iii:::i isis :i::d•i +ii }:•iiS ?iiiii. is ii{ i :nom :w i:0 i••'v i::. i :::v:::. i: Plan Review lonstruction Inspection HVAC Name J.&. '4 •1 Wis. Permit Seal Electrical Other i ❑Plumbing Date 6 Y QSkE rosion Total f Cert. No. a Or SBD -5823 (R. 06/94) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent 4© mod ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 8 ZONING ki PROPERTY OWNER/CONTRACTOR:v C� CC-1 _1 1.vr�J CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) 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 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) Requi -d REVIEWED BY: i1/ DATE: id r A r t w 1 1 1 1 1 \ij e i NI 3 1 30 ftt----- 5 1 i r I i i 0 1 I 1 s 1 1 s i s s 1 C4 sq..7, 1 1 1 1 1 I I ik) I I U) I i i I 4 1 160 0 CATE 9/ NAME fO S c4 (Lus 7R, AOORESS LOT >SW 53 BLOCK WARD SUBO I V �t C ts nn ZONE STREET NO.2ef 1161, J Q l)U 2• LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE 9 /Z� 19 94. ie/l BY 1 FEE; $15.00 DEPARTMENT OF PUBLIC 'WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 3 00n1.00 .z j9 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 3?),/ Owner's Name USC (3 o1,J Name of Subdivision �O QH7IS Lot 53 Bldg. Permit 2 7/6.S No. of Units Fee Required Fee Paid 41 /CO Owner's signature Eiii Date Inspector's signature ,;244, /74 Date 9M/ Parks Subdivision Improvement r� Accts. Rec.: 352 -n4