HomeMy WebLinkAbout0037122-Building CITY OF OSHKOSH N 37122
PERMIT APPLICATION AND RECORD
TYPE: BLDG rx HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS S VOiI• &?1 c K 1St PLAN NO.33D QbY L
OWNER r `I LTO 1 C.} kE 4
DESIGNER
USE /NATURE OF WORK N �I,..,cL� k1. 1...6„,,,E. u -1
pir e Alm 1
BUILDING CONTRACTOR -1 )Lic) 1 E. SCiAE
Size
Sq. Ft. &3020 Rooms 9 Lt ?R G
NC� Stories Height
Foundation Cla ss of Const. D Occupancy Permit L 0.
HEATING CONTRACTOR HAAR NI&
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR ()oRR IS a...Et
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S h
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 Q60 v
Permit Fee Paid Park Dedication Mt,
ISSUED BY IL! .1� .1.......;.—I LA A Date 1al,61. ql Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
i
SIGNATU J�
AG /OWNER DATE
ADDRESS QS d Q /fib ni lt, I I/5 -07ro
TELEPHONE
Wisconsin Department of Industry, WISCONSIN UNIFORM Application
Labor and Human Relations BUILDING PERMIT 33
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)
Constr [j HVAC El Elec [3 Plbg i! Erosion El Other:
Owner's Name Mailing Address Telephone No. (include area code)
/,;cTw X 2,5
Contractor's Name Mailing Address Telephone No. (include area code)
/4'it8 ti• f7d c 11 'ir 7 3 ei .5'aA
P O JECT L ON Sq. ft. 1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
3L\s W) AzI DttoK' ER i<
Zoning District(s) Zoning Permit No. Front I Rear Left Rig
Setbacks �j ft. ft. gg( ft. g• 7 ft.
i:1. i::E:.:: i?::::i::: j:': ::ii i :i:::::
:is:::::::i:::':'i:::: ':i "`.��v i:i CC .''n:::i::: i: AqQJ EN :::i N..RG:;�.:..O. C::::y::::::::::S:::i�::'.::.!::
��EC�.: ���u> t���►. �tr ICI€ �t'.. ��a I���+��r i �t�. .i
8 'l e Repair �3ingle Family Entrance Panel F orced Air Furnace Fuel Nat. L P. Oil Elec. Solid Solar
Alteration Raze Two Family ize: 1 amp p ❑Radiant Baseboard or Panel Gas
Addition Move Garage Ser Heat Pump
Other (print): nderground Bo -r Space Htg El I=1 El ID El
Overhead RCentral Air Conditioning Water Htg ,e'
Other Other Dwelling unit will have 3 kilowatt or
�`T i': Q1bl' more installed electric space heating equip.
Site Constructed [y Concrete P 9
#��I��I���<z: Infiltration control option is Full sealing
:y of joints. Blower door test. ❑Exterior
QManufactured Masonry
r2 ARE Treated Wood Sewe air infiltration barrier.
Unfinished Basemen Sq. ft.
Other uniupal
i: ❑Septic 40;.;:: �IE�ttT:; EOS'�: #e?d)
1 Story
+y Y x<..`.E's'<< ><i: Permit No
Envelope Saa BTU /HR
Living Area y E �r a Sq. ft. Cory Seasonal
:I ATRN<R:`s :M7Infiltration 39 7 7 BTU /HR
06 Otherrmanent (c� 3"
Garage S q ft.
unici al Utility
ErPlus Basement Private On -Site Well ;8/ A 0 D
The applicant agrees to comply with all applica le codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of
the permit creates no legal liability, extress e 4 t.. n Dep- ment or muni ity; and certifies that all the above information is accurate.
Z t
APPLICANT'S SIGNATURE -Z DATE SIGNED ,k/y3
APPROVAL CONDITIONS This p'.'s iss pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
/e) .$j -r o.SS Ft) t7 NS
In c- AcC. .Sie._ C- 72- Ice.vo 1i)Lc al5 )'Z /4h/e. ai, /2
21vn Bait. y aap Boom C,0 /AA:ow s /}1 ST 77) x'' EgRE ,S iaavyez.Hmeitrs
iLN2 a/. 03_
T own Village la
e t Count
State of: Municipality o N m r
u be f Dw Dwelling Location:
o e ocati
9 i o
Y Y
9
URISDICTION
i:::::::: i i:.:::::.:':::.::.:.::.::.::.::.:.::.:::.:: i:.::.::.::.::.::.::.:.:::::.:.:
I'I`//'. i::i::i i Ut E M ..:..ISSUE:...;::.:.:..;;:::,
ii >i:::
:ii >.i:: ::<:ii::
i:: i
:i
i t��. Y1F .,�.�i.: y��y�..y.c: :K.:::::::.:
i g�:.:::: ::::;•;:::i:i :::;i::; }:i ;:�Rlp::l::: ii
�a�ii G'.iR.. C�
i::> is :i::::::;:.::.:.:::.: i i:::: ii: i::: i:: :is %:i::i::ii:::iii;:y:• �G�. ��7 i:::: :i;::::: i:: i::::: :isi:.: �::i: ii:: i:::: ;i:::::::::::::: i::::::;::::: i :::::iiii:i:::::ii ::i::ii:Y;::i< i ii;;:.:::.::. s:.>:.::.: :st::>:: ii 5: ::i:: :iiii:: ::i::i <:::i:;:i:::
::o: is
Plan Review ein.tib I onstruction
Inspection HVAC NameQ
Wis. Permit Seal 3C). Q= 0 Electrical ‘QA t CO
Other Plumbing Date
6
Total ?De V Erosion 138 1 44:5
Cert No.
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 5 4JDMJ6 fiob( "Dieu 6, ZONING
PROPERTY OWNER/CONTRACTOR: /L, /OA] riSC7Ye
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
6E /cc 47C/ /246-E
COMPLIANCE CHECKLIST �G-•
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 /00
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.
L— APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY il__ DATE: /0
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address S I Mbil∎IC: be)1‹
Owner's Name
Name of Subdivision GAWIER
Lot 10 Bldg. Permit Si? /99
No. of Units 1
Fee Required
Fee Paid it1cod
Owner's signature /1. Date
Inspector's signature ��rv Date /1 3
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
GATE 1
NAME Y (l C.T04 i h scH ADORESS
LOT /0 BLOCK !BARD
SU80I V uOy C2E K ZONE
STREET NO. 35" tAJ/A)D /AJ6Rf L/4 LOT 0I MENS IONS
SIDEWALK EXISTING YES El NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /11(& ,Ig q BY gA
FEE; $15.00
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree ro have the
grade established before excavation has commenced.
¢7G
266 L # L '030
F BFL t It �l6'bS IM N013lddd
QNf10W3[l't8 H1f10S £0£
� INNW�
G 3A &S4NI N1SNOOS A 3RI J0 a I Nv o i
SZ13JLdVHD 0 0ANOD NHS IOULN00 NO ISO 3 'S C31 SV 8
1 1 j MlLd NC C�1y S3` a 5 m a3.L I N11 ICON 3W 1 n
4 3001:D NI SC10HA $3 1d30V `S3H 11(i aNV S31 VMS 3 VN1 d G
dC NC d3 IN3A3 Nd C 1 aNy SNMVM 3 V-1 f1S ENV N1 ITS
ACS N LL1S d3 a 3H1 1N3A3 id C S'SS3 3N 3M3HM SNOLL V C 1
TI V IV G3N[ViNivvq a Nv 0311 VISN 1 38 TTV HS IOULN00 NO ISON 3
osmom onand .10 1N3nLWd3
`HSC fiHSC 3 )UD 3H.L WY U N Id 3!DVNf C] (IN ' ON10"O C13AO dd
3HI Cpl V480.dNO3 MVHS 101 3HI C 3 'VNM1 CIN'V Nla"O
4 N0LL0f ,.LSNC 3 ONRIM
N "01 80I d A10 3HJL (INV U3NMO 3HL A8 C13Ldl8VA 13 NV
CAM V301 0 313 38 01 NOLL V C 1 ONV MIS DNimin
`3 Vd O'Nimm 3 HJL NOW 133.E
MI NVH1 380H . SD 3 SN LLOT Id HOf1S ANV 31 3 V4
33 .LSnri SIN3 Y.L fTaV M VJ Maim 3H1 V4 1333
NU NVHl SS33 3W SN LL 3ro8d ON101ine aw , s3A 3
SON H 13AO TIV IVH1 S31 f1SS Y LLVY43H S SlHJL
CAL 101 JO NON] im is 3H1noS
- - � 83NNOO iOl 3S 30 1SY3 X 0 31OHNV 1 -40 V41 1 NINON
18VAH
P-14
i
r
t
z
v
z
0
ao
0
0
V *ZLL = `IVM N L.VONf A AO dOi ;d ld
so
( 301 S
(UU�J QNV iNMJJ 9Z)
SX:DVa3S ONimine =
.LN3Yq3SV3 kinan oi =
NISNOOSIM `JI.LN(10o 0OV83NNIM 'HSOHHSO A0 J.11O
NOiswcians >13380 213MVS
0 L 101 NVId 31 1S
M r�W 1 Crl3U 38 M VHS SIVN31
JO N 1.LV301 I rUO V 'S 80038 4 ,111113—SV,, HSC 1HS
30 X1113 P40W P40 C13NIVII30 383M SNC LL 101 IV�MVI *1
=S3i N