HomeMy WebLinkAbout0048142-Building 110
CITY OF OSHKOSH N° 48142
PERMIT APPLICATION AND RECORD
TYPE: BLDG Fr ELEC p PLBG SIGN ZONING t FLOOD PLAIN OIJf HEIGHT
ADDRESS 35 3 \otao,/,_ f PLAN NO.tii V
OWNER __S C E( 52 -k .9 •Ve. C p.S
DESIGNER
USE /NATURE OF WORK
BUILDING CONTRACTOR_ c.w Ltyk C-( {',(ti te.r (LS
Sized<< €3 Sq. Ft. o� L1OO'6-7a floor
4• #Rooms 10- 4 Stories Height
Foundation �J�e Class of Const. V Occupancy Permit (MO;i a
HEATING CONTRACTOR AA r
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR NI f
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S
BT WH Disp WSoft CBasin
__Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub _Eject SS _Water
Other
arc
FEES: Valuation 98 DO 0 Permit Fee Paid 97 7) Park Dedication /00
ISSUED BY Date r
Final/O.P.
In the performance o, this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor Human Relations BUILDING PERMIT 11819',R
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)
PER I €R UE ti:
;;:m.: i
(a HVAC
Elec 0 PI bg Erosion 0 Other:
Owner's Name Mailing Address No. (include area code)
.44h ,r ele eo Pif 77pd 3 'p Nict. 7" /C1 1gf/P /�T_o to 7,/-2,,22.
Contractor's Name Mailing Address Telephone No. (include area code)
1,
t
s Oj OCA I f
1 ZPn q. ft. 1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name i Lot No. Block No.
353 A.9( i t r-- S r Yfo I
C I
Zoning District(s) Z„ ring Permit No. Front I Rear Left 7 G Right ce
Setbacks ft. Q ft. ft. 7 ft.
►?'w Re air Ingle Family Entran Panel orced Air Furnace
p 9 Y �g Nat. L. P. Oil Elec. Solid Solar
teration Raze Two Family Size: COMulamp Radiant Baseboard or Panel Fuel s
Addition Move Garage Service: 0 Heat Pump
Other (print): iderground Boiler Space Htg
Water Ht 9
verhead �Fitral Air Conditioning
Other Dwelling ni i ll have 3 ki
i ST .1::: FOUNDATION more installed electric space heating equip.
ite Constructed oncrete kilowatt or
t w p g g
s.: r ..:.::::::::::::::.:::�adured ❑Masonry
tig#WM1IN :s2': Infiltration control option i Full p s u sealing
of joints. Blower door test. Exterior
x :;AIr:' >:iz' >:i: Treated Wood Sewer air infiltration barrier.
Unfinished Basementi����,,1/q
?:5 ','s ORIE Other iil
L� ft. Oh ��cpa
1- Story ;:::SK :I* Permit N Area �e� er o. Envelope 3 BTU /HR
Living P
g ea Z c O Sq.ft tort' Seasonal
iiitii >:s» n q BTU /HR
Infiltration
S ft. Other
Garage -la�
Sq. nici al Utility P
Other ::.:...EST 1P.l t` �ip,:l .i�.
Plus Basement Private On -Site Well /10610 e
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, e press 3li on D- artmen r municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE
L 6 -i /4 DATE SIGNED 3 /per
PROVAL CONDITIONS This it i /su%d pursuant to the following conditions. Failure to comply may result in suspension or
revocatio 1 this permit or other penalty.
Al.h"1 Lfj t /P) ,7er.. rn�C.'b l 1,A.�.\ sko.. bL,
tuft n /tne
V .c "4,- Z G t` �,z, ate A. 5 6r�.t1 i1 pro., i n. 54. f..c t C� -.,f. s k'4 r1S
n r 0 5-e..- ..Q....,.4+? t....- 9( J
gm05 4 4.1 1 t n v.,.. 5 r S-titt. 2. 3 U.ta.)
eAk c.o.1c.,01 ;onv sk.w.. 'L4(1 tv s.,tAA', vr. (e,a`t.,5) OA, -S 1t P. G 0
T own o Village it
C Count
State of: 9 L� y e o Municipality Number f
Y p be o Dwelling Location:
t S..
miT:I
Plan Review `1 Q L� construction
Inspection HVAC Name _cflaing,e. Aaii,
Wis. Permit Seal 3 0 Electrical o
Other Plumbing Date 11 —co;
[4rosion
Total "7 1 (o 1 a9 Cert. No. C 13 5
S8D -5823 (R. 07/92) WHITE Issuing Jurisdicti YELLOW DILHR GREEN Inspector PINK Owner/Agent
Fscno moo t h/cz
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: a5S VrN 64. ZONING r2,1
PROPERTY OWNER/CONTRACTOR: '`M,1+ 1- sc-ke. r
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) fj_,k,.3 5
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) Required
REVIEED BY: /0 DATE: J I -F
W
GATE, i f.S
NAME Pi-SC-6r— ADDRESS
LOT C'__ BLOCK r.•
�d &D
SUED I v. Z4 7' C --e e ZONE
STREET NO. '35 9i4.d1. lo-
r)t LOT O I MENS I GNS
SIDEWALK EXISTING
YES 0 NO El
BUILDING GRADE ELEVATIONS STAKES SET AT SITE -w 2_ i g 5'
FEE: $15.00
r
DEPARTMENT OF FUB L WCRKS
1, the undersigned, owner or agent of the above described property agree To have he
grade estaoiished before excavation has commenced.
1�
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address 3S ,rte ∎NiPc v
Owner's Name c,,w��(' C Cc) C r
Name of Subdivision
Lot Bldg. Permit "'1t\Li
No. of Units
Fee Required \00
Fee Paid DO
Owner's signature i Date
Inspector's signatu Date /1— P(
Parks Subdivision
Improvement
Accts. Rec.. 362 -n''
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