HomeMy WebLinkAbout0046796-Building 110
CITY OF OSHKOSH N 46796
PERMIT APPLICATION AND RECORD
TYPE: BLDG' HTG ELEC PLBG SIGN ZONING rkk FLOOD PLAIN CALL HEIGHT(
ADDRESS ■9 w 1 C\ I t PLAN NO. t 1 1- ?Pr<
OWNER V\A i4 1 1 SCAA54-
DESIGNER CAN t‘s a l%••••it—
1
USE /NATURE OF WORK VI (-Aka_ i" c. c
1_
BUILDING CONTRACTOR
Size •Lt Sq. Ft. o "L r i) y Rooms i0+ 3 b.4 4s
Stories Height S
Foundation OO Class of Const.
1 Occupancy Permit i"Zkiv414.4..
HEATING CONTRACTOR 1' r C I' P o k 'r
Heat A/C Vent Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR MI9 S C.. t p ,L
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S Pd .c,>...st_C
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 3 d Ov O Permit Fee Paid DI o; 0 Park Dedication IO 00
ISSUED BY D Date %—A1-1 —4 5 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNAT
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING- Application No
Labor and Human Relations PERMIT APPLICATION
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 be used by other government agency
Wisconsin St t tes 1 101.73 programs !Privacy Law, s. 15.04 (1) (m)1.
<?''<PERMITRQT# onstr HVAC r i n
Elec PIb 9 os o ❑Other:
Owner's Name ppp e Mailing Address Telephone No.
s.s V }-ei C//tofr p 864 Q� 1
Contractor's Name: Con 'J Elec HVAC Plbg ic/Cert Mailing Address Telephone No.
i: le CT
Contractor's Name: Con Elec ,HVAC Plbg idCert Mailing Address Telephone No.
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Contra or's Name: 0 Con Elec HVAC%Plbg ic/Cert Mailing Address Telephone No.
ns a 4 Belo' 4 c 6'f o
Contractor's Name: Con Elec HVAC Plbg ic/Cert Mailing Address Telephone No.
t!�,! �C
I 7+I E C LO AT'O Lot Area
Sq. ft. 1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
S �r C t4 e-, ---3 1 ;v,sio...,
Zoning District(s) I Zoning Permit No. Front I Rear Left Right
Setbacks 0 ft ft. 7 ft. ft.
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.mew Repair .Single Family Entrance Panel gl Forced Air Furnace Nat L P Oil Elec. Solid Solar
A eration Raze Two Family Size: a9 D amp Radiant Baseboard or Panel Fuel Gas
Addition Move Garage Service: Heat Pump Space Htg Q;
Other (print): Chunderground Boiler
❑Other Overhead Central Air Conditioning Water Htg
Other ace neaten Dwelling unit will have 3 kilowatt or
c. `PE:.... i :FJAlleNa more installed electric s equip.
,,.'Site Constructed Concrete P g q p
option is: .���N��''�`:'>�"E< Infiltration control o
Manufactured Masonry P Full sealing
of joints. ❑Blower door test. ❑Exterior
'r AXEKINVOI'E� Sewer ❑Treated Wood te air infiltra n barrier.
U nfi A imunicipal o ba e
nfinished Basem nt I 5 #E#I Other
e q. ft Septic >f:i:>:' >HIT.. >i: >:g
1- Story
'-f ':::z::: Permit No.
Living Area �t( Sq. ft ?�`2 -Story ❑Seasonal
Envelope 4 /d BTU /HR
r »z<«'!> Infiltration 3/ e B TU /HR
Garage 1 sq. ft. Other Permanent
P
Other aMunici al
Utility itS:�
*Plus Basement Private On -Site Well JA0 J 301 OOP
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, e ress i lie on t e partme or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE r i J DATE SIGNED CJ� /ps
APPROVAL CONDITIONS This j it issued pursuant to the following conditions. Failure to comply may result in suspension or
re ation of this permit or other penalty.
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a= s.- -..er b le cr •?.r, ^4. c:1 it n ,C
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Town o Vi
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t County out State of: Municipality
9 Y Number of Dwelling Location:
Y
9
Plan Review 40 'Construction i
Inspection HVAC N a m e 1 vi r l c, k
Wis. Permit Seal 3 O Electrical
Other Plumbing 6 d Date 4 1
Q erosion
Total 0 I Cert. No.. c
SBD -5823 (R. 06/94) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner/Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ,n�� ��r ZONING J f
PROPERTY OWNER/CONTRACTOR: w� I P j 31 r �r
CONSTRUCTION DATA: >C 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) Required
REVIEWED BY:
DATE, f. 1, 95
NAME ?.fie tEt77£S ADDRESS
LOT BLOCK WARD
SUED I V Au+ YE2 EL ZONE
STREET NO. 1.L. DT 0 I MENS I GNS
SIDEWALK EXISTING YES 0 NO [2]
BUILDING GRADE ELEVATIONS STAKES SET AT SITE (Lc, X ,19 3Y
FEE; $15.00
‘0 .7,44
DEPARTMENT OF PL( I C WCRK_
I, the undersigned, owner or agent of the above described property agree ro have the
grade established before excavation has commenced.
444 3
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address 9 W VC
Owner's Name 011 4f 1
Name of Subdivision t- ,t,,,- .yz r S
Lot 3L Bldg. Permit "16
No. of Units t
Fee Required LUU
Fee Paid t 0 6(
Owner's s' Date
Inspectors signature .1)&:/4,,. Date
Parks Subdivision
Improvement
Accts. Rec.: 362 -041