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CITY OF OSHKOSH No 37121
PERMIT APPLICATION AND RECORD
TYPE: BLDG 1 HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS K s w I l.1D 1 I I RaITAK c"D_)■.1"- PLAN NO a I3(3 i\
OWNER
m IL it tJ s hC..i-
DESIGNER f
USE /NATURE OF WORK V e �∎)\)GLE I
t.W r I'VC Ti:#`
BUILDING CONTRACTOR 1‘LT ®N.➢ 7.c, C.--... —L IU Size Sq. Ft. �z-r�- Rooms ID Storie Height -^e
Foundation 1VC/ E /L Class of Const. Occupancy Permit IUe
HEATING CONTRACTOR HAI K mg.
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
/00 /S
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR S+ i
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 WO Permit Fee Paid -33)0 e_ Park Dedication /Ca c
ISSUED BY i l u Z -1L 0 11 0 A Date °2 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE jT
AGENT /OWNER r�q DATE
ADDRESS to a �x O2 /if/ h �t1 tr4 /.l`� 7 347 o 7S O
TELEPHONE
/5 S c.� �c ar
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: J U )1)UDIN6,eveCGK 1DR) V r ZONING,
PROPERTY OWNER/CONTRACTOR: /7 "2 /L
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST teSe7= Z
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.
1 APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: A6.,,, /�i� DATE: 1 3
i3a- a )3,10(3R -,s
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT '3 9131
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)
>:>PERIVIR REQUESTED
onstr ❑HVAC Elec Plbg Sjirosion El Other:
Owner's Name Mailing Address Telephone No. (include area code)
/Ve., TO .T f°
Contractor's Name t Mailing Address Telephone No. (include area code)
)71i To iv .7 f q&jo v ireo PO 1/4 "AP/W:1 i /if 7,6 7 t
Lot Area
Sq. ft. 1/4, 1/4, Section T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
y aS w1 IA6 Aw4 C /S
Zoning District(s) Zoning Permit No. Front 1 Rear Left Right
Setbacks o?6 ft.
,6
ft. �O ft. 27 ft.
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::�:A:': qy.. a, iFE�::: i isi::: i i: 2 i �k;: �4i'ii'��i�.�. v.�w...Gf.E'w.J!Rt:......�... TiV�Mi�.C. FF'.RJ�II�.i..
ew Repair "i; Ingle Family Entrance Panel is orced Air Furnace F ue l Nat. L. P. Oil Elec. Solid Solar
Alteration Raze Two Family Size: 400 amp Radiant Baseboard or Panel Gas
Addition Move Garage Ser ce: Heat Pump Space Htg 1:1 0
Other (print): [Underground Boiler
Overhead pfntral Air Conditioning Water Htg Er
Other Other ❑Dwelling unit will have 3 kilowatt or
%:C `.I!�I<?ATIiN: more installed electric space heating equip
Constructed oncrete Infiltration control option is: Full sealing
Manufactured Masonr
Y of joints- Blower door test. Exterior
Sewer
x2:.' Treated Wood air infiltration barrier.
:.5.. �..II'd..
2: %:6:: O Ga'� r
Unfinished Basements�t'� Sq. ft ><'.>:.:;'��'S�::.
1 Story ❑Septic
9 Y i fix >U.S. Permit No. Envelope BTU /HR
Living Area 0�,�'!`o Sq. ft- -Story Seasonal
ATE Infiltration 3q /4 BTU /HR
p Other ermanent t
�d
r .ft_
Garage e S
ni i I
q u c a U
Other
Utility f a d V
Plus Basement Private On -Site Well
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 ress o im' lied, on th', e rtme or nicipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE Z DATE C=am° DATE SIGNED P
APPROVAL CONDITIONS This pe i s i ed pursuant to the following conditions Failure to comply may result in suspension or
revocation of this permit or other penalty.
1 t BP r r 7 .S P1.444.1.,
/A]STRL S6lc- 65 44E"S4)2C --g_ 1C..1/C &!Q lo�-_s
Town villa �f' 4,, County State of: Municipality Number of Dwelling Location:
9 Y P Y 9
Kceti <J#JRi SC�ICT1#�N 20 °Z
Plan Review Lo• onstruct P Q� Inspection HVA Name
Wis. Permit Seal 34 11:1 III Electrical
Other Plumbing Date 1.. a -1,
Total 1323Sq "'l� L Cert. No. 1
SBD -5823 (R. 07/92) WHITE Issuing Jurisdiction YELLOW DILHR GREEN Inspector PINK Owner /Agent
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address Rib Al ■kOp< g.
Owners Name /n/C TO,' JJ
Name of Subdivision ‘CA RAW
Lot 1 5 Bldg. Permit E
No. of Units
Fee Required 2 C
Fee Paid
Owner's signctur- Airg Date
Inspector's signature e i Date a/M_
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
CATE 0493
NAME MLTb Ait h5 a/ ADDRESS
LOT /J BLOCK WARD
SUBOIV. c4L` Ck/ ZONE
STREET NO. j� /NPw& wk' Z v" LOT DIMENSIONS
SIDEWALK EXISTING YES NO Er
BUILDING GRADE ELEVATIONS STAKES SET AT SITE i i ,19 q3 BY 14
FEE; $15.00
DEPARTMENT OF P U B L I C 'WCRKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
00 Xa38 010
SITE PLAN LOT 15
SAWYER CREEK SUBDIVISION
CITY OF OSHKOSH, WINNEBAGO COUNTY, WISCONSIN
IR
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N 89'54'41" E
PROP. TOP OF FOUNDATION WALL = 767.
MOTES.
1. LATERAL LOCATIONS WERE OBTAINED FROM CITY OF
OSHKOSH ' - BUILT" RECORDS. ACTUAL LOCATION OF
LATERALS SHALL DE FIELD VARIFIE:D.
2 . THIS SCHEMATIC ASSUMES THAT ALL OVERHANGS,
EAVES, AND BUILDING PROJECTIONS ARE LESS THAN TWO
FEET FROM THE B UILDING FACE. ADJUSTMENTS ENTS MUST B E
WADE IF ANY SUCH PROJECTIONS FIST MORE THAN TWO
FEET FROM THE BUILDING FACE.
3. BUILDING SIZE AND LOCATION TO BE FIELD LOCATED
AND VARIFIED BY THE OWNER ADD THE CITY PRIOR TO, AND
DURING CONSTRUCTION.
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4 . GRADING AND DRAINAGE OF THE LT SHALL CONFORM TO THE
APPROVED GRADING AND DRAINAGE PLAN FROM TIME CITY OF OSHKOSH,
DEPARTMENT OF PUBLIC WORKS.
5 . EROSION CONTROL. SMALL BE INSTALLED AND MAINTAINED AT ALL
LOCATIONS WHERE NECESSARY TO PREVENT THE DEPOSITION OF
SILT IN ANY SURFACE WATERS AND TO PREVENT EROSION OF
DRAINAGE SWALES AND DITCHES. ACCEPTABLE METHODS INCLUDE,
BUT ARE NOT LIMITED TO, STRAW SALES AND/OR FILTER FABRIC
BARRIERS. EROSION C SHALL. CONFORM TO CHAPTERS
ILHR 20 AND IL[ IR 21 OF THE WSCONSIN ADMINISTRAMVE CODE_
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SCALE. 1 0 ._ V
LI TI LI TY EASEMENT
BUILDING SETBACKS
(25 FRONT AND REAR)
(7 . 5 ' SIDE)
BEN C = M W Ls
r
TOP RING OF HYDRANT 100'± NW OF NW LOT CORDER - - - -- 769.40
TOP RING OF HYDRANT 150*± EAST OF NW LOT CORNER - - - -- 767.70
OMNNI 9
ENG:NEE.RS
303 SOUTH BLUEMQUNp DRIVE
APPI.ETON. WI 54914 (414)739-7814
DEC 1 , 1993
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