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Home My WebLink About0041386-Building (foundation only) 40 07 CITY OF OSHKOSH N 41386 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING Z FLOOD PLAIN HEIGHT ADDRESS 0 c r PLAN NO. W OWNER /IC— `V hftev----sit'A, DESIGNER USE/ NATURE OF, WORK MIL. c�^ /1 4 rt� er( y 416 C X NQt. t'3' rd —S r ice 4 e ,_414 t. e ../4.0 si- ur..G/ t_ rte` GLti e GcJ o• O 1 st.=_ KtC9 BUILDING CONTRACTOR au.t.S' O L Aged •0 c' If-"c."34 Size )d/ S`�0 S Ft. JS2bO Rooms 1' c �a! f v Stories r Height -1 Foundation r h 6 Class of Const. E Occupancy Permit _k HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer __WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuatio iii P= t Fee Paid a i v Park Dedication ISSUED BY i i S ITt Ar Da V 9i Final /O.P. In the performanc f this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE W. 2 AGENT /OWNER DATE ?I ADDRESS All' t► r i 4011 I♦ -"I A re —I 7 TELEPHONE Wisconsin Department of Industry, PERMISSION TO START CONSTRUCTION Safety and Buildings Division Labor and Human Relations NOTE: This permission is applicable only to projects having below grade foundation work. Additional fees are required. Contact one of the locations listed below for more information. HAYWARD OFFICE LA CROSSE OFFICE MADISON OFFICE SHAWANO OFFICE WAUKESHA OFFICE Route 8 2226 Rose Street 201 E Washington Ave. 1053A E Green Bay Street 401 Pilot Court 4 P.O. Box 8072 La Crosse, WI 54603 PO. Box 7969 P.O. Box 434 Waukesha, WI 53188 Hayward, WI 54843 Tele: (608) 785 -9334 Madison, WI 53707 Shawano, WI 54166 Tele: (414) 548 -8600 Tele: (715) 634 -4870 FAX: (608) 785 -9330 Tele: (608) 266 -8735 Tele: (715) 524 -3626 FAX: (414) 548 -8614 FAX: (715) 634 -5150 FAX: (608) 267 -9566 FAX: (715) 524 -3633 Project Location: Street: E -File: City: Plan Number: County: Date Plans Rec'd: I I Occupancy: We, the undersigned, request to begin footing and foundation work prior to approval of the plans in accordance with ILHR 50.14. Plans have been submitted to the Department of Industry, Labor and Human Relations, Safety and Buildings Division, and all information requested by Code ILHR 50.12 or ILHR 50.13 has been included with the submittal. We have reviewed the specific code requirements for the building or structure and its use, as set forth in ILHR 50 -64, and, where applicable, have shown compliance on the drawings. We agree to make any changes required after the plans have been reviewed and to remove or replace non -code complying parts of the foundation and /or footings_ We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or structure until approval has been received. We understand that, prior to the start of construction, a Building Permit must be obtained from the local authorities having jurisdiction in accordance with their laws and ordinances. We understand that if this project is in an unsewered area, a sanitary permit must be obtained prior to the issuance of a local building permit (ss 101.12 (3) (h)). Owner's Signature: Designer's Signature: (Original Signature in Ink) (Original Signature in Ink) Date Signed: Date Signed: Owner's Name: Designer's Name: Street: Street: City: State: Zip: City: State: Zip: Department Action: Approved Not Approved I Review Comments: Reviewed By: Today's Date 1 SBD -198 (R 08/92) BLDG. I NSPECTOR'S COPY GATE /z/P. NAME C rut- e, (A/C—S rn C) OD s �a� �7 V'c' a3� LOT 37/ BLOCK WARD SU8OIV. ZONE STREET NO. :2.-C.C2t L aca w Z LOT DIMENSIONS SIDEWALK EXISTING YES NO lea B U I L D I N G GRADE ELEVATIONS STAKES SET AT SITE �',e, /9 I g 91 BY FEE: $15.00 DEPARTMENT OF PUBLIC CRKS I, the undersigned, owner or agent of the above described property agree to have the grade estaDiished before excavation has commenced. 47Y43 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: _CQ p-- ZONING_ PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) fr eC c G e-e 0 COMPLIANCE CHECKLIST DEFICIENT COMMENTS Use C C xt "-25 r '4) Lot Width Lot Area i,160_7 Q c• r i m Cr" Lot Area Per Family Floodplain S s o`F Front Yard Front Yard Side Street ao Jr.\ cor" 1` Rear Yard Side Yards Building Area 06 I• G a ��J c'> act"— Parking Standards Off Street Loading Standards pp Vision Clearance 4 Cu m t t '{2c- c. l G tc- Transitional Yard Standards Landscape Standards L. G�°'� 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, o 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. t PPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: g/2-9/7/ ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: Z4 I d I ¢h ZONING 3 PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) y COMPLIANCE CHECKLIST DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Famil y f�f �nJ Floodplain f baJ- (Ce9-4--Le Front Yard Front Yard Side Street h Rear Yard Side Yards f 2� e o e-- Building Area .0- C A 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. 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: (74y