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HomeMy WebLinkAbout0007658-Building CITY OF OSHKOSH N°_ 07658 PERMIT — APPLICATION AND RECORD TYPE: BLDGTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING l ( FLOOD PLAIN HEIGHT ADDRESS / I .3 ' U. 3fte ( ( kl PLAN NO. 11 t 31 OWNER 'a . v -- l cc i J e r .� DESIGNER USE /NATURE OF WORK L _ ' 1 1 �C r BUILDING CONTRACTOR Ala: .` a r- ` OW - Size S Ft. J #Rooms lS� C # Stories �' 4 a Height Foundation 1-(A.. p Class of Const. Occupancy Permit�S.'� HEATING CONTRACTOR Ai / C ! NV Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR ©li O tA Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR Pia a ( G 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 $ C w a P'rmit Fee Paid $ /00 Park Dedication $ ------ ISSUED BY O:�.,/ M ■ � / Date `r l y ` Ffs" Final /O.P. 7 �. S In the performance of i w.- !ree to perform all terk p uant to rules governing the described construction. f 0 0 / / C ?lK SIGNATUR OpT/OWNER DATE ADDRESS 1 / Z 3 0„253 09 ,Fc7 TELEPHONE # 'c.../ DATE 4 (p F NAME Pc (4I 65 1 Cu 40 l`/., wtr.S ADDRESS ' c ., ` - f-- e .S I ,� LOT 1-0* 7 - BLOCK WARD I\. SUB01V. d /S0,,� A Gr e- 5 ZONE 4.. STREET NO. //35 W Pve- (( t-J LOT DIMENSIONS P SIDEWALK EXISTING YES EJ NO.0 t BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4-be ,I9 8 c6 BY S C r fl FEE: $1,.00 N4 ; 0 6 , ; .6 - - - - - - - ", ,,,,_ , . ,_,...- , DEPARTMENT OF PUBLIC WORKS 1, the undersigned, owner or agent of the above described prop ty agree to have th- grade established before excavation has commenced. 0 r i . b i Ili IL / / , _..../ 3 r 1.> - Tr- ZONING/LAND USE COMPLIANCE FIST I. CtAL Building Permit # Zoning - Conforming Non - Conforming Job Locati on ‘ (E3 1 ( t J Lot Dimension Property Cleaner 4/.4.‘ f''4 .j Lot Area . • II. • CONSTRUCTION DATA Describe Work: >.( ra f e NMNOONSTRUOTION ADDITION- -ALTERATION Accessory Building — Pool • - Family. Fence Deck/Patio — TUo- Family, Boathouse _ Sign — I4iii i- Family Utility Structure Porch . crm er p i Other (specify) — Manufacturing 111. COMPLIANCE CHECKS Chmliies Deficient Deficiency /Comments .1 Use • Int Width Lot Area Floodplain Front Yard Rear yard Side Yazd (R) Side Yard (L) _✓ — . Parking _,_ Building Area Int Area per Family Corner Lot ._ Other (specify) IV. REVIEW AVII1ORITY The Planning Director, or appropriate designee, nalst approve all plans, except the following: (1) Alterations or interior work when the use is conforming and • when no change of use is proposed. (2) Maintenance items, e:g.., siding, windows,. etc., when the use is conforming and when no charge of use is proposed.. Instances where work oonolies with the above criteria, the :perm t cAn reviewed by the Building Inspector without referral to the Planning Director: v— APPROVED NOT APPROVED • Plan Commission Action Required Variance (s) Required REVIEWED BY: of / DATE: �� #1- 3 ? -4 $81z State n WISCONSIN UNIFORM Depaepa rtment ment of 767-CS Labors Human Industry, n Relations BUILDING PERMIT APPLICATION NO. Division of Safety 8 Buildings Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO. PERMIT REO ESTE .I�STRUCTURE ❑ HVAC ❑ ELEC ❑ PLUMBING Owner's Name :::::............................................. ......:::...................::: Mailing Address ,/ Telephone / / '4r Q`' rat 4)f 4 / ' e/ // � Contracto 's Name Mailing Address Telephone c f , 1 t e - C L 1' 7 3 (fl f ,e S : Z3 - A - 7 PROJECT LOCATION ' ' /., %, SECTION , T N, R E (or)W Building Address Subdivision Name Lot No Block No. II 3Se /2. 04, 3ag, D10t~, dtt-e3 Zoning District Lot Ara Front Rear , / Left Rig Te- t a Sq ft Setbacks f� ft. T ft S 7 -- ft ft. la..PROJECT 3. TYPE 6::.ELECTRICAL. 9: E HVAC.EO U I PME NT 1 2 . <ENE l ew ❑ Addition ❑ Raze et Single Family Entrance Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar ❑ Alteration ❑ Repair ❑ Move ❑ Two family Size: 2 O amp ❑ Radiant Baseboard or Panel s * ❑ Other ervice: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑Other . inderground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning * Dwellin unit will have 3 kilowatt or , > :GL`aAl AGE 4 OOH TYPE FOUNDATi0N ❑ Other more installed electric space heating equip. ,,�� to constructs. a0- Concrete 1O PLUt Infiltration control option is: ❑ Full sealing A ttached ❑Detached anufactured • Masonry Sewer of joints. ❑ Blower door test. El Exterior . .: AREA : ❑ Treated Wood 7 uniclpal air infiltration barrier. k200 ;5::.STORIES ❑ Other ❑ Septic 13 ;HEAT:LOSS (Calcuiaited) Basements Sq . ft . Permit No ���t9 Story . USA Envelope BTU /HR Living Area Sq. ft. p_Story 6 asonal !1 'WATER Infiltration BTU /HR Garage . c 17.7 f�, Sq. ft. ❑ Other PKtrmanent i Municipal Utility 'I4 :ESTIMATED COST ❑ Other • Private on -site Well • $ 'c o - a:') The applicant agrees to comply with the Wisconsin m Dwellin Code and othe,rM . ,. I Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal li-.'-xpres o inroli: •. of 'D ee: , ent or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT / j. DATE ' q CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocatii of this permit or other penalty. 9,. trot, e' 4 ' NLt 'T 1 p /tE G( � b r .. G`- r- ► ` 0 c. 46 !7 'r-o u 'GC P _C'tivr)S �/" e s if,* a I ♦ ( i aa :1.• uot • ❑TOWN ❑ VILLAGE ITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling :: "� .....:........: ❑STATE IN E ENDEN Ins ection Authority Location, if different JURISDICTION OF: Q- Z. Ze — - — — — S : PERMtlS) IWIS. Ul FORM PE tMIT pEq. T. �3. $Y 1 E.. SEAL10.. :: :toot... Plan Review 40 construction I' `/ ❑ HVAC NAME L t VI 1. A l: f.. L Inspection . . . . $ ❑ Electrical Wis. Permit Seal(s) $ ZO ❑ Plumbing DATE -! / �y Other TOTAL . , . $ 70 ❑ Other /_ 07/ D CERT. NO. J � SBD 5823 (R. 04/87) � — WHITE — Issuing Jurisdiction (S1 YELLOW —DILHR GREEN — Inspector PINK — Owner /Agent /9! i — — t4. — e.. _ -tea 1 ,b,z4 _i., t,,,,.",e„.,,,,;.$____, 0 ' ...,„