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HomeMy WebLinkAbout0002132-Building CITY OF OSHKOSH No 02132 PERMIT — APPLICATION AND RECORD TYPE: BLDG ,'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING R FLOOD PLAIN HEIGHT' ADDRESS oC P GO (AJ K.Y 2.--r PLAN NO. A - a - I f 86 OWNER OF- T( erzA L. TE 1 1 t t6 . L q Q2-CL. kve_.- DESIGNER 40S40 k A SE /NATURE OF WORK ('� L �ti E * t 4---S L ii l I) ♦ - _ .0 s E ( r f . T AC 1-4 FP (SQ,PA BUILDING CONTRACTOR GtZi(TT (47N1--- Mr r---- Size --' X GO Sq. Ft. I41 # Rooms 4-aV2 (TES # ories 1 Height L Foundation c� 11 1 JI A .t OZ JR`0- C Class of Const. Occupancy Permit (.0U /I?MY) ;Jr HEATING CONTRACTOR ( Qt) fJ Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR a_MA. I tjcbS Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR l 1 - }ATEP-S BT WH Disp WSoft CBasin _Lax/ _ Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuati in . 0 G 4 . Permit Fee Paid 14o c7 C) t / $ P ark Dedication $ ISSUED BY ,) --..: Date ii- 20 -$ C. Final /O.P. C - M . 4 In the performance of this rk I agree to perform II pursu o rules governing the described construction. SIGNAT E � // " / AGENT /OWNER DA . . ADDRESS ! r /v /:= `Y/ Y Y . 37z6 TELEPHONE # State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor & Human Relations / ?Q Division of Safety & Buildings BUILDING PERMIT APPLICATION NO. Madison, WI 53707 APPLICATION Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. ,,ATRUCTURE ❑HVAC ❑ELEC ❑PLUMBING O is Name Mailing Address Tele one br RU TT t�tza.L s - •w - Te 11 i S E' tl cA..( v - (4 14) a3 39.2-0 Co ractor's Name Mailing Address Teleph e cbEek,5+ i -r t_._ Es� L c t s E.1JEc iYon AVE- C4(4�) c 3 c -39 'Q-'° ir . . ` .. . '% Y4, SECTION , T N, R, E(or)W _ Build"ng Address Subdivision Name Lot No. Block No. a GO (_.&J rL.p o,J eir,a—T SS.AootTL k/sr kv 730 ...... Zonin istnct Lot Area Front Rear Left Right T? Z °) 00 a -f^ Sq. f Setback S ft. i f t, ZI ft. 0 ft. New ❑Addition ❑Raze Single Family Entr nce Panel ❑ Forced Air Furnace Fuel Space Htq. Water Htg. ❑Alteration ❑Repair ❑Move ❑Two Family Siz amp ❑ Radiant Baseboard or Panel LP Gas ❑ Other ❑Other Se vice: ❑ Heat Pump Nat. Gas ❑ ❑ 0 J nderground � ❑Boiler Fuel Oil ❑ ❑ ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ s , re ry sa ❑ Other Wood ❑ ❑ ttached ❑Detached ❑ ite constructed I concrete € Solar ❑ ❑ - b n Manufactured ❑Masonry ewer Coal ❑ ❑ ,° �q t r ❑Treated Wood •! unicipal Other ■ 4 18 Et:; ❑Other ❑Septic Basements Sq . ft , � �s * [ o......1-Story Permit No. Envelope CO BTU /HR Living Area 1418 Sq. ft. 02 -Stor Infiltration lR d% • BTU /HR ❑Other ❑ easonal Garage 1 3 r.� ' ermanent 9 Sq, ft. ❑Private -on -site Well i a� ❑Other unicipal Utility The applicant agrees to comply with the Wisconsin Uniform • •elling Code and • her Ipal Or�,•ances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, - •ress oiiyplie•, 7 s••artmer r Municipality; and certifies that all the above information is accurate. � ` SIGNATURE OF APPLICA ...// DATE r CONDITIONS OF APPROVAL This permit is issued pursuant to the„kiw conditions. Failure to compl may result in suspension or revoca- tion of this permit or other penalt . TO OWN ❑VILLAGE ITY ❑COUNTY Municipality Number Municipality Number of Dwelling ❑STATE [ vDEPENDENT Location, if different SDICT oF: l K - 4/ 7 0 �o -- -- — FEES: PE l WIS. UNIF 1R M penmiT PER LIT ISSUED BY: t VV L 14 �T[,� 0E0 SEAL NO. a,, Plan Review /f .. $ � onstruction 't )VA ❑HVAC Inspection $ NAME ❑ Electrical Wis. Permit Sealls) ... $ 3v ❑Plumbing DATE t - ( `*'7 ,. 0- Other _ ❑Other 43 c1 ; 084 TOTAL ... • le $.41.2__ �j CERT. NO. \ DILHRSBD 5823 (R. 11/84) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address ca � J t v� EC -b0^3 U Owner's Name C5%2tLt 'T OEAC, Name of Subdivision /f s (I-L4V -- ,C- At IT7 o' ) Lot # -73 '0 Bldg. Permit 1 ©a / 3 —' No. of Units d NFL Fee Required Fee Paid -1 /C° "O Owner's signctu, % - �.� . Date / Inspector's signature 4 1111' , L....: Date ///- ` 4, Parks Subdivision Improvement Accts. Rec.: 362 -041 DATE /0/ C1 C, NAM � F1i2 f 1 4f) L ( /rc-� ADDRESS ///C C; Lc) I o(e- -* 4VE- - LOT 73 d BLOCK WARD / - ? - SUBDI V. 5 4 ". f- -f A° ' ZO "� s ZONE STREET NO. 0)1 3 We. /o/- o C 7: LOT DIMENSIONS 1 i v :, 4V SIDEWALK EXISTING YES NOS BUILDING GRADE ELEVATIONS STAKES SET AT SITE /C 9 ,19 86 BY/ ' a ' FEE: $10.00%4101 g,,, �i ��ax /tom DEPARTMENT OF PUBLIC WORKS' 1, the undersigned, owner or agent of the above described pr...�rty agree to ha - the grade established before a cavation has commenced. 3 tf q - /.... 472-7)43 Z ONING /LAND USE COMPLIANCE CHECKLIST I. GOAL Building Permit # � / 3 zoning / (6 Conforming Non - Conforming Job Location a C,c LD Q,^1 ci 044 Lot Dimension Property Ovine JU i t. COL A-cr -- Lot Area II. • CONSTRUCTION DATA - Describe Work: t ° 4•J 1 u c iti A'`TT (/c.fec{.;eA C<N1X}-C _ , NEW CONSTRUCTION ADDITION ALTERATION _ Accessory Building Pool gle Family Fence _ Deck/Patio _ TWre- Family _ Boathouse _ Sign _ Multi - Family Utility Structure Porch Caur rcial Other (specify) _ Manufacturing III. COMPLIANCE CHECKS Complies Deficient Deficiency /Comments Use v _ Lot Width Lot Area _✓ _ Floodplain Front Yard Rear Yard _ Side Yard (R) ✓ Side Yard (L) Parking Building ding Area K Lot Area per Family Corner Lot Other (specify) — IV. REVIEW AUTHORITY The Planning Director, or appropriate designee, must 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 change of use is proposed. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Planning Director. APPROVED NOT APPROVED Plan Commission Action Required Variance(s) Required REVIEWED BY: 4— t / " DATE: e/U /8N. OWNER (1T �L ST4i a 1�.. ADDRESS , 2 Zl°O WELD() C12r ..L - PERMIT 0z 2 13 VSE F (� k ( jTT (Q L V t .Y& u �, � zfc cons is of 1�� � � � z GENERAL CONTRACTOR A TTA ( �-a /2, 13 /-rHS Ica MASON CONTRACTOR ZONE S S; (xD. DATE TNSPECTIONS FOOTING, V ...�..... k'OTN S LAB A _ BACKFIL. C � ,....,...._ ; STRUCTURE A ENERGY 5 1 -1 -4 g1 TEi OP k- -V FINAL / OP 3 - 87 4 ();(..,& 4,-- 414(z A47-, M O K. ' 1 c — Pr-4 cot e rIft- 04CO .54 - l_y •