HomeMy WebLinkAbout0041609-Building la
CITY OF OSHKOSH N!-41609
PERMIT -- APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS Q V/IL. aRT PLAN NO.F.-—/ I qqe
OWNER R_O__1_L• DEES
DESIGNER
r
USE /NATURE OF WORK 1 �� '1'Y1 /C 4 1 4 ',MI G1 .
BUILDING CONTRACTOR n LEGA 93 0/ C.[ R Q�
Size iift Sq. Ft. atoms # Rooms # Stories / Height V
Foundation /t a Class of Const. v Occupancy Permit
HEATING CONTRACTOR s ' / C ` AI
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR r
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR &Ti m T s
- 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 , 95 ,x. & O Permit Fee Paid $ G9v• ' P ark Dedication $ �� • 60
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ISSUED BY , QdL)�L�! Date 1 I « 1 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
OP / /
SIGNATURE ( 7^ 1F
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
Fa --\43 q'Icit-t'cR'
1 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
Wii Statytes 101.63. 101.73 programs [Privacy Law, s. 15.04 (1) (m)I.
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pagmffii.R.Egog$TgwEgfa.Constr rl HVAC 0 Elec El Plbg [1StErosion 0 Other:
0 Owner's Name - Mailing Address Telephone No.
Lc-GiNsx ?)t DR_ Fen 3 \ 2.71 CDS1-tVazG;k x V ( N. 51-n03 (RN) tketz, -0
Contractor's Name: 0 Con Ailec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
1, N1C.17-, .1.LECT ( /
Contractor's Name: 0 Con fl Elec B.1-1VAC 0 Plbg Lic/Cert # Mailing Address Telephone No.
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Contractor's Name: 0 Con 0 Elec 0 HVAC tg.Plbg Lic/Cert # Mailing Address ' Telephone No.
Contkactor's Name: '.Con D Elec D HVAC 9 Plbg Lic/Cert # Mailing Address Telephone No
. LE.61AcY 9 ? '-S'- ( /
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: rtOCAT ,....-......., : ,.. .:: ....- - ---,.. " , " ---- - -- .....- .:,.,..•,;,:,,: Lot Area
i: $ECION OMI
:::: ''': ) e).4Z1 Sq• ft• 1/4, 1/4, Section ,T N, R E (or) W
Building Address Subdivision Name Lot No. Block No. •
g?.9D Thu* clz.viv-r- \..ccri my_ibaxAJ.Noc,c ' 1
Zoning District(s) Zoning Permit No Front I Rear Left Right
Setbacks 411: ft- IG.5 ft. 1 -C2-- ft. 1 (4 ft.
ti:istROIKT::::i:::::::i:i:i:1::::::::::::;::::::::!::i::::::::::iii::::::;:.;:::ii:i:i:i:::::i'V.i0CPPAtkier::::7*::::::E4ECTIVOK::::::::::: g94:4VACEQUIPMENT::::::::;::::jni:iimartGyA000::::ii:::::::Rilii:i::::ni:::::::::::::.:::::::E
gNew . ' . ID Repair Single Family Entrance Panel Di Forced Air Furnace Nat. L. P. Oil Elec Solid Solar
- 0 Alteration 0 Raze EJ Two Family Size: 2C13 amp 0 Radiant Baseboard or Panel Fuel
Gas
0 Addition DMove ['Garage Service: - 0 Heat Pump
ace Ht A n ID o a a
0 Other (print): g Underground 0 Boiler
0 Overhead SCentral Air Conditioning Water Htg i El 9 0 0 0
0 Other
ry g Fawn N „, El Other m * . [ c ] .e Dwelling i n st a l l ed unit electric L uv will s
l I have ae heating c3 kilowatt e or equip
Wite Constructed E1.Concrete iilt::::144001104:ii:i.j1i::::::tii::::::::::::::::fiii:i Infiltration control option is: 0 Full g sealing
0 Manufactured 0 Masonry --- ---- • • • • - -.- of joints. El Blower door test. 0 Exterior
0 Treated Wood Sewer
I - 0.Municipal air infiltration barrier.
Unfinished Basement Sq. ft ::' --..: STORIES titiktEV ,..,:::::::;:::::::: . 00ther ..
1305;1101WWW:i::::::::::::!
S N
Living Area * 2,..01::::Z Sq. ft . Envelope "'/ 033 BTU/HR
0 2-Story . fl Seasonal
- 41 •Infiltration 2' 876 BTU/HR
fl other
Garage - 10 - 2 Sq. ft.
0 Other
IgMunicipal Utility iiiINESE.BUIEDO*COnEfingine
,:. •
Plus B.asement 0 Private On-Site Well
$-95
c-a skec4-
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, express or implied, on the Department or municipality; and certifies that all the above information is accurate.
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APPLICANT'S SIGNATURE e- P......-0 * V -Qc.___...Zi.,. DATE SIGNED Ck -Ck -CA
APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
1 A.Prl_ —.50/4. if4tSi CA) rne(.St.Y pe /um> .0.1,
se. f 1 ''''....? --■CW AJCS 01 7"C" ,,, 4 ■ 06, - n/ /A/ -- - et...-
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4 ) hveLuDE eA0z. . 5 7 atS oe 44
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JURISDICTION ISSUIN •:,, fl Town 0 Village XCity 0 County 0 State of: Municipality Number of Dwelling Location:
rtispicTioNto 04 2a -
FEES :.:::::::•:::•..,...::.:.:„.:,..:.:...,.:„..„.,:.:.,::::::::::,
PERMITS) :utufoR PERMIT
NEliiiturri"r::'itiuglft':::':::::Nati-v,mg:imi::::::::::::::mam:::.imum:::::::1:1E::
tssuevi :isEAL ii!:
Plan Review $ WO
K ectrical ovnZuction
Inspection $ Name
wis. Permit Seal $ (:) ID El -
Other $ kPlumbing Date 9 1 13 44
Total Erosion •
$ .
0 tHc . Cert. No L( (zOE?
SBD-5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent
IWEADDuo )1)6•E
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ] / QUA /C. 0)07E7 ZONING
PROPERTY OWNER/CONTRACTOR: C..c6 FO/ co
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
COMPLIANCE CHECKLIST Huse act -P2
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 I i DATE:
GATE 9/49/*/
NAME ZEG1C /2/WEE AOORESS
LOT /y `7 BLOCK W,U D
SUBOIV. MC/l :XL) 6 ZONE
STREET NO. .0 o (7JA(L 27 LOT DIMENSIONS
SIDEWALK EXISTING ll YES NO El
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 9/!3 ,I 4 3Y e"/
FEE; $15.00
DEPARTMENT OF PUBLIC WCRKS
I, the undersigned, owner or agent of the above described property agree to have the
grade estaaiished before excavation has commenced.
00170a7 aSic QV
( .4..c.------C)......--c-1.1L:e
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address 0.Q0 QUAIC
Owner's Name LE 1C: v 2C,1C•R/S
Name of Subdivision / r'FA ?iO&E
Lot # Bldg. Permit # yl 6 09
No. of Units
Fee Required 0 OD
Fee Paid `
Owner's � � / / Date -
0 s � � _. � 9 /5 -?
WI
Inspector's signature _ �, , P / � Date 9 / 3 1 Q7
Parks Subdivision
improvement
nccts. Rec.: 362 -04
09/21/1996 12:02 LEGACY BLDRS 06601377 P.02
t_ ' Z -9 -.3 81.134+ q).10
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09/21/1996 12:01 LEGACY BLDRS 06601377 P.01
LEGAIT
BUILDERS 1 C.
P.O, Box 3127, Oshkosh, Wisconsin 54903 • 414/426-0745
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FAX TRA SMITTAL
DATEt 1 .2.2 ( - -...
TO: SrAE r� I
FROM I / J /� /4M i " ..
RE: telJosif D z izo qt./A-J-4_ cot.' KT
pates including this over sheet
Plea:* call 426 -0745 if you have any questions.
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