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HomeMy WebLinkAbout0036897-Building /10 CITY OF OSHKOSH N2 36897 PERMIT - APPLICATION AND RECORD TYPE: BLDG IM HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS Sl b O T)CliFlEL M .1E- PLAN NO. r_ 1 - ilSili193 R OWNER elkla2eT A.Nbs C ��i V.}k clk DESIGNER USE /NATURE OF WORK Ma S 1.16,E k UJ I% , QT; rkeb 64216E. BUILDING CONTRACTOR e(�'EZ 4 - # Rooms . ? kk , l Size Sq. Ft. f l .6 # Stories �1 r' Height a Foundation atz Class of Const. 8 Occupancy Permit___ __ HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Co fY\ m i t■\G Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ` V. - 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 $ -411 Permit Fee Paid $ 1 CD1 4 °b Park Dedication $ 1C0. ISSUED BY . i - _ Date < < j Y, 43 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7/--� /� AGENT /OWNER TE ADDRESS TELEPHONE # ifri- igs /193 e Wisconsin Department of Industry, WISCONSIN UNIFO M Application No. Labor Human Relations BUILDING PERMIT �� 89 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) R rtit `.. TESi :'' • < T ' i onstr HVAC El PIb rosion Other: Owner's Name Mailing Address Telephone No. (include area code) 6x %� yea 4 �im e �7& t]J J►nc,,, 44.s 0 Contractor's Name Mailing Address Telephone No. (include area code) 1 . i cc f e it :i:: Lot Area . >: ><.ri .:�! : ':. D : : :: : Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivision Name Lot No. Block No. I D? EE ia_v) z ' 'e.. (J ilk i . i2��14 ) aa� Air Zoning District(s) Zoning Permit No. Fro Rear Left Right Setbacks mT 15� ft r . � � ft . 1 1 ft. / / ft. W ■: ew ❑ Repair ! Ingle Family Entrance Panel • 1i orced Air Furnace F Nat. L. P. Oil Elec. Solid Solar ❑ Alteration ❑ Raze ❑ Two Family Size: / O Oamp ❑ Radiant Baseboard or Panel Gas ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg ❑ ❑ ❑ ❑ ❑Other (print): underground ❑Boiler ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑Other ❑ Other * ❑ Dwelling unit will have 3 kilowatt or ` "�' y`'' more insta electric s ace heatin a ui . ite Constructed oncrete �•• •••� • � P 9 q P :`1 <I .' MBINk ? >E >» ' >z » >F #E >s Infiltration control option i :: ❑Manufactured ❑Mn ••••�•�'� �� � �•� � ���������������•��•��• � opt o s. ❑Full sealing '• ""' :. ❑ Treated asory Wood of joints. ❑ Blower door test. ❑ Exterior air infiltr ti n ..., ;. ;.;;..;...;:.;;;:.:;:•:•:• a o barrier. Unfinished Basement 7 Sq. ft. ° t ::' ' ...•:.' : <: »> %`• » %'� ❑Other urncipal Se tic : ;. : ::::::..::::.;..:..::,,:,'.: nn / Sq. ft. ❑ ❑ Story I'•:iI*:.: ' ::'E » >'''•. Permit No. Living Area 1 2_ ry ❑ Se onal rt Envelope / Y 096 BTU /HR :.It ....: A' • :: • . iiiiitii :: '''''' 'r Infiltration ther er manent ...:: �` ���; ` i . � ::::: I7 64/5 BTU /HR Garage / `(J Sq. ft. unici al Utility P ❑Other Y ?�.: �S�� RAIN�ip. ��O', i� . >; ;;:� lus Basement ❑ Private On -Site Well $ Lir oar 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 Dep me t or municipality; and certifies that all the above information 's accurate. APPLICANT'S SIGNATURE DATE SIGNED r/ Zd/ APPROVAL CONDITIONS This permit is issuld pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. i0) rn/r 77ev.ss 7R *;S. 2. .i:2(G -- R icax..) meAs .92 - c2 p y (..), TA/ / u 1/Z Z1- / Z r; Town Village it a ❑ e n ❑ County State of: 9 e o ❑ Municipality ❑ N m Y u r f beoDwlli e n L ocati n: �4 o ii�:irF: <:�: iiii: �..,':a ? ?. `'c'c 3 it # > � < JURISDICTIO - 2 6 USX - ........ ............... .................. ii ..... . .. . . . . � � .: ;i : >i >i i::;;; { :i ii::. ...................... .K.................... . ..... ............................. . . . ............................ ............................ J ...........:..:.�.:� ,,.::::..:::::: ;:.....: i ::.::.::.>:.....: iii:::: ii<:;:::: :::.. iiiii:;: : :: i;}: fi:;:: `;; }: :;:i: Plan Review $ 1/� 6 / C4 Name ��� Inspection $ e0 []HVAC Wis. Permit Seal $ 3 ❑ Electrical 7 3 Other $ ❑ Plumbing Date $ rosion )3�Q` Total ❑ / o / Cert. No. � SBD -5823 (R. 07/92)) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent ' - ‹ Org ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: _)/ (� " LD D4 ZONING / PROPERTY OWNER/CONTRACTOR: CN C)e CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) _Nau -- r"))/(- sk czy2)(1 COMPLIANCE CHECKLIST , </2F6 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. C./ APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: "�--. f DATE: //! 0/ i i • i 1 j 1 1 . • I . • • i , � w I 1 1 1 I II 1I i 1 , I B I j I I j l` I z � I j i i ' ..., i V I I \1 � • 3 1 11 • 5 i i 1 N i . t i Q 1 \� ice\ I i ( 1 i i • 111 1 1 ! IJ , i 1 I i , 1 S Q c • , 1 I I I ,_y C.1 I 1 1 �11. i ;I , I , r . ■ i t , 1.; ' , i , . � z 1 I II i i I{ i i ! , • I t. I1+- i I i • ' , r I I i , ; , ! • i 1 a I ,�.i 1 ' I l ` , , : , • • : ' • I I I >. 1 c 1( I i I; i w +. J i , i I, I . 1 1� w ' 1 1 I I I 1. 1• I! 1 1 I I • w • ' 1 j�'Z f ' !ft ^ ' w 41 r ,, • i I { 'I w, ice r w 1 ! • i I1 I 'i• " :W 11., 4 i 1 1 411) ■ Ij 1 1i , 11' 1 11 j� 1 . 1 1 i I i i 1 i l I, 1 ; ! ' i ` i i t ! I 1 1 j ` I I ' I 1 1 I I I + 1 ' 1 I I � , I 11'' I I I .I w i j I I ! II I � • w I ; ! 1 ! I j LY I 4 , • i I i 1 �il 1 } 1 I1, ! 1 j ! i I i ! ! I f. 1,: 1 , ! ,,, ! I i I 1 I 1 I I I i I i. 11 1 t , 1 i 1 1 ' 1 Ili I ii i I; \� I ' 'II j I I i > > /► • w • . I1I j 1 I �,; i• • I I I � i ,'. IG� 1 i l w ! e > , i I i J I, J t j 1 j > 49 i I C ' ' , w 1 1 t f.. ! i J 1 I' I �� I l i. i 1 i i! � . , ' II 1' 11I Ij11 ' • �' I ;I .I1 i �� 1... • 1• II}.. :• ; : ; II 1 ; i 1'':11 i i : 1 I • 1 1 I I I • ! I I 1 i ! • City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD II Address /()g E-Gz-LF)ez.bD! V6 Owner's Name G9W2E*1 /fob ascH Name of Subdivision t/? (_L r4Ee Lot # U 7' Bldg. Permit # 89 No. of Units Fee Required SO), Fee Paid le a C Owner's signature ► / Date f a /1-1 93 Inspector's signature ! 11110t %i Date 6� Parks Subdivision Improvement Accts. Rec.: 362 -041 CATE qui g/',3 NAME RV jC, c�1 S �R . ADDRESS LOT (y 9 BLOCK r. tAhD SU8DI V. i/1(.CA6e" E� ZONE STREET NO. 3 /of � LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO El BUILDING GRADE ELEVATIONS STAKES SET AT SITE HAS ,I9 93 BY Aen FEE: $15.00 ,/ / DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. - 7, , ,, p-6 &,,,&\,,, . 0,x'1836