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Home My WebLink AboutBuilding %) CITY OF OSHKOSH N° 18286 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG.k HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ Z O N I N G - ( FLOOD PLAIN HEIGHT ADDRESS Pa 67 --L - - i C? d'/ytr‘ PLAN NO. 04 '- , OWNER _ c., / i' fit t ---- DESIGNER n USE /NATURE OF WORK /lJ Q' -c-c.) Sl w qZ 1" BUILDING CONTRACTOR `'v, -4- /' Siz rP Sq. Ft. / `� ' '` / 4,40. Rooms o ' "f Z'�� 4/ 4# Stories Height Foundation :::314 -CAR... Class of Const. v Occupancy Permit HEATING CONTRACTOR _ Z-C/ C Heat ❑ A/C ❑ Vent ❑ Fuel /System `Heat Loss BTU'S ELECTRIC CONTRACTOR 0 %-e /44-it-c -e• Electric Serv. New Change Te Type Volts Am ❑ 9 ❑ P ❑ YP Amps P 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: Valuation T. itsto > rmit Fee Paid $ 7 -- t :- 11) Park Dedication $ ISSUED BY ` i � i .N�i • Date ! Final /O.P. In the performa e of this wor agree to pe ••rm all work pursuant to rules governing the described construction. SIGNATURE \\ �!,� c'. \— ° Q ` - 1� I . ` `' ENT /0 DATE AD \ JO 1� ..A \ \ t DRESS . \ " Q " alC1 3 TELEPHON # Remised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: �� v 4r's ZONING: PROPERTY OWNER /CONTRACTOR: / t`cy ep ff CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence p ol, sign, deck, etc.) COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area a%l 7l Floodplain Front Yard it/f/t/ Side Street (fro yard) c,-- Rear Yard Side Yard (R) Side Yard. (L) e.—.- Parking Spaces L- Building Area Lot Area Per Family Corner Lot Landscaping Transitional Yard Off- Street Loading Vision Clearance Height r REVIEW AUTHORITY: C2' The Director of Community Development, or designee, must approve 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. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Director of Community Development, or designee. APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: II . �`,,�� DATE: '/ 2O 97 - tit State Department o f Ind WISCONSIN UNIFORM Department f Industry, / Labor & Human Relations BUILDING PERMIT APPLICATION NO. Division of Safety & Buildings Box 79 Madison, WI 53707 APPLICATION Wisconsin Statutes 101.63, 101.73 (See Instructions on back of pink copy) PARCEL NO. PERIMAIT REQ+ UESTEI TRUCTURE ❑ HVAC ELEC ❑ PLUMBING Owner's Narr,e Mailing Address Telephone c gm. e Contractor's Name Mailing Address Telephone PROJECT LOCATION %, '/a, SECTION , T N, R E (or)W Building Address Subdiv Name Lot No. Block No. A , - to c P. ft 1.A.-1- // (�,,9 t - < G l e c� r // %- 3 ' / / l / Zoning District Lot Area ...- Front Rear Left Right r( yy_ l 1"f �� Sq. ft Setbacks Z In / ft. 7 ft. ! � ft. (' ' ft. 1 a. PROJECT; 3 TYPE Ii. EtECTRIICAL f HVAC EQUHPMENT 13.: ENERGY SOURCE llNew ❑ Addition ❑ Raze -la§ingle Family Entran Panel 11<orced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar ❑Alteration El Repair 1=1 Move El Two family Size: amp l=1 Radiant Baseboard or Panel s * ❑ Other Sery e: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑ Other Jnderground ❑ Boiler Water Htg. OD ❑ El ❑ ❑ ❑ Overhead ❑ Central Air Conditioning lift. GARAGE ' 4 0ONST� TYPE 7 :FOUNDAT1OIN: ❑ Other * ❑ Dwelling unit will have 3 kilowatt or more installed electric space heating equip. (� �cIte constructed R - Concrete 10 :PLUMBINt ' Infiltration control option is ❑ Full sealing tt ❑ ached Detached y L� Masonry of joints. ❑ Blower door test. ❑ Exterior LJ M Sewe A anufactured air infiltration barrier. y ❑ Treated Wood = Municipal El Other I=1 Septic 13 : HEATiLOSS (Calculated} Basements /06, Z Sq. f SlIE'`> Permit No. 33 BTU /HR El 1-Story . E Envelope Living Area /73" S ft. S tory Seasonal 1 :11YATER. Infiltration ` I Z S BTU /HR Garage 4 L Sq. ft. ❑ Otherermanent ..lunicipal Utility 1$. ESTIMATED:COST ❑ Other p rivate on -site Well $ /© C O.— The applicant agrees to comply with the Wiscons Uniform Dw- • _ . - - and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal ability, expr ss or implied, ; the Department or Municipality; and certifies that all the above information is accurate. l h SIGNATURE OF APPLICAN ` �� `_ DATE � 1 - ' �/ CONDITIONS OF APPROVAL This permit is issue�lr.r rfFnt to the following conditions. Failure to comply may result in suspension or revocation of this per `'� - other penalty. Z t 9 b1,...rf * r i t.A.X-5 1>4-el■---._ P F e tJ ,' -c teY e e p'`f' -�S K9 ckc�F%aa�, c`G,! e4 .. n t . n . G...._ T� -& e2i� 042 -,4/ mil• Z ISSUING ID ❑VILLAGE ITY ❑COUNTY Munici Number of Municipality Number of Dwelling ❑STATE ❑ IND P ND�NT Ins Au Location, if different JURISDICTION OF cam, -e to itt_S PERM . . . . . . . ' I# U A E . . . PENM1 kHiII�IT 153tJt©i3i[• ©; EA ... _ .; . . . . _ . . .. " /� Construction ,( 4 QPN pection . . . . $ $ �tL El Electrical // Wis. Permit Seal(s) $ 3 ' Q ❑ Plumbing DATE / 'c ' a Other $ ❑ Other TOTAL . . . $ g■t .--"2: 7 r CERT. NO. 1 SBD5823( R. 04 /87) Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK —Owner /Agent W ' ea W G v • _ _ _ u g _ < • 4 — N !'7 H9 t0 , co Qf O ^ N CO et LA tD h CO CO N N N N N N N 4 cif !'H eh p p t f • • T _ 00 6'2 's z i s N T O • . +' O O co (A C) I— G • • __ /6 1 53.6 t is -c_ �'�S ` /35 § . 36. 1 a M 32 1 —i r 1 • Z r 4 v , 0 I 1 L 1 IS .S Pt 1)G.-12 / //;I/ RJ (-ot 3 r 1 City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address i'hO-S i,4 145-- 9k c( l/ CPc Owner's Name k e Name of Subdivision (Cc49 er r-tA_ � 1 Lot # ' ( Bldg. Permit # / No. of Units r Fee Required Fee Paid Owner's signature ‘Olik Date Inspector's signature (4 . _ ri Date ...9 Parks Subdivision Improvement Accts. Rec.: 362 -041 DATE T -/6 -0 NAME RUA 19-,thrt ADDRESS LOT BLOCK WARD l'- ZONE '— STREET NO. eO t LOT DIMENSIONS S X 13 %;!7 SIDEWALK EXISTING 'Q'`- �Y YES n NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4-- 11 , 1993 BY Ka FEE: $15.00 DE ARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of th- above described pro• -rty agree to have the grade established before excavation ha commenced. 41'7/2. � . 432 alktr-