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Home My WebLink AboutBuilding /10 CITY OF OSHKOSH N °- 42435 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /l / - t .so e-C' /7 PLAN NO-3 -/ 7P / OWNER c CL fa h i y DESIGNER USE/NATURE OF WORK Aloe . cJ --Cr-- f._ BUILDING CONTRACTOR /6, X a r`l°S ( 1 Li C - Ch CA Size- N Sq. Ft A SS Roo ft # ms �" 3j2 � �j /J rr 6 # Stories Height r � Foundation /`ru.S 12 /LW Class of Const. 6 Occupancy Permit HEATING CONTRACTOR ` 4A Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR C (' $4, Electric Serv. New p Change ❑ Tetnp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR f‘Ivi S ______BT _ WH _ Disp _ WSoft _ CBasin _Lay Sh DW DF — San. Sewer _WC _ FDr _SP _Ur _Storm Sewer — Sink _ LTub _Eject _SS _Water Other FEES: Valuatio • $ m 1.4040 e e it Fee Paid $ c�`d �// ��/ Park Dedication $ /d0 ISSUED BY .- Date Final /O.P. In the performance o his work I agree to perform all work pursuant to rules governing the described construction. &i.i � i a SIGNATURE d � �/' AGENT /OWNER A TE ADDRESS IY f�V _ --. illi 4e ?3 o TELEPHONE • ZONI ND USE COMPLIANCE CHECKLIST JOB LOCATION: WC.A"Prt i I 1 l ,OC�.(k ZONING t s-/ PROPERTY OWNER/CONTRACTOR: Q.,Cti f1 LAth Cl CONSTRUCTION DATA: )( New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, park' g lot, sign, etc.) U ()C2. t.1 4 , - , & ---(Qc Q. _, 1 COMPLIANCE CHECKLIST ^ _? �� E 7 57 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 CCU ic) / /-- Compliance with P.C. or .f 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) Requ ,„ REVIEWED BY (6 <—' �`i 1 DATE: 51? . 1 Wisconsin Department of Industry, WISCI5ON UNIFORM BUILDING Application No. Labor and Human Relations PERMIT APPLICATION Safety and Buildings Division P.O. Box 7969 (See instructions on back of pi nk copy) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency Wicunt Stdtutes 101.61101.73 programs [privacy Law, s. 15.04 (1) (m)1. PERMIT o EgvgAnDig::: 0 Constr 0 HVAC 0 Elec 0 Plbg 0 Erosion 0 Other: Owner Mailing Address Telephone No. ' r. y i Cek ; /4, I 1 a C kt ce-s- ' i/e.. 14_, (I 13 - 3 - 6420 Contractor's Ndme: M Con 0 Elec. 0 H VAC 0 Plbg Lic/Cert # Mailing Address Telephone No. il , , v ,, Z - CY` I. 8 „.. eit ) DtP". Contractor's Name: 9 Con VI Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. C/.. 11 ;it„t- j 1 11 y C-4 . Rct. cA ' H/1?) ;3 1 - 15 - 1r 0 Et 44 Contractors p a e: Con 0 Elec HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. i f c...+10,.._ 112 C _ei-r-y Si efir )337 0 Y Contractor's yame: 01 0 j Elec 0 HVAC RI Plbg Lic/Cert # Mailing Address z ., i i / f ..., Telephgne No. ,14, vfr‘te. v,....... Of ) 73 #RCOECTIOCATIONa: Z1 Lot re -,....,,-- 7 /0 Sq. ft. • 1/4, 1/4, Section , T N, R E (or) W . . . 131V ing i Addres4, ) /60if A ifrcp IL Rci Sub Name h ' Wel' hl. i'. U L? rsJ0. Block No. Zoning District(s) Zoning Permit No. Front i Rear Left Right Setbacks ft_ ft. ft. ft. 14101ECTi:i:::::::.:::::i:::::::::g.i:::.::]:i:Mi:i:::g:::i:::i.' i3::::::i0CCUPAtferi!:il'V.ietECIIKM:::0 i::SgfIVACIQUk.Pliilitirt:::::::::: .: ig] New 0 Repair IN Single Family Entrance Panel 0 Forced Air Furnace Nat L. P. Oil Elec. Solid Solar 0 Altefation 0 Raze 101 Two Family Size: aft' _ amp gl Radiant Baseboard or Panel Fuel Gas * 0 Addition 0 Move El Garage Service: 0 Heat Pump Space Htg XI 0 0 0 0 0 0 Other (print): .0g Underground 0 Boiler 0 Overhead D Central Air Conditioning Water Htg rif 0 0 0 _ 0 0 0 Other *:0 STi TYPEI::::7t104010AT 0 Other *0 Dwelling unit will have 3 kilowatt or : :IOIC more installed electric space heating equip. [ffl Site Constructed ti3 Concrete •," -,,,...„,..... •,...,......,:-..-........ Infiltration control option is 0 Full sealing 1; 0 Manufactured 0 Masonry - -------- --- ..........:...„...............,.....„ .... .,.,.,. 0 Treated Wood Sewer of joints. 0 Blower door test. D Exterior air infiltration barrier. Unfinished BasementUEq. ft. :i&::i:STORIES:::::::.:;;:;:;:::;:;:.:; ,7 0 . 0ther (0 Municipal II:'iiHEATIOSSileakiiiiaidY A 3 ing 1-- 711- stor !.: ...................................................................... ° Permit N o . Envelope 5q Living rea 1 grn Sq. ft. 0 2_stofy BTU/HR 9 Seasonal . . . ... . ... ..... .. . , ..... , .......... ...........,.......„..... ....... JPermanent ifts-4:iWATERM.M.: Infiltration 3 , o BTU/HR Garage '37,4 sq ft 0 Other D Other M Municipal Utility ::14OPT411:6141:4NdeOW:iii!:::ININ 0 Plus Basement 0 Private On-Site Well $ /73 - 000, '— 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, expres yr implied, on the Department or unicipalit ; nd certifies that all the above informat n is a urate. APPLICANT'S SIGNATURE iii ,, K / ft i DATE SIGNED JP APPROVAL CONDITIONS T e n v i s c p a e t r : n it o i s i ., i se m u rs n I : n conditions. Failure to comply may result in suspension or i e ..:K Li ( x-o f- ;...‹ t-u frt_ tout. e— ...m-i-c„) v-s T.re _r rost e-a -n ) ( :.: i,,,py! a4i 0 lnillli 0 Town Village , 0 County 0 State of Municipality Number of Dwelling Location: F.Tv...„ JURISDICTIO G 7 e. - z— 6 • e... ,iiiiiiiii.::::::i:::::::::::i:::::::::::::Bifi:i:::::§:::::::::::::::::e:::p:::;::::::::::::::::::i :::g1::::::::PERMITO)::::1::::i.VVISil::LINIFORMPERNP: ASSUM::::::::::4:::::::;::: ::::SEAL.NO:::::::::::.::::::::i:::::.ii§::::ig::::::::::::ii:::::::::=77VIT:I%:ti:::::::i§:::::iiiiiii.iiii.:::!::::::tfi::::::::::$.:::::Mit:::::::::Bii.::::ii:1:::::::::iiiiii!:::::::::::::: Plan Review $ 40 - „ItC(Snstruction Inspection $ 0 HVAC Name 1144.t. At_ keicc Wis. Permit Seal $ 'XV 0 Electrical Other $ --- 0 Plumbing Date I 073 f/9 t Total $ 70 0 Erosion 0 1S-dill-Si Cert. No. 01 /..TIC:2 . , SBD-5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent - City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /t, C( m pt1 �`/ Owner's Name ; 11 Name of Subdivision )2!A,144; l21 Lot # 0 Bldg. Permit # 2 -LA No. of Units / Fee Required A9 c7 Fee Paid o O Owner's si nature , 1 9 �� , C Date Inspector's signature iiIIMINNIr Date > A f9 11 ' Parks Subdivision Improvement rccts. Rec.: 362 -1-14 GATE / "7 NAME h LC Cg-< Z ACDR ESS LOT 0 BLOCK `.----- , . SUBDIV. v N,,.,st -- rdFtl? ZONE STREET N0. /‘�� / LOT DIMENSIONS SIDEWALK EXISTING YES D NO El-- / BUILDING GRADE ELEVATIONS STAKES SET AT SITE 'vZi r, / , 19 9Y FEE; $15.00 ,/,-1--A,c7-2--- /r /// 0 PARTMENT OF R.J2LIC WCRKS I, the undersigned, owner or agent of the above described property agree ro have the grade estaoiished before excavation has commenced. /1.-__ d:143.11 4,79/4 In q) i� o k I Cam - -, � I l r, f� 7 1 i