HomeMy WebLinkAboutBuilding CITY OF OSHKOSH No 1
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING S FLOOD PLAT HEIGHT ) 9
ADDRESS /6 < <,.3 e O`l'Lc f ' ff P.40 PLAN NO. f113 v 7 k--
OWNER 0v I 41"M 'S (43 Ivt t 3
DESIGNER f� 16 /+ USE /NATURE OF WORK _ am 5 I_ _ C9„
BUILDING CONTRACTOR ®CAJ - r r j � , �
Size Sq. Ft. P10 Cn'1O 0 # Rooms (bf Stories a- Height
Foundation „e Class of Const. e Occupancy Permit e
HEATING CONTRACTOR - - o..t ---
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR C..? 14,%_ r 6-"-Ti a
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR c � 4 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 $ alit %) /
P/i Fee Paid $ Z. *. r) Park Dedication $ roc)
ISSUED BY rei. // Date ` - 7 Final /O.P. 7" c& 8 -89
In the performance of this wor .. - - i perform all work pursuant to rules governing the described construction.
SIGNATURE ' _ _ \■ _ Allillip. -
ilkill A OWNER p
N
ADDRESS \cc��'
." \ ,� � e Lill- 1�''\
TELEPHONE
42. _N
State of Wisconsin
Department of Industry, WISCONSIN UNIFORM
Labor a Human Relations BUILDING PERMIT APPLICATION NO. ( X9.
Division of Safety & Buildings
Box Madison, Mad n, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 See Ins Lions on back of pink copy) PARCEL NO.
PERMI RE# UESTE <:> <:<: «:> : ► �
: .::::.:........:..:.::::.::.::. ► STRUCTURE ❑ HVAC ❑ ELEC PLUMBING
Owner's Name Mailin. Address Telephone
A r tv -r Re r A7 ?-- 7 t'0 e i � tip //( -� — (P 7,3
Contractor's/lame l Mailing Address Telephone
a t 9-0-4--(‘ 1111 fl hie 't ..-S flit e---
;PROJ LOCATION
%, ''/4, SECTION , T N, R E (or)W
Building Address Subdivision Name Lot No.` Block No.
/ h - -s/ eVer"bt (/ /G" ZeC 7
ng District Lot Area Front Rear Left Right
R1 / D ztY0 Sq ft. Setbacks �'O ft. !e (.- 7,..S' ft. t 7_ r ft. /(e 7� ft.
is 'PROJEGT> :T:YPE : ! li ELECTRICAL E HVAC E C IIPMENT i2 ENERGY SOURCEE's
w ❑ Addition ❑ Raz- 1 ngle Family Entrance Panel orced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar
e
Alteration ❑ Repair ❑ Move ❑ Two family Size: et amp NI Radiant Baseboard or Panel ° ` *
❑ Other Serv• e: ❑ Heat Pump Space Htg. 11 ❑ ❑ ❑ ❑ ❑
❑ Other It: nderground El Boiler Water Htg. LI] ❑ ❑ ❑ ❑ ❑
❑ Overhead Ia entral Air Conditioning
fib GARAGE : 4 CANT TYPE 7 : FOUNDATIt'ON ■ •they
we m , unit will ave 3 kilowatt or
more installs• electric space heating equip.
ached ❑Detached �* econstructe. Ii .ncrete 10 PLUMBING :: Infiltration control option is ['Full sealing
❑ Manufactured • asonry ewer of joints. ❑Blower door test. 0 Exterior
❑ Treated Wood L . • ipal air infiltration barrier.
die? s ft. S STORIES ❑ • Other ■ split 13: HEAT: LOSS Calculated}
Basements / 49 Permit No
Z� S ❑ 1 -Story Envelope 3 ^J � f 8'0x7 BTU /HR
Living Area Sq. 0 ory ❑ S Infiltration -sonal ifi h1AT R < Infiltratio
�" DZO 0 BTU /HR
.
• Other c•ermanent �!
Garage Sq. ft. unicipal Utility ' : ES` C IMATED;COST . .
❑ Other • Private on -site Well
$ /ZSo ®
The applicant agrees to comply with the Wisconsin Unifor P weIIing C. •e and other Municipal Ordinances and with the conditions of this permit; understands
that the issuance of the permit creates no lega liability, ex. ess or impll d, on the Department or Municipality; and certifies that all the above information is
accurate.
SIGNATURE OF APPLICA ‘ (�
_ _ - _ DATE 1 I p
CONDITIONS OF APPROVAL This permit is iss ? 't1� ua nt to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalt . f 8
., - • - - . .. t .. , .1. . , . _ [ b � x i — A
t a s i c` . yp
Kra YZ°GK t\ L(A..,YJ y J if
;:A W ❑ TOWN ❑VILLAGE ITY 0 COUNTY Municipality Number of Municipality Number of Dwelling
El STATE ❑ I E N i , - Inspection Authority Location, if different
JURISDICTION /�� iiiiiig:::::::::::::2:::::::::::::::::::::::::::::::::::::::::::::::!:::::::::::::::::2::::::::::: BERtM s): WIS(: UNPFORM P.RIf$IT iiiii St: 8 Y
FS <:... SEAL P10
. f '� Construction
Plan Review . . . $ `' HVAC f
Inspection . . . . $ NAME 4(,1 t4 �rc fit. N 0
r ❑ Electrical
Wis. Permit Seal(s) $ ❑ Plumbing DATE 3 f '— 7
Other TOTAL . , , $ = ❑Other 6 ! �/ CERT. NO. ( -Y n
SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction 6F as
GREEN — Inspector PINK — Owner /Agent
=TM/LAND USE COMPLIANCZ C RECFCf.IST
I. COAL
Building Permit I Zoning Conforming Non-Conforming
Job Location rl 4Z R r venvt / ( r Lot Dimesssion
Pity Cwn er rt,,-f five p fe r- Lot Area
II. CCTICN DATA , !J _ °��
Describe work: . F a.)/ All--- /' ,, ?-9 x �/,
l
NEW OCNsrROaTaN ADDITION AL'DiATICN
__Accessory Building — Pool 11' 1ikigle• Family
. Fence Deck/Patio _ Two - Family
Boathouse _ Sign _ Mniti- Family
Utility Structure _ Porch Commercial
Otter OceciAl _ Meru factsitW
III. COMPLIANCE CHECKS
Complies Deficient Defici erg J /Qoucents
Use
✓! _ Lot nth
Lot Area
'� Floodplain .
=� _ • Front Yard
Rear Yard
_ Side Ya=m (R)
_. Side Yard (L)
.72
• Parking
./ Building Area
.✓ Lot Area per Family
42/1 • Ooxner Lot
'`` ._ Other (spay) / .e V f _
IV. REVIEW At7 RITY •
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, wi: owa,-
' etc., when the use is conforming and when no change of use is proposed.
Instances where work complies with the above criterri.a, the permit Om be reviewed
by the Building Inspector without referral to the Planning Director.
APPROVED NOT APPROVED
Plan Commission Action Required
Peo7
Variances)
REVIE� BY: / II _ j 7
fi SALES OFFICES
PLANT eXicore Phone W isco n sin
500 5. Park Avenue Beloit, Wisconsin
South Beloit, 111, 61080 PRECAST CONCRETE FLOOR & ROOF Phone 815 ' 399
Phone 815 - 389`2277 Madisan, Wisconsin
Phone 608 - 838 -8849
MID- STATES CONCRETE PRODUCTS CO. Milwaukee, Wisconsin
Phone 414 - 962 -7812
Rockford, Illinois
Phone 815 - 398 - 0383
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2ATE /-- a c ` 0
NAME ./ 4 ,1 ADDRESS 6.72. % t- -'�i� !) _
LOT 7 BLOCK WARD
SUBDIV. : //1,....p4 yy ZONE
STREET NO. / � ..1 / i v&-/' /1 / / /LOT DIMENSIONS SO Xi 4 6 SIDEWALK EXISTING YES r NOVA
BUILDING GRADE ELEVATIONS STAKES SET AT SITE //3/ ,198 BY K /J
FEE: $15.00
(::;;: .../
DEPARTMENT OF PUBLIC WORK
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
d • . 99
k
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address /a i t er wi �l
Owner's Name C {r
OrV (� s
Name of Subdivision Litot-- p 41
Lot # ? Bldg. Permit # (2‘07
• No. of Units l
Fee Required /00
Fee Paid / r-
Owner's signature " \ Date
Inspector's si gnature I aIra Date � ( y - y
• Parks Subdivision
Improvement
Accts. Rec.: 362 -041