HomeMy WebLinkAbout1987-Building (foundation only) CITY OF OSHKOSH N°_ 06158
PERMIT - APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING I — FLOOD PLAIN HEIGHT 44'1
ADDRESS / (Q 70 t‘ 0 e r' /'ti f / t PLAN NO.
OWNER EIt 0.,v wL...- .?i r r- -'�
DESIGNER p -
USE /NATURE OF WORK c-1._3 S t:: it t.� 4g-,------ r Z� X I/
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CO tlz 1 kpo-C Cot /2k
BUILDING CONTRACTOR d 'er—
Size --dT Sq. Ft. # Rooms # Stories Height
Foundation �r e 9 r- P Class of Const. 8 Occupancy Permit
HEATING CONTRACTOR __
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
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 i //.�i.v a� Al - / ¢� -
$ P� / ee Paid $ � � Park Dedication $
ISSUED BY tie . . WWI ii Date /7 S e 7 Final /O.P. 3 -2 -8R
7
In the performance of this work I agree to •erform all work purs ant to rules governing the described construction.
SIGNATURE 9 //' i--5
l
NT /OWNER DATE
ADDRESS v /
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a
TELEPHONE #
ONE & TWO- FAMILY DWELLING Permit No.: �Q / �B
PERMIT TO START CONSTRUCTION
Date:
FEE $ 30 IN ADDITION TO PLAN EXAMINATION /INSPECTION FEES
OWNER STREET & NO.
G-_,)--0.11 Na �. v.s e k � I CO7 Lp ct--1 3 -
ClI ( p STATE & ZIP TEl ,SHONE / // //�/
U 'K--1� s �/ \ Al „` .`" Y P o / c-(5 3 ! V
DWELLING LOCATION STREET & NO.
/6270 ?a t' „, err' git i i ( le .?
CITY /TOWN COUNTY
0. 3e o �4 IV r � 4'hfr1 K V L ana
AGENCY (BUILDER, ARCH. OR NGR.) STREET & NO.
CIT r STATE & ZIP TELEPHONE
62 k O S Air" -S it) / I 3,S -J /6
I, the undersigned, request to begin footing and foundation work prior to the approval of the plans and issuance of the
UNIFORM BUILDING PERMIT per Ind 20.09(5)(b)2.
I have reviewed the specific code requirements of the Wisconsin Uniform Dwelling Code, Chapters Ind 20, Ind 21, Ind
22, Ind 23, Ind 24 and Ind 25, as applicable and have shown compliance on the drawings.
I agree to make any change required after the plans have been reviewed and to remove or replace all noncode complying
parts of the footing and /or foundations.
I agree to proceed with the footing and foundations only and will not continue with the remainder of the dwelling until
approval and a BUILDING PERMIT has been issued.
I also understand that prior to the start of any construction, a zoning permit and a domestic septic permit has been
obtained form the local authorities having jurisdiction in accordance with their laws and ordinances.
NOTE: Complete building plans are needed for issuance O A 'AGENT SIGNATURE
of this permit. Footing and foundation plans submitted / C.--- �(
prior to final plans will not be accepted for issuance of u
this permit. DATE
UNIFORM BUILDING PERMIT APPLICATION NO.:
ZONING PERMIT NO.• SEPTIC PERMIT NO.•
AUTHORITYHAVIN JURISDI• ION: , / /
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OFFICIA / /� TITLE
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M. . -, � /Li .wit. /�& Ll / � /�� - e , •
ISSUED D E FEES RECEIVED PATE
f / -�.- // - 87 Zn /1"
NOT ISSUED BECAUSE:
DILHR SBD -6072 (R.10/80) `
ISSUING JURISDICTION
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