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Home My WebLink About1988-Building CITY OF OSHKOSH N2 1 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING 1 ( FLOOD PLAIN HEIGHT /r-J ADDRESS / 4 1 7 12- 1 \ v e r' /'l'L 4 l ( d PLAN NO.t 15 k- - OWNER 0 1 fic, K+,1° _1 DESIGNER /� � USE /NATURE OF WORK /IJ . ) z r la- y di BUILDING CONTRACTOR D Cu e r p� ,�[� Si Sq. Ft 0 / � , Z # Rooms L Y -74 �l # Stories Height Z "aL (k 444 4ey / Foundation 7 - Class of Const. A Occupancy Permit HEATING CONTRACTOR 0 .pjcgcti Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR IAA - y v-...11. Electric Serv. New ❑ Change ❑ Temp J ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR Pik k 3 L. - BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer - WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation i y r • oo . Pe , / Fee / Fee Paid $ Park Dedication $ /DO ISSUED BY ozw.'w. ie% Date 1 1J 9 DSO Final /O.P. - In the performance of this work 1 a, - • •erform all work pursuant to rules governing the described construction. SIGNATURE .. _... VI- 16\ ' `- AGENT /OWNER DATE ADDRESS p _1? 7-3 TELEPHONE # :4 — I 'f k State of Wisconsin Department of Industry, WISCONSIN UNIFORM / Labor a Human Relations BUILDING PERMIT APPLICATION NO. /1 0 p 3 Division of Safety 8 Buildings Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO. PERMIT ESTED >: ❑ HVAC 1 TR T RE � ELEC ❑ PLUMBING S UC U Owner's Nme :.::.;;. ;;;:......:: // // ;;;: Mailing Address , Telephone (.. ` � A',o 14..t. �. 5 /‘ 2 ke` tt P 1-04 , `/ Ft Contractor's Name Mailing Address Telephone CI LA. t 1 ................................................................................ ............................... ................................................................................. ............................... ................................................................................ ............................... ................................................................................. ............................... ................................................................................ ............................... ................................................................................. ............................... :PROJECT OCA I A <><>; <; <>>; <; <;' :: '' /a, '/4, SECTION , T N, R E (or)W Building Address Subdivision Name Lot No. Block No. /67S pi 'e rilk J/ R�iler0.ta( 35_ onin District Lot Area Front Rear Left Right ( ( Z . O sc,. ft. Setbacks 3'o n. '7 7 n ft. 7,....5 ft. w :la. P .:TYPE :i . > ELE J.L . ' S. #: {VAC EO 12. ::< ER O E . NGYSURC Ci ❑ Addition : ❑ Raze- �tiingle Family Entrap � 42criced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar Alt eration ❑ Repair ❑ Move ❑ Two family Size: � amp ❑ Radiant Baseboard or Panel S * ❑ Other , �Serv�i e: ❑ Heat Pump Space Htg. ID ❑ ❑ ❑ El Other .L�kQnderground ❑ Boiler WaterHtg. ❑ ❑ ❑ ❑ ❑ El Overhead El Central Air Conditioning I � ❑ Other * ❑ Dwellin unit will have 3 kilowatt or 6 .k7t is : .. t tUt}A more installed electric space heating equip. tttccc�� COnStructed poets 10 <t LUMGIN I Infiltration control option is: El Full sealing ached ❑ Detached ❑Masonry Sewer of joints. ❑ Blower door test. ❑ Exterior Manufactured air infiltration barrier. '�. AflEA ii ❑ Treated Wood unc pal ' 11 Septic 13 <:HEATLOSS Calculated Basements Sq. ft. i STORIES Permit No. .❑ 1 8 USE Envelope BTU /HR Living Area ?� Sq. ft. ,Story tory ❑ Seasonal 11 ' ;::: Infiltration BTU /HR Garage 70' Sq. n. ❑ Other .� ermanent ,,, unicipal Utility 14 :: COST LJ Other ❑ Private on -site Well $ 690 )00 The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no le•al liability, express or implied, on the Department or Municipality; and certifies that all the above information is accurate. \ SIGNATURE OF APPLICANT = DATE ' CONDITIONS OF APPROVAL This permit is 'ursuant to the following conditions. Failure to comply may result in suspension or revocation of this pe t or other penalty. �1 FIrn cunt.- (0 t` g f' .S Ur O W I-I � 4-It P . Gir4., to /A d 44 ,4' (,/ fl �/ 0 p - C eIA- t 1.4.3 l ran N./L. S l C fp, e t'go e' LT fpe:0 L 6ct-e. r.�' PGi .tr^ i r / 4 f t i j ! _ ft? c If 1 rjf 6 f / o`O el C bk C� a► O r Gt Q o (e �X - . 6 Q P P fit_ 6 (p e�tor- IL( "ft: z 4 o. l/ K o`(. e )c 0 p ew 4" 1 i _ ' 7 I y ❑ TOWN ❑ VILLAGE CITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling ❑ STATE ❑ 1 PE Inspection Authority Location, if different JURISDICTION ; O F 7 0- 2- ° — — - — — — I S BERM S:} WIS .UlIIFORM PERMIT Pgtif�ElT tSS1J>E#'f S ' : ... .......... SEA1 N! Plan Review $ - (r0 construction / A L� HVAC NAME l .v 'IN Inspection $ El Electrical Wis. Permit Seal(s) $ ❑ Plumbing DATE /Z -- 77 , a Other $ ❑ Other / (� / � � L , v TOTAL . . $ 70 (' G (S [ CERT. NO. 'Z SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent ZONING/LAND USE COMPLIANCE CMG:1 IST I. GEWERAL Building Permit * Zoning\ C.onforming Non-Conforming Job Location J 7 5 7Z e rm. /1 Lot Dimension Property Owner C V 0" 1 Lot Area II. CCNSTRIrricu DATA Describe Work: NEW CCNSTf EXTION ADDITION AL 'RATICN Accessory 13 i di — Pool si ie Family Fence Deck/Patio Mao- Family Boathouse Sign _ MultfrFamily utility Structure Porch Ccrsaancial Other (specify) _ Manufacturing III. COMPLIANCE Cone ies Deficient Deficiency /Ca nneats Use Lot Width Lot Area Floodplain Front Yard Pear Yard Side Yard (R) Side Yard (L) .._ Parking Building Area — Zi+ _ Lot Area per Family Corner lot Other (specify) 14 _ i r ✓ r . IV. REVIEW AUIHORITY The Planning Director, or appropriate designee, must approve aU 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: - sitiiz}g, winc1cwao- etc., when the use is conforming aryl when no change of 'use is proposed:. Instances where work =plies with the above criteria, the permit clan reviewed by the Building Inspector without referral to the Planning Director. APPROVED NOT P2PROVED Plan Commission Action Required Variance (s) . • -r REVIDED BY: / DATE: tZ.frii: • • ,♦ ' _.._._.___. X . QQ H 2 G . X 1 • 1 1 1 3 1 1 . • City Of Oshkosh 1/1 /85 PARKLAND DEDICATION FEE COLLECTION RECORD Address Owner's Name t Name of Subdivision , Lot # Bldg. Permit # // `' No. of Units / Fee Required /o- Fee Paid icc Owner's signature ,re Date ... Inspector's signature . '( ' � � , , _Date '7/ 'J. Parks Subdivision Improvement Accts. Rec.: 362 -041 2ATE / —Z. NAME CA.A-r4 -1 S'S AVA4t22_S ADDRESS �C' c�cl�c�l � (? LOT 3 S BLOCK ?BARD SUBDIV. 'r`tje ZONE STREET NO. _Pp 7 t` c9 e tp I !/ LOT DIMENSIONS SIDEWALK EXISTING YES r NO R BUILDING GRADE ELEVATIONS STAKES SET AT SITE D c. x3 19 8f BY r) R. -' • FEE: $10.171, 604 ✓�) cTYCi7� DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described .roNerty agree to have the grade established before excavation has commenced 03918 • 6 :iiiII