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HomeMy WebLinkAbout1993-Building // . ® CITY OF OSHKOSH N9 32908 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN pp / ❑ ZONING /`'S FLOOD PLAIN HEIGHT ADDRESS lia4._ /.ii.( 1'/ /;G/ get PLAN NO. E 1 3 0 0393re. OWNER h-rt Ad2ZWL DESIGNER �j ,�/ USE /NATURE OF WORK //.tW 1 1 .4f� ( • BUILDING CONTRACTOR hiptelthst / .L(.'24 e- /{ Size Sq. Ft. . l O # Rooms 7 —3 "N # Stories Z-- Height Founds n CM • Class of Const. e Occupancy Permit HEATING CONTRACTOR v Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR KA.At� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 4 A ' )eit- ZO - 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 $ / /S 0 0 0, © 0 Permit Fee Paid $ 3 / , 5-0 / Park Dedication $ / a . !10 ISSUED BY Date 3 ( Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 913 SIGNATURE iZ 'wt4 3/ / ri/ 9, AGENT /OWNER DATE ADDRESS TELEPHONE # 64 ;: ". / /e t 33 P rismi: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST (/ - J 'JOB LOCATION: /(o . /4;tg/[ b7/-6/ Z ONING: PROPERTY OWNER /CONTRACTOR: M Aida( CONSTRUCTION DATA: IiEW CONSTRUCTIO ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) / A' A . 407. • COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS _ Use _ Lot Width _ Lot Area _ Floodplain Front Yard Side Street (frrnt yard) Rear Yard _ Side Yard (R) _ Side Yard (L) _ Parking Spaces Building Area Lot Area Per Family Corner Lot _ Landscaping _ Transitional Yard Off- Street Loading Vision Clearance Height REVIEW AUTHORITY : The Director of Community Development, or designee, t 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. L• APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: GATE: J/793 • E 3o 039 re- Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor Human Relavisio BUILDING PERMIT 32,01 Safety and Buildings Division P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) illiggRAM1g9MRY.R1.81 Constr HV AC Elec PI ❑ ❑ b , � Erosion Other: ❑ 9 Owner' amen ,..., Mailing Address D Telephone No. (include area code) 779 -06.4 (t Contractor's Name t � Z � Mailing Add -ss _ w Telephone No. (include area code) vl � r 4 AA .i L, a. AN,: /Ia«ii /. 4 a Y � €: Lot Area • • ''::: RO ': Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivision Name Lot I■ta. Block No. /!e 3 9 /c u( 5 -' X/ lfA4LeA Ma/ Jl 3 Zoning District(s) — Zoning Permit No. Front Rear (.J C� 9 Left Ri h fir J Setbacks 3 O ft. S ft. 3 ft. ft. ° Ly...... ..::;::•:;: o::•: :::::;:o::•::;:::o:o:a:o-:: <•::o N:..a 0...f.. . .... .4213Eg.L2. «::;4A/A •. , A Ur :1Vni ° *.,&:1 t# ..- :: <: >:::: »::: New ❑ Repair single Family Entrance Panel . ,, orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar ❑ , Iteration ❑ Raze 6 _ Two Family Size: amp ❑ 'adiant Baseboard or Panel Gas * ❑ Addition ❑ Move ❑ Garage Se vice: ❑Heat Pum ❑ Other (print): Underground ❑ Boiler p Space Htg ❑ ❑ ❑ ❑ ❑ verhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑Other ❑ Other * ❑ Dwelling unit will have 3 kilowatt or �� ' "`" more installed electric space heating Site Constructed Concrete p eat g equip. �[ ' 1 ' PL3 M UIN ? > :` i:i:i: '> Infiltration control ❑ Manufactured ❑ Tre of joints. ❑ Blower door test. ❑ Exterior / ❑Ma son r ed y Wood •-••• ••••����� � �� �� � � ��� :����� � :� : : : : : : : :: :: o co t of option is: ❑Full sealing '` ' ' <: ilii: 4: N tvea .> # » ?s >:: at Sewer : > ": ? ? >: :' >" »» % % » >: air infiltration barrier. Unfinished Basemen I >: ?• »' » »» 0 Other uniupal :<. ,:;, >..:... . :..: :.,, ............: .:.: •:::.:;:< :::::•: : :.;:; >:;::<;::: ❑Septi ' : >::::::: >' :,> .HEAT OS'S;:` 01.1 # •»<`; <: i ❑ Y »'•� >< » >��'• »'� <::: >::::;::<: >:: Permit No- Envelope Living Area �� 4 Sq. ft. 2 p 3 7 7 S. BTU /HR .C � :' .1iii' . » # >'' s> ? > >s! Infiltration ' s-3 - ?i Garage ✓J 5 . ft. y ❑ Seasonal ermanent a `': ::::::::;:•;;:. BTU /HR g q unici al Utility P ❑ Other ;!�. PSTx 1�6�St „.: :, Plus Basement ❑ Private On -Site Well $ 434 000 , © 0 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, express or implied, on t artment r m nicipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED 5 //2 5/3 APPROVAL CONDITIONS This permit is issuId pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. 1 ern- -rez tf u „o,,e c lot.. /*A,c,"- tat tS Me ittG/.udt,�.s -4.. Is/ ,e. (r.1.46.t.4.- -mil c co-: CLco.,...... , .c. , Town Village e ID Cit ❑ County State of: 9 Y ❑ ❑ o Municipality Number u ber of Dwelling Location: JUi ftISDI I N i # > : 7 D _ 'Z / Plan Review $ .O 'O C onstruction � Inspection $ VAC ::: / i11 i�Wis. Permit Seal $ 30 . O ❑ Electrical 13 Z - &( 3! � 3 Other $ Plumbing /0 Erosion 2 SC® Total $ � . Q a ❑ Cert. No. SBD -5823 (R. 07/92) .. WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent • s6t).) . I 13.5`0 n 7.1:4'. j''''..L.8 '° ff • 4 1 1 I VI) • 0044Z(P r 1 I 0,1 - 3.-) ■ i '4 T � t .____ _ _ _ _ _________ _ t 1 .. - — -- — , ____,______ _______________ , Q.. t 3).!tes i ' ________i_________ ___ N, _ f!So tor ,c)(4elittii,v As )_. 3 Nye /2 m I Li su (1 T)Iv 1 sar.> J . 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Rec.: 362 -041 / % • _ 4 6,....,,;,,,ht 6 zA 4_,..;e4 DATE 3 ts' �'3 NAME &)1i L J 144.. ADDRESS LOT 3 - swop/. twz, )11L 6( ZONE STREET NO. �,(7 3? 1 )%? J lf c/i LOT DIMENSIONS SIDEWALK EXISTING YES LJ NO 1 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 3 /9 ,19.9.3 aY /e1J FEE: $15.00 / ///5, DEPARTMENT OF P U B L I C WORKS I, the undersigned, owner or agent of the above described property agree to have the grace established before excavation has commenced. 091 0