The URL can be used to link to this page

Home My WebLink About0029087-Building CITY OF OSHKOSH N2 29087 , e) , PERMIT - APPLICATION AND RECORD - 'TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING e --/ FLOOD PLAIN HEIGHT ADDRESS a 7ZS / ( Atte /i PLAN NO.A2 /D(O9ZY1 OWNER .ilt'a` 72 re. �i - A -11-L .- DESIGNER USE /NATURE OF WORK 2 414) (1 a45 , /,& BUILDING CONTRACTOR e(/," -�� Size Sq. Ft. c 0 # Rooms /t 3 e # Stories Z Height Foundation �'�97-t. Class of Const. d Occupancy Permit HEATING CONTRACTOR ( -/r yr .t., Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR ()&3-2.l. Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR yCe 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 00' • 1 Permit Fee Paid $ <302...5-;00 Park Dedication $ /Oa. 00 ISSUED BY , a /� ^ `. Date 6/9/C v Final /O.P. 7" 9 - 9 5 In the performance of this • • k I agree to perform all work . ursuant to rules governing the described construction. / / SIGNATURE At N la ER DATE ADDRESS 4 / /// . ?%`A/ '" ?GZ TELEPHONE # Ci9A441,e Revised: a/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: �7 �� ,(� -� ,10A • ZONING: ✓ PROPERTY OWNER /CONTRACTOR: ,46,,- t..ev a��e.�Y CONSTRUCTION DATA: CONSTRUCTIQ'1 ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) 5 / I Ct--157` < r . 2- (0 k 3 z 9 4 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 REV I ' AUTHORITY: (-/� The Director of Community Development, or designee, must 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. APPROVED DENIED Plan Commission Action Required Variance(s) Requi ed REVIEWED BY: / r DATE: 4 8 f Department State ofIndustry, WISCONSIN UNIFORM Labor Human Relations Division n of Safety &Buildings BUILDING PERMIT APPLICATION NO. 7 G 607 Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 10163, 101.73 (See Instructions on back of pink copy) PARCEL NO. P ERMJT_; : R , EOUES: ;::: ::; > « >: <.; ; ;:. < >:..:<: :. ; : CONSTRUCTION ❑ HVAC ❑ ELEC ❑ PLUMBING ❑ OTHER: Owner's Name Mailing Address Telephone J(b,7a - kW..t / F2S -- �ct:a n, (.►L �,�� .33s- -7oc,, Contractor's Name Mailing Address Telephone 66 <::: >: Lot Area PROJECT . N .;:!:: :;; s;;:. >;;;«<:::, >;;;s;: . :: : .... S ft. '%, %, SECTION , T N, R E (or)W Building Address n Subdivision N Lot No. �i Block No. 2-72 � - ,‘ I _ /_ /� t- �� , `yi p /0 d Zoning District(s) Zoning Permit No. Front (Year Left Right Setbacks 5 ft 4 ft. 1 3 ft. S 7 ft. Rte':.;:.;;;.;;:.;.;.;.:;: . .:::. :::....I::.:t?c . ::: , .: ,,��,,!� ;:: < :.; >: I�EEM� ' ................ .. .�.�... ENER< �iY. SOU�tCE :.::.::.::..:.:.; I :New ❑ Repair single Family Entrance Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar * L[]J Alteration ❑ Raze 'LJ Two family Size: O amp Radiant Baseboard or Panel Gas a�?D ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg. A ❑ ❑ ❑ ❑ ❑ ❑ Other Underground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ Overhead Central Air Conditioning Other * ❑ Dwelling unit will have 3 kilowatt or ❑Other ` :: ther more installed electric ._ :... : . : . .. : .:. - ., : ........: .....„ --., „.,.:. ;o:.,.,., , space heating equip. , ite constructed I :::: PLUMO :: i <::::<::> �:<:<: >::::::<:<: : :: Infiltration control option is: F Concrete " >. P ❑ sealing Full : : Masonry ry of joints. `D?::: > :::: >: >:': >: a nufactured Sew er 1 El Blower door test. ❑ Exterior ❑ Treated Wood Municipal air infiltration barrier. ❑ Othe Septic 7� 2 :ST 1 :.:> : ..:...:.::..:.. ::: ..::.:... .: t : ::...:::.::: Unfinished Basement Sq. ft. I>!lT:LtS:: {Ca(culat# Permit No Living Area �7� O ❑ 1 Sto ry :: ::: €:< >: >: >:> : >: Envelope �0 3 9 S ft. :two BTU /HR Seas ❑ Seasonal f�i rt.); ��::. ;.;: Infiltration / p � rc1 BTU /HR Garage 73 S ft LJ Other Permanent Municipal Utility ie:iiittitNikbitiddebiithom Other ❑ Private on -site Well /�� ❑ Plus basement $ t 'r� 0 o0.00 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 the partment or Municip 'ty; an certif tt t all the above information is accurate. SIGNATURE OF APPLICANT . O DATE CONDITIONS OF APPROVAL This revoc permit ation oft 's is issued pe pursuant or other to the p enalt y. following conditions. Failure to comply may result in suspension or _ / , - / --- - ._-_:__mrp,,,,Irrgrip. .e.A.44171: . /vf A; r, di Ai" f /7 • TOWN ❑ VILLAGE Municipality CITY N m u of ber Municipality Number of Dwelling ::::: :: .::: " :' ❑ STATE INDEPENDE 0 T Inspection Authority Location, if different J RIS .'N' ' ` >..... WIWUNIFORMPERIViir Plan Review $ -O.O Constru // , , HVAC NAME /A kA. 4 k1 _ ., , in.../ Inspection . $ ❑Electrical / (�� Wis. Permit Seal , , $ Q 2 • 9 O � ❑P lumbing DATE Other $ ❑ Other TOTAL . • . $ 7° ‘ 0 0 CERT. NO. 0 S SBD 5823 (R. 8/90) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK —Owner /Agent CATE (o 4/5 "Z—' NAME too i 'a) ADDRESS LOT /O' BLOCK '.FrI1�D SUBO 1 V . 67/ti/ey ZCNE STREET N0.�72.5 L 9-,. 4( - LOT DIMENSIONS SIDEWALK EXISTING YES El NO S- BUILDING GRADE ELEVATIONS STAKES SET AT SITE .x., /0 ,19 J BY - FEE:.gfl /.-.4414Q DEPARTMENT OF PUBLIC WORKS, 1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. n 7 � City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address .2-42y-- 4,04----900 Owner's Name J4 try , / 1 4,4.',6". Name of Subdivision W O-0 -(�i .P -e-r - Lot # / e2 k Bldg. Permit # 2 q0 k No. of Units / Fee Required j6-0 . o 0 Fee Paid /6 ,o D Owner's signcture j r.h 0 1 0 1t4 1 1 / Inspector's signature �e�x Date 6/ Parks Subdivision Improvement Accts. Rec.: 362 -041