HomeMy WebLinkAbout0041909-Building lD -
CITY OF OSHKOSH
N9 41909
O O
PERMIT — APPLICATION AND RECORD
TYPE: BLDG lyt HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 10 3D L f` I `\ L13. PLAN NO 'Fa 1 S 7 / 9 4
OWNER CLASSIC. 4 - ES - B•I 0'
DESIGNER
ySE /NATURE OF WORK ` n �� pn �-
I �) SI ILL /�M (L-� i A l i \u - t Jrq �J
C L Ot-4.> LL Z J€cL.. T t - t NI kS D — SA -( 0.s3 t OCo. pMtk.■_ /w J1/4(N2h.
r ' xIs %E — No t D AA_ Oct-) .:�_ (
BUILDING CONTRACTOR el—A5 goy -ES eH V V'
Size ra Sq. Ft. 2000 # Rooms 8- 3ER # Stories Q,AD Height (9
000026T
Foundation 0 Class of Const. '8
Occupancy Permit
HEATING CONTRACTOR C aRk---U3C
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTORrYVM
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR P
- BT _ WH _ Disp — WSoft — CBasin
__Lay _ Sh _ DW _ DF _San. Sewer
- WC _ FDr _ SP _Ur — Storm Sewer
Sink _ LTub _Eject _SS — Water
Other
CCO
FEES: Valuati GO Permit Fee Paid $ �• � Park Dedication $ / dO
ISSUED BY AQ I Date tOL S I Cy Final /O.P.
In the performance of this work I agre- to • trio/ all work pursuant to rules governing the described construction.
OV SIGNATU• ri! / ,.I 7 � , eilacr i D --/( " 9 f
1 AGENT /OWNER 1 DATE
ADDRESS SC 1 W Yl-� c c —c 4 2,6 -glao6
TELEPHONE #
, 'i F-- \s to cty R
I Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No.
. Labor and Human Relations PERMIT APPLICATION 41.9 Oct
Safety and Buildings Division
P.O. Box 7969 (See instructions on back of pink copy) Parcel No.
Madison, WI 53707 The information you provide ma be used by other government agency
Wisconsin t tute 101.63. 101.73 programs [Privacy Law, s. 15.04 (1) (m)).
PERMIT E. ;U T 'i ns tr HVAC Elec P %Erosio Other:
Owner's Name ' Mailing Address Tele hone No.
L 1
C *4 1C,. }b1+ -t e 1 ILd - %ss 1 v.-) s At*)(�._l- i�'c�. (4m) 4 /2-
Contractor's Name: ❑ Con ❑ Elec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
Contractor's Name: ❑ ConegElec ❑ HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
.*:)(.. nAE EL 1 ( )
Contractor's Name: ['Con ❑ EI c ❑ HVAC QIbg Lic/Cert # Mailing Address Telephone No.
' Contr or's Name: Con Elec sigtIVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No.
Y ! � ! y !�! ,, ( )
... Lot Area
__._.._.... __. ,....,. Sq. ft. 1/4, 1/4, Section , T N, R E (or) W
Building Address Subdivision Name Lot No. Block No. •
1 b30 I.D.A.Gk Pte. 1 � rn „� Tc-, o¢k �1r�,.� it 1
Zoning District(s) Zoning Permit No Front Rear Left Right
Setbacks ' ft. 1 1 4,57- ft.. ' I 115 ft. 1, )5 ft.
CEO As.' 1r....C... EI: r» Gi't1CAL: >:<::::: :&:: >VAC::.. > .:.: . N'I': ><::<:::> : ::< V:: ....:: >:. O :
w ❑ Repair ' laielgle Fam tr
ily Enance Panel ' rced Air Furnace L. P. Oil Elec. Solid Solar
Alteration ❑ Raze /o Family Size: 7.e, amp ❑ R adiant Baseboard or Panel Fuel *
❑ Addition ❑ Move ❑ Garage Service: ❑Heat Pump
❑ Other (print): ❑ Underground ❑ Boiler Space Htg ❑ ❑ ❑ ❑ ❑
• ❑ Overhead ❑ Central Air Conditioning - Water Htg >0" ❑ ❑ ❑ ❑ ❑
❑ Other ❑ Other x ❑ Dwelling unit will have 3 kilowatt or Ar: ' ° `s " " - `'' #�' more installed electric space heating equip.
Constructed ncrete
''���`:;. > #ii: :< »:�< <: infiltration control option is: Full sealing
Manufactured ❑ Masonry " of joints. ❑ Blower door test. ❑ Exterior
''�' "" ' "` ` r � yp � •• ❑ Treated Wood Sewer air infiltration barrier.
// 5. iS�fa E.6 :ii :i:i ? :: Other eptic unicipal ::::rSi ::::; :::::: •:::::::: : :::::::.
Unfinished Basement Lealsq. ft. : ❑ � # +�'t
1- Story
>:<::::.. ..:<:: >:::<: >:; »:s: >::: >: »:::<: Permit No.
Living Area 7-dove" Sq. ft- 0 2 -Story ❑Seasonal . }s Eg �Q Oh BTU /HR
Garage s.: 7:: i %Y::'::>' >'i Iflfiltration I
e S ft. ❑ Other ❑Permanent : .......... : .......... ..:.......:................:...
9 �39 q
Municipal tilit
U
�!_V� ❑ Other
❑ Y '��4k >:I»'�'•.t: III! ��C :!S<::: >::::::` >: >::
❑ Plus Basement ❑ Private On -Site Well $ �/�,
The applicant agrees to comply with all applicable codes, statutes and o' . i - nces and with the conditions of this permit; understands that the issuance of
the permit creates no legal liability, express or i.Ili • . on the i - pa en . muni / J.ality; and certifies that all the information is accurate.
APPLICANT'S SIGNATURE aig � DATE SIGNED I C) a
APPROVAL CONDITIONS This p . rn it is issued pursuant to the following conditions. Failure to comply may result in suspension or
revoc • ti I n of this permit or other penalty.
14 i& Au.. _,:.'c 55o& rrle - A 'c,RF3 p- /U/i2 ZI. /2 S
Z, ' -'&u, 8E19 ¢ / AAER S7 '24:5 cu �7 AeZ x /...v�,.
3 7rvtain '" S /_oCA Ca'�- n A X'r 7 8 e 1/2 p ///ice
`
Town Villa
Count State of: Municipality Number of Dwelling Location:
❑ ❑ 9 Y ❑ Y ❑ P Y e g oca n: o
::::::':', e
..:.::: :.::..:::::.:........ ...................:::.:::.:: PERMIT(S) :: : iiilSAIMI~#lR110:IRINfI''�'
................................... ..........................
.... smell N..:< :::::::::..:.::::::.:::::::::.::::::.::: ::.::.: ::::.::::::::::::.:.:: .::.;.:.:.:.:.:.:.::.:.::.:.::.:.:::.:.:.;;;:.;:.;:.:.:..:::
Plan Review $ 40 onstruction ;:-/raiJq,1_._.
Inspection $ HVAC Name
Wis. Permit Seal $ 30 ❑ Electrical /0/51474/
Other $ Plumbing Date
Erosion ] ;. .n / / ` ^ 0
Total $ ❑ SIZ
l �`" ✓"' Cert. No. Ybv
SBD -5823 (R.06/9 - WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent
(6
L OT N ` .;aJ. ,A
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: I ZONING
PROPERTY OWNER/CONTRACTOR: C U \C \ M v
CONSTRUCTION DATA: (x New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
r^u-� �1►JC vv��L R��YlC��-
COMPLIANCE CHECKLIST �o�s€ -� 2sDco- "
59g -CA
DEFICIENT COMMENTS
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off - Street Loading Standards
Vision Clearance
Transitional Yard Standards At)/14(441—
Landscape Standards --
Height
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval 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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY' DATE: /0/0/
CATE OCT. t-k , 144 {
NAME CLfc 4tYPNES Bil K)e)k. ADDRESS
LOT L A C ( 1 BLOCK r.•
.rdRD
SUM I V .11 ADD13 - 41=. }1.1L);ik Vvk ZONE
K eirk
STREET NO. �6E LN LOT 0IMENSIGNS
/0 .30
SIDEWALK EXISTING YES El NO a
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /O /s , I g 94 BY gi\J
•
FEE: $15.00
/ / .
DEPARTMENT OF Fl,a L I C 'WORKS
1, the undersigned, owner or agent of the above described property agree ro have the
grade estaoiished before excavation has commenced.
S
0 i .
l_ _1 493 4,PA-2S11 - • --"-----
Or
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address 1 -
Owner's Name akssa Rot/11\z ts _C
Name of Subdivision ice' , Aot» -;=> . C.)1
Lot # L.S Bldg. Permit # (- MDR
No. of Units
Fee Required .,, I CO
Fee Paid 1. I co
Owner's si gnatur'hj„;!ill — � -- -- Date
Inspector's sign. r � 11 ti � . ■ �∎ a. 1
Date a 5) q
I
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
6, , a 2` A �,. a 37 v. za *x t ' If .1 `.,,.',� #.4 zt .' ', § .`� .f .
', w
4
K
00
F-------- _
• ,
,,
1
f .
f
r
i
1 i
I
E
r E
1
ai ,
F
l
f
1 H
7 i
� 1 � 15 � i co 5 D ` / ' . X 1.
I I
m
•
L .,
..._ _
-3
0
>4 $X) ( ) ) <x ) / X X X�
\ L€-L4 r SI
,, s,..- 4L.: .h�a:� :;a . A. . „z # u ,u �... ., l3" > � : , ..4-*6t
r�' .. .case,, s,, - 8' -... s ,- "NM. . ?' : a ,:.L .
,, , ;; ;,rX a