HomeMy WebLinkAbout0039186-Building i N°_ 39186
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG t( HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1035 LM LA E PLAN NO.Dg — t% 0 AVR
OWNER C,L.RS` e cPAES 2)1 KV BP\ 1 LT O.
.
DESIGNER C
USE /NATURE OF WORK 1 n l J
- I I� Mk L I Ai T^AC_AEb GA flA
BUILDING CONTRACTOR 0.-LP \C' tiOl\k 5 BUPA? L . 1
Size tRelo't S . Ft . s
# Rooms 38Z # Stories Q Height `
Foundation 000‹..V.ETE Class of Const. le Occupancy Permit C j i ZZ, •
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR i-NiCo M Me
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ME - ■3
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 $ 60 (000 Permit Fee Paid $ 1 O) • V Park Dedication $ /30 '
ISSUED BY li a Date ■10iq Final /O.P.
In the performance of this work I agree to perfor .II ork pursuant to rules governing the described construction.
/ �, S ,5 -mil
SIGNAT
OPT
IF g�1 ■`NC∎fl
A AGENT /OW ' 1 Q DATE
ADDRESS 1 )] ti V C1 1`� 4�' - a
TELEPHONE #
tict ql- DQ — CGC)
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT 'Sci I %
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy)
PERMITREQUESTED:::::::::::
-: VCon t _..s.r 0 HVAC 0 Elec 0 Plbg CAgrosion 0 Other:
HVAC __
Owner's Name Mailing Address Telephone No. (include area code)
4 02v.s1 e... al VA\ f3A--. LT 1 1 v3E...nA1 iJif,„1-49-c-I-re— 4-2_6,-19400
Contractor's Name Mailino Address Telephone No. (include area code)
SA ■--1. e„-- I. 1 1 1 t1
::::::::::::::::::.:::::::0::::::::::::::::::::;:i:i:ii:i:iiii:;;;;'ii;:::: Lot Area
PRO)fa t(KATIONIE
Sq. ft. 1/4, 1/4, Section , T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
ft75S LArci4[s(2_. U»_ r . s .it, . ft4tx.. . *0 Fi LZ-' Se,
Zoning District(s) Zoning Permit No. Front Rear Left Right
Setbacks 1.-b ft. I "Vg l'UO ft. If ft. q .T2--
lit:::: ... ..... ' IttiMiNi ''''' ' IC: ''' ' ::::' ...;: ''''''''''''''''''''''''''''''''' : PM 124 ::i:'
„„„
,Jew 0 Repair cs i n g I e Family Entrance Panel . N..; Eorced Air Furnace irg110 P. Oil Elec. Solid Solar
0 Alteration 0 Raze -0111 Family Size: Z:. ee amp it RRdiant Baseboard or Panel Fuel
0 Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg pi.:4 0 0 0 0 0
0 Other (print): , 13)41nderground 0 Boiler
fl Overhead 0 Central Air Conditioning Water Htg .7 0 0 0 0 _ 0
0 Other
:144:KONSEITYPE:::: lii:1:EOUNDATION::: 0 Other * 0 Dwelling unit will have 3 kilowatt or
. more installed electric space heating equip.
c ..--fl7Pte Constructed )2.56ncrete PLONONNOMM.Eng Infiltration control option is 0 Full sealing
2 ° Manufactured El rraertenrdYWood Sewer of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
VtoitV::::::: 0 Other e afolunicipal
Unfinished Basement t
IS Sq. ft. '`'. STORES " ''''''''''''''':''':::''''
NaiiiiiiI.gefigftW(91.40.tetlki
0 1- Story iti::::13.SE:i1::::::::::1:::i.::::!::::i:i:::::::::: Di Permit No. No. Envelope it2 r BTU/HR
Living Area 2 Sq. ft. 0 2-Story 0 Seasonal
:
: i Infiltration i .1 699, C6 BTU/HR
Garage
620/ the r unicipal Utility 44 ESTzetilLMNG:COSV:::
KPlus Basement 0 Private On-Site Well $ 4
aoci etf.
The applicant agrees to comply with all applicable codes, statutes and ordinances and wit . the conditions of this permit; understands that the issuance of
the permit creates no legal liability, express or implied, on the Department or Aicipali ; and certifies that all the above inf rmation is accurat .
APPLICANT'S SIGNATURE dlit ,!_a. - ■ WOW IP = • TE SIGNED - 2-1 —1 1
APPROVAL CONDITIONS T e h v i s ! . n i t o i s i i s i LI s e p d e p m u r s n h f 1 1 t o y w i n g conditions. Failure to comply may result in suspension or
1.) / AiSio4C.L 4„ &TM 1 °Ai Me "Er /Cii/e a.igse;
Q,) 1 F towa Le 1 1 a JD BC 03 I.R- 5 (-cep buis - A4 (-N›r /n6e7
Eir711*SS Heco 1.(L 44 q.)71 of / Clig g / . 03,
iiiiiig aM:::::: 0 Town 0 Village pCity 0 County 0 State of: Municipality Number of Dwelling Location:
JURISDICTION :li OSN koslii 9 0 _ c 6
ii i.:Feosi: ii.::::::a:::::::::::::::::::::::::::: ::::::::::::::::. :.: . ''' . :: .: .. . ::::::::.::: ::::::..• ' : ' :::: ' . '
g . • . :.., :: •IRmii ,,, ::::pstmnrissueo:iityc*:::::::::::::::::::::::::::::::*:::::::::::::::::::::::::::::*:::::::::::::::::::::::::::::::::::::::::::::::::::::::*::::::::::::::
Plan Review $ ilb, €&" Construction
Inspection $ HVAC Name
Wis. Permit Seal $ 30. °3-1 0 Electrical
Other $ 0 Plumbing Date IA 19
Total $ rosion
7 Li' --- i 42037 Cert. No. Lik:D3
SBD-5823 (R.07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 1 DS LfPk.G Ltd - ZONING - I
PROPERTY OWNER/CONTRACTOR: 0 -A c- J 9 co 0 A Vv3A (--•
CONSTRUCTION DATA: x New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
Naso Str >vE
COMPLIANCE CHECKLIST oZbCiJ -�k
gC< 09; 5C }
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
Landscape Standards
Height l41)
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 conformin g and when no change is proposed.
(.APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: I � ;�� /I DATE: 45` 2 Jam/
CATE (/ /as) 9y
NAME C LA S91 C 6s ADDRESS
OD ESS
LOT S O BLOCK '4ARD
SUBOIV. • AN:Yi - Kvrkkp ZONE
STREET NO. /D3S LF\ G - LL). LOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO Pi
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4/ , I9 6 4 BY t
FEE: $15.00
DEPARTMENT OF PUBLIC 'wC C=
r
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
09/1,1332 6/tiq
Alt
City Of Oshkosh 1/1/85 ,
PARKLAND DEDICATION FEE COL RECORD
Address /ZS AC3 �/V e
Owner's Name j e • e5 ;( L7D
Name of Subdivision ) r'.5 +. Aci)A, fi kjtin
Lot # St) Bldg. Permit # 39/86
No. of Units
Fee Requi red ` a
Fee Paid 14 74100, c2
Owner's signa 4* *11 /11,i, Date E - S -
Inspector's signat a r Date 5/61`q/
Parks Subdivision
Improvement
� 4
Accts. Rec.. ?,52- ��
8+12
(4)
r
3( 2,5
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