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Home My WebLink About0040122-Building HO CITY OF OSHKOSH . ® N2 40122 P ERMIT - APPLICATION AND RECORD TYPE: BLDG V HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ie- FLOOD PLAIN HEIGHT ADDRESS / 0 LID LMA? IAA* PLAN NO. F – V 1 OWNER l _ i A Pc/nes By id) 09 1 Lrb DESIGNER Nat) / r �� , ` ^ n� ,Q USE /NATURE OF WORK Nat) �6' -G Y /'�7/( , f1 � A G v? BUILDING CONTRACTOR CLA le )/orrS 1'Ct' v 1 Gnu Size 1 t S Ft. 150 6- 3 �O S �! p # # Stor ies Height Foundation CO NS-/ Class of Const. v Occupancy Permit ___■ftf: HEATING CONTRACTOR l_.'I e Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR c9Z A f Mn . Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR rnER 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 $ 410 DCO Permit Fee Paid $ / 300 f ° Park Dedication $ /COQ CCL ISSUED BY I144 t?1 Date b�a 4 7 t, Final /O.P. In the performance of this work I agree • perform all work pursuant to rules governing the described construction. SIGNAT 4IPIA 'i / l►� ∎ 4 •IN-- (3 ' L i ,9 -� ]� C AGENT /OW R DATE 1, 1 - �l t>N) 1, I -- ,_ ' DA bt� TELEPHONE # ( F 09a 6/9Y R r Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT yn/ ' 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) ........ - .,:• ...................... ._............................. .::. PEBNEI' REQUgg :<:> C onstr 0 HVAC 0 Elec 0 PI bg Erosion 0 Other: Owner's Name Mailing Address Telephone No. (include area code) E t1flU 0- 13y eIestr Lip. IS51 O{ A i GIRGt.e...._ 4 -S(poc- Contractor's Name u y Mailing Add t j s r t' Telephone No. (include area code) (1 ",:: Lot Ar ea o :::. L A O � if ; ;iE$I t1QaQ sq. ft. 1/4, 1/4, Section T N, R E (or) W Buildin Address Subdivision Name Lot No. Block No. I O US•r A.q£4- l_&..rt F1_02,6, W 4 1 Ec1• '4 S Zoning District(s) Zoning Permit No. - Front 1 Rear Left Right :: :.:::..:::::::..:,:.:::::.,:.::::::.:::.. .::..:..::::.:.:.:............ S etb ac k s ............... .... .... ft : ......... 1 .!. s............ ft: :........ . ;:::: ii:: : >:::: >:::<::: >:: >:::: >:::: > : >:: »::> > .::: � -** � i :. . :.:..:.. : .. CE:: ::: : : : ::.i � ■.J.. .��. .:: . � ::: .: � ::: :v :.�k.:. .I{�/�• "< i . /�.��Jh.. .tIF�' ■� . �. �`.�:'::•i:. < :: ii:�t p. '� •. ii:: i:«::i:::::::::::i: { :>::::::i: :j:t::. N_-w ❑ Repair �gle Family Entrance Panel MI or rced Air Furnace /� 1 . P. Oil Elec. Solid Solar ❑ eration ❑ Raze 'Ej'Two Family Size`' amp • 'adiant Baseboard or Panel Fuel * ❑ Addition ❑ Move ['Garage Service: ❑ Heat Pump 0 Other (print): 0-.! derground 9 Boiler Space Htg ■ , ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning Water Htg :t ❑ ❑ ❑ ❑ ❑ ❑ Other ❑ Other * ❑ Dwelling unit will have 3 kilowatt or C "'i'' , more installed electric space heating equip. ite Constructed ■ ' . • • ncrete P 9 . q P 'l kr'::P!I UMOIN :: :> : ::' i Infiltration control option is: Full sealing QM anufadured :::.:::::::::::. ❑ 9 of joints. ❑Blower door test. ❑Exterior >.A 'KlNVOEVED» >'< » >s ? ?'<:"•r %` ,. ❑Treated Wood Sewer air infiltration barrier. unicipal ::::> ::{«l : : : :: > ` ?< ❑ Other V Pal Unfinished Basement I � q. ft. xi e tic '> z:: <: EArt0 ::. CAt.t0 . . ' : Story • i >':`<'.:<:':v >< >< Permit No. • Living Area 1s 0 Sq- ft . ❑ 2 -Story ❑ Seasonal Envelope Z8 + $ , • (p BTU /HR 11 i T A .. :: ::? ><'> ; <zs ' Infiltration I 2 BTU /HR ❑ Other ermanent :::: r Garage Sq. ft. ❑ Other unicipal Utility : ::ASTx: : OS ?> >'::> :: >> >< ,Plus Basement ❑ Private On -Site Well $ &o r 00e, . The applicant agrees to comply with all applicable codes, statutes and ord • • nces and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, on th • ' epart • t or un ipality; and certifies that all the above information is accurat . APPLICANT'S SIGNATUR Il JL / I- DATE SIGNED Ca —24 -q' APPROVAL CONDITIONS 1 I is permit is issued purwant to the following conditions. Failure to comply may result in suspension or vocation of this permit or othe penalty - t.) / AUSrAci.. 6RosioO 'Aso 2 5 y'"72 /1.1.1A 2/. /O, , ..) _Su3/mr 772us. Z?•4X.S. town Village e it County ❑ ❑ out State of: Municipality N 9 Y ❑ Y ❑ umber ofDwellin 9 Location: JU ISDLa$ON .. 9 0 - a 6 6 :: .. .. . l.:. ;: : : : :.;..:.: . :.: : : .:: i .:..::... i ii:::: i::: :ii:::i:::::;;::i:::i::ii Plan Review $ 4 onstruction ' J Inspection $ '❑ HVAC Name / {, 12M W;s. Permit Seal $ mil - ❑ Electrical / J Other $ ❑ Plumbing Date / r osion i ya 069 y6OF Total $ 70. ❑ Cert. No. SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent :. • ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 1 DV D L446' 09/06 ZONING PROPERTY OWNER/CONTRACTOR: (2L,4 S5 /C Po4'1 e=5 g(- A /» CONSTRUCTION DATA: 0 New Construction Addition Alteration P OF COTRUCTION:r fence, pool, parking lot, sign, etc.) L f-kx.),se ---- -- `SD �2 2 COMPLIANCE CHECKLIST DEFICIENT COMME TS 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 417- 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: O/011 DATE 4/Zl "/ NAME Vut. cam. AOORESS LOT BLOCK ?.f AAD SUBO I V . Rte 4 ( e ZONE STREET NO. / /67 t (-- L LOT DIMENSIONS SIDEWALK EXISTING YES LJ NO E BUILDING GRADE ELEVATIONS STAKES SET AT SITE 06 2 ,I9 ?/‘ BY , FEE; $15.00 • DEPARTMENT OF PUBLIC 'WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. A • lir - 7 9 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address I D40 LAA 8? CAVE owner's Name Ci A sS1C kivrtES /r , LTD Name of Subdivision _ � ©/2/ roau e au Lot # L i? Bldg. Permit # -T OI as No. of Units / Fee Required / Fee Paid ` . I , Owner's si ncture - , �_'�-� Date Inspector's signatu i !. i ' 1/. Date 64r3 Parks Subdivision Improvement Accts. Rec.: 362 -041 134- 1.5 terr 4-S L*AccifAR--