HomeMy WebLinkAbout0036442-Building ID
CITY OF OSHKOSH N ° 36442
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PERMIT - APPLICATION AND RECORD
TYPE: BLDG* HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS I NC LPrf , ' ` l M E PLAN NO.F/ — 17 / 493 k'
OWNER Doit■la.. V■\ MAN
DESIGNER
USE/NATURE OF WORK NEW 1�6k FARMlL. , `CTS .
BUILDING CONTRACTOR nI �TG I�� O tc jv1 eS '')']
Size Sq. Ft. ' T #Rooms � � - #Stor / 2 Height oc' ,
Foundation CEDICAZGTE. Class of Const. g Occupancy Permit
HEATING CONTRACTOR Ax-e of he ri 4vf
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR CU van , is s r
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
bPLUMBING CONTRACTOR LT/ ,M -r' /1 , +-an A , 'N / 9
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 e0 gal uat on $ Permit Fee Paid $ � g r, Park Dedication $
•
ISSUED BY .4 ' 4 A N' `+.I A Date 1°114 [ e ta Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
i
NATURE L / --. Linii / / / /o-e„4 -g 3
AGENT /OWNER DATE
ADDRESS (2 )2 /0 Ks', XJ e rJ k-1 / Y— 23 -6 Fa
TELEPHONE #
F — CH ICI S D- f iR
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations
Safety and Buildings Division BUILDING PERMIT - 3() L i L la
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy)
:OtitrantREQUESIEDIM
::.....;. X Constr 0 HVAC 0 Elec 0 Plbg tZt Erosion 0 Other:
.. ...
Owner's Name Mailing Address Telephone No. (include area code)
b 0 n> e 4 Ai yym is id /2 is RI PAS 4s-7 A 4) aolketrAi /jz s 4 i Li- a3 ? - .76 x 3
Contractor's Name Mailing Address Telephone No. (include area code)
Cii Da 2A / o A 051#2 rd/ Ler s (414-.2 as 92y
11111PROAMOMPIOWii JO? t y
................................................................—
.................................................................... Sq. fit. 1/4, 1/4, Section T N, R E (or) W
.....................................................................
Building Address / Subdivision Name Lot No. Block No.
1065 b4016ER LAL sbc4 40 D ill' a"/ 7 0 Ftost* itoi KitosprA s 3
Zoning District(s) Zoning Permit No. Front Rear Left
Setbacks , ‘15 ft. i L.19 ft. ft. 9 ft.
IV : E .:-.: iii:i::::::M::::::::::::::0::::::i:::::::i::::::::::::.:::::::i .:i 4 :4:a i # ::: :tii .... :. . ' i::.«:: ' :.: : : :i: i,, : ' : nftiiiiiii::::: iigilitil '''''''' ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
7 ■ew 0 Repair I:7 sr Family Entrance Panel * 3 orced Air Furnace F Nat. L. P. Oil Elec. Solid Solar
ID Alteration 0 Raze • Two Family Size: 200 , amp 0 Radiant Baseboard or Panel uel as
0 Addition 1:1 Move 0 Garage i ice: ID Heat Pump Space Htg 0 0 0 0 0
El Other (print): Underground 0 Boiler
Overhead 0 Central Air Conditioning Water Htg 0 0 0 0 0
El Other
. Z.:::.,:e::.': .NDATICRiti D Other * 0 Dwelling unit will have 3 kilowatt or
.,,.........„....,,„,....... more installed electric space heating equip.
*RSIe Constructed ■*, Concrete :;10410MIRNIGONiNiii;;;;Mii; Infiltration control option is: 0 Full sealing
--I. 0 Manufactured i asonry of joints. D Blower door test. El Exterior
ZiiiiiAR*.:ARAVOINED::::::::;:::::::::::::::::iii::::: El Treated Wood pr
ra
air infilttion barrier.
Unfinished Basement/3145g. ft. S•451"1Eliii'MMI' 0 Other unicipal
ig
0 1- Story ii.iilti!.i:USEMRiMi:i:i1i:i:i:i.ii:i:i1i Permit No. Envelope Zci zlzt BTU/HR
Living Area / 74 Sq. ft. 0 2-Story 0 : nt
g.tt!IVOATERI:iliNif:;:iiiiiiai:i::i:::::Rili Infiltration /Y 7 a . BTU/HR
Garage tor) (0 _ _ Ilit)ther
Sq. tt. /± Other A1401 Utility ItiLEMBOODIliggOSIMMI:lialiiiiii:iiiiii
1CLPItis Basement 0 Private On-Site Well $ :10 6 C.) 0 iC)
The applicant agrees to comply with all applicab codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of
the permit creates no legal liability, express or * lied, on the Depa ent or municipa it - d certifies that all the above information is accurate.
APPLICANT'S SIGNATUR DATE SIGNED/O 7?
APPROVAL CONDITIONS Thidsopaetrimonitoisf this permit o
p the p he en fo a l: t o y wing conditions. Failure to comply may result in suspension or
re
lei SOPfniT I/2Lnc :1-N
tAS ,
SA Ster,AZ '<cog. 367. (7r tvierw'r VD C. ari2445 Reg F oitte
1.4) ITH leecsc4- ro ..sle_c_ //ever (9 ''41 Amb /vEr Lawau opvw■v6
Cao"w
giiiiital :
ii iii i ll im p o : 0 Town 0 Village l ' o l‘City D County D State of: Municipality Number of Dwelling Location:
!!'$ 1
:::::::: 09
*REs ..: . . ::.:
:::::::::::::::::::::::::. ....:::::::::::::::... : :::: .. . .
,. ....:: .......:: -
mn$UE0;:::::::::::::::::::::::::::::SeAktIOal:::::::::iiii:::::::;:ii::.::::::::;:::::::::::::::::::Iiiii:::::1:::hil.::::::::::::::::::Ii::::::::::::::.:::::::::::::::::::::::::::::::::::::4::::::::::::::::::::::::iiiiffiiiii::::::::::::::::::::::::::::::::::::::
Plan Review 5 qace= IXQnstruction Cid‘A Sittaaer)
Inspection $ El HVAC Name
Wis. Permit Seal $ ' .50. ' 0 Electrical
Other $ 0 Plumbing Date lOt t
$ 70 ce E rosion 1 C
39 LI IS utbui?
Total Cert. No.
SBD-5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent
Revised: vs
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: /O L M L1 ZONING: g.' ,
PROPERTY OWNER /CONTRACTOR: , _i L 1 014IJ r ' C 7 772 ,./11
CONSTRUCTION DATA: /76514 CONSTRUCrQ ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
/1)EW ca)6-LE ./'” /L,L1 Abos6 AAJL 117 eo<v2/166
ci-,b0.- -= /cp/770f2)--1 (ex/2466 - 6
COMPLIANCE CHECXLIST (Check only those applicable)
CDM'LIES OEFICIENT DEFICIENCY /COMMENTS
Use
• Lot Width
Lot Area
Floodplain
Front Yard
Side Street (frtnt 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: t/
6
/eu
The Director of Community Development, or esign _, 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.
L/ DENIED
Plan Commission Action Required
Variances) Required _ /
REVIEWED 3Y: /' OATS: 4774#T------
GATE /o/ a/ 93
NAME CASCADE 6L)STD(Y? h /OMS ADDRESS
LOT 53 BLOCK WARD ,/ce
s ueo v dam Atom. •kL9 koki ZONE
STREET NO. 1065 6 X. LOT DIMENSIONS
SIDEWALK EXISTING YES NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /01 15 ,19q3 BYet
FEE: $15.00
DEPARTMENT OF PUGL C 'WORKS
I, the undersigned, owner or agent of the above described property agree ro have the
grade estab i i stied before excavation has commen :d .
/y A.
001862
City Of Oshkosh 1/14.5
PARKLAND DEDICATION FEE COLLECTION RECORD
Address /06C (AAA6eR J'J
Owner's Name DD'JEL Wyman/
Name of Subdivision ap AWfi 6 A1:2/iN/
Lot # J Bldg. Permit # /36 LILO
No. of Units
Fee Required / /(D
00
Fee Paid
Owner's si gncture /!,Q e ./A Date ,
Inspector's signature ; .',' Date /0//91
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
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