The URL can be used to link to this page

Home My WebLink About0038864-Building 4 ..c 1 1t � M" N2 38864 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 102D V R1 1 W. PLAN NO - C) 1 iq'l OWNER r ' `V` i DESIGNER USE /NATURE OF WORK Ne.).. SI l Y ll... 1 A� L 9 \- . BUILDING CONTRACTOR 'nN) c t" C-K_ Size t\-41:" Sq. F .//t Q M ) # Rooms q - 3 8T . # Stories 2 Height Foundation /vCR Class of Const. U Occupancy Permit d A HEATING CONTRACTOR g:aw Heat I4 A/C l/kf Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Ho 6 6 Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR tAJA7 7 c /V 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 $ , `" Permit Fee Paid $ • f�• Park Dedication $ /Me I//�� in ISSUED BY I .�a/ _��_Z Date 9 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. A - L-0V � -`� r / `� - 2 / AGENT /OWNER DATE ADDRESS ` / 50 � 0---# 3 / " / Dr 7 TELEPHONE # —t- Wisconsin Department of Industry, WISCONSIN UNIFORM . Application No. Labor and Human Relations BUILDING PERMIT 3 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) P RN ttRE T I3` �( 0` ". - :.,:: "...,- :,..-,' Constr HVAC Elec Plb C4 Erosion Other: .. ... ............ ... Owner's Na e . � �3�1� -��'� Mailing Address Telephone No. (include area code) ' LL / 7 0 cam" C X 3 5 .5 5 Contr or's Name Mailing Add ss Telephone No. (include area code) l l 0 �= — 4 2 3/ - / s o / Lot Area RD L 4TION Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building dress . Subdivision Name Lot No. 5 Block No. lap �(' -""ems- 7 ' Zoning Distr� Zoning Permit No. Front Rear Left Right Setbacks 8- ft. I S2 ...... ft . . �. �< : .............. / 5 ........... ft: ... ........... . /7 ........ ft. ... . fEt`#' ............. ........................... . ESP., �'��I!�X .. ..!�....E�. .E�.: �.: ��I� . �pMEII�T. ..EIM[ Et f�. �F. S�EIi�. .:::::..:...::::: ew ❑ Repair V Single Family Entrance Panel $.Forced Air Furnace Fuel Size: ,?0 0 amp Nat. L. P. Oil Elec. Solid Solar • Alteration ❑ Raze ❑ o Family * p ❑Radiant Baseboard or Panel Gas Addition ❑ Move ❑ Garage Service: ❑ Heat Pump ❑ Other (print): A Boiler Space Htg , Water Ht ❑ ❑ ❑ ❑ ❑ ❑Overhead Central Air Conditioning 9 � ❑ ❑ ❑ ❑ ❑ ❑ Other 1:1 � ther * ❑Dwelling unit will have 3 kilowatt or '` °` Constructed ..:, more installed electric space heating equip ( ite oncrete p g q g z > ? Infiltration n trot o �C '�� ?��I$�� control option is: Full sealing ❑ Manufactured '❑ nry P ❑ 9 . .............................. ... m ' sv we >` ;i ❑ Treated Maso Wood Sewer of joints. ❑Blower door test. ❑Exterior di :; .;;: :: :';: <;:::o:•:, air infiltration barrier. 'tititit :'""' ":<% Other Muni upal Unfinished Basement ❑ :........,.,;:.::..:::::: ::,.: ::::,::::.:.:::::: . . . . : . .. .. : » » ❑Septic '>< : < ��> H�?ttiT >�� # . .�::?: >': �y't ❑ 1- Story <> r E::r:'i::::> [« »`[::i<::: Permit No. :.. velo e BTU/HR Living Area / r 7 ° Sq. ft. -Story ❑ Seasonal p � � s BTU /HR C., '' is tf t ' ' < :Mni fi / 9 J V 5 ft. ❑ Other Permanent :.....: ltration ," :::: •; ,, •:; ° ..:;.;:. ' q' Pr Private On Site Well K : .'.:;. ❑ Other P y 14 ES I NG:cOS gt Plus Basement ❑ $ 2 c o c 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 implied, on tJa . Depart ent or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE t DATE SIGNED L/-- //— t APPROV CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. i 6,14 t r Cam+ CET b/647- CAC.CS ©� & - - ) / AIWA"- ,bfC Ekes (c n/Ei4Su/Z. - /CNL a/./,23 ) 5070 of F xcx s ,411-0 ,q r C6AsT / F.,(.4. 441 74) k vE 2 ' 8 /1 X 6 d if S p )Lj R a/. Town o Village it Co n ❑ ❑ County State of: Municipality N m 9 Y ❑ Y ❑ Number Location: 9 ....:...::............... ICI :: ::..:.:i�r.:.�l1�E41fll�ll.:. ::..:. ... .. . :.:;:. .>:< :;:: ::: : ::::::::::: :.::::: :. ::::.::::::. IkI ��IU�� IrU. .mayy((, ..................... i:i::.i::.::. i }i: iiiiisSi:: iiiiiiiii:•::: v• s :p }:•i:: ^iii:iii+ ::4:J:iii; ii::::iii : ' . :.i: i : : .. '. .. ..... . IK� ... . . i.. . .......... � .:i: :i: :.i :•.: .. :•::::::: ::::::: : v:• isi:? isv' v:!:::::::: :•: :4:•i:titiviii:i:•:ii:vii: ^: ......... ■�yy, . .. ........:. .. \Ii..:i•iiii:<.::•i {•::(• iii }i:' ii :::(•iiiiii:iii•: ii :i: i:•iii:ii ?i:! ii �i:• •• • •i:• { ::i:•: 4i iiiiiii: ii:•'riiii: ...........:• . .... ........ .. ... ... ................ ::.. .::.::::::: ::v:::::i:�i i:; •` i:: ii: ii :iiiii•vv::::::::::::::.:::: :::::::::: :.�:::.:�:.:�::::::::::._::L::: ii:L:•i:4:i ?4i:•: iii:v;::::: ::•:::::::: Plan Review $ 1 401 Construction / Inspection $ VAC *- /__.,a Wis. Permit Seal $ 30. a' ❑ Electrical Other $ ❑ Plumbing Date /Ii r o sion U;/,/�J�� Total $ 6 �) W13 Cert. No a/K SBD -5823 (R. 07/92) , WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent 0 c i ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: { DSD \--A PC % ■'C ZONING g PROPERTY OWNER /CONTRACTOR: PAERLEwb ` R ,)A0 ?(-\'< CONSTRUCTION DATA: )( New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) N IA.) 1 10(t-E. \ r■A ■ ..v,t 7 6M , COMPLIANCE CHECKLIST GPttf , 2 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 r Landscape Standards j" ,, ) Height Gt 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. L/ - APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: -A---- DATE: CATE 91 1 l } 4 NAME Role (----)‘(—Y` ADDRESS LOT Lt s BLOCK ,. f dFm SUBDIv. • ZONE STREET NO. /6)823 Lt . LOT DIMENSIONS SIDEWALK EXISTING YES El NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4 "\ - 11 - E-- ,I9 9 BY o - F EE;$15.00 900/4J DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree ro have the grade estaaiished before excavation has commenced. wy:973 2 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address t MD LA-AeGV LA QE Owner's Name nitaikub Name of Subdivision Lot # ' Bldg. Permit # 3g R6 1 No. of Units 1 Fee Required ' e Fee Paid 1 f�� -G1.> Owner's signature j/11 /� Date Inspector's signature mow! Date q Parks Subdivision Improvement Accts. Rec.: 362 -04 \) . El f i , 1 i W 1 I 1 E ' rsti cv,'Irs f/? 1 1 r, . . %J J 4 1 _ _ Q r st c / i, 0T y sr s�� =t,v / 0 r L J&EI L A) 5.