HomeMy WebLinkAbout0035335-Building //0
® ,
CITY OF OSHKOSH
N °_ 35335
PERMIT — APPLICATION AND RECORD
TYPE: BLDG % HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING K y� -i FLOOD PLAIN HEIGHT /r
ADDRESS 1100 /AA- PLAN NO. b/ ig D19-3tt
OWNER ittil-! ` 2rif-X Imo- JGtZtl -
DESIGNER J� �Qj�
USE /NATURE OF WORK //gfu� �/ / /:A
BUILDING CONTRACTO V. ' ,D.A.-
Size .A'2 Gj Sq. Ft. f 0 # Rooms • '3 44 � # St vies / Height /K /
Foundation C Class of Const. Q Occupancy Permit -+
HEATING CONTRACTOR ,t3ite,Wesl
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR ee-es17 A-'
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR = 0.et.
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 $ 50 coo ,00,. Permit Fee Paid $ 5 O Park Dedication $
ISSUED BY .sue/ JJt'.✓2Lr- Date / - Final /O.P. /2 - 1 ?3
f/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR - �' 1[i•/ • �C�C�i l -^. r
/// ' GENT /OWNER DATE
ADDRESS � 2
TELEPHONE #
1 / Z-V 0 2 qi,3 /2_,
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor Human Relations BUILDING PERMIT 3-33Y-
Safety and Buildings Division
P.O. Box 7969 APPLICATION Parcel No.
Madison, Wt 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy)
.. ,. Constr HVAC El PI
❑ b Erosion Other:
❑ 9
Owner's Name Mailing Address Telephone No. (include area code)
"1-1.714. 1 /Ate.a. iG At2 .52ra,/ . /f l CL/E144. 2,33 — 07/ J'
Contract r' ame Maihn Address Telephone No. (include area code)
#.. •. PR f 3 231-- AFo 3 S�
� ' L ot Are
O, . , ATION
> ::::::::::::.::::.::: :.............................. Sq. ft. 1/4, 1/4, Section , T N, R E (or) W
Building Address SuivN Lot No. Block No. 4 7 4 5
Zoning Districts Zoning Permit No. Front Rear , , Left Right
'` Setbacks 02 r ft.1 s9// . /1 ft. /.S ft.
: :.1ii:. ` y. #i �■ 4
::... JEC'!`:: i ii:: i::.< :. :.::. >::. <' �i��µ :. ' .: ' ::. (.:.::::::....::::�j�` :.::: . :.
:: ::::::::::::. :
........ ............ .......... k.. A. �11� •',:: .i:: :i:tlilii:::`iiRF. �'::. t .�lilR4 } i �f Y ��� '•� $ A' •��{��ll: {i is ?:i :�:�i1:iiRii:t`I:Y��;; ��' .�. �i .: i: ii::: ji::;: ii .::i::::i::::::: :
::ji:: ? <:
i.! ew ❑ Repair 7: Ingle Family Entrance Panel ' .: orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
• Alteration ❑ Raze • wo Family Size: / .00 amp ❑ Radiant Baseboard or Panel Gas *
❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pum
❑ Other (print): Underground ❑ oiler Water Ht p Space Htg ❑ ❑ ❑ ❑ ❑
❑Overhead ntral Air Conditioning 9 ❑ ❑ ❑ ❑ ❑
❑ Other : • . I: Other * ❑ Dwelling unit will have 3 kilowatt or
!•'..` ' more installed electric space heating
ite Constructed oncrete l ip e eat g equip.
; .zi
;.;, M anufactured /]Masonr ��••��•�� ��� � ��'� �' �� �� �>�� �• » >� »-> Infiltration control option is: ❑Full sealing
: x : : : :: . of joints. ❑ Blower door test. ❑ Exterior
air infiltration barrier.
❑Treate Wood
"•;;;""': " < ." • .
Unfinished Basement/10°5g. ft. •:..:t:':.;.i :,:isi::i:» :, ...:.,;,..E: :.::.:�.;•: >..... ••::i::•::... a ";z:i: • . '�:?,;� >, ❑Other Municipal
::: >:<: » >: 1� septic : >::: >'��'<<H�T(*!�S: �'' >�>���J�<?��d «: >:::
1- Story :> x: $ >3# E :''•.: >: ::E: 6:: >:: Permit No. 1. -2 / 3 0 BTU /HR
Living Area i "2_0o Sq- ft- ❑ 2 -Story ❑ Seasonal Envelope
s1 '•!i `. V '' . s »:'?iz ii > :::' >: i:i Infiltration --1--'-* T U/HR
Garage Sq ft ❑Otherermanent l ��
unici al Utility P
❑ Other e�� `�:�N•t;����i >� ::ii # >>
❑ Plus Basement ❑ Private On -Site Well $
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 or i pl d, on the Department • r muni ' s . ity; and certifies that all the above information is ac urate.
APPLICANT'S SIGNATURE Alk , —,r AI • A ; +ATE SIGNED j
APPROVAL CONDITION This permit is slued C ursuant to the following conditions. Failure to comply may result in s spension or
revocation of this permit or other penalty.
/140,141
T own
Village ❑ e i
Ct
❑ County of: 9 City ❑ e o. Munici alit N
Y ❑ umber of Dwelling Location:
J U R I S DICTION 7 -Z6 6
ii i::ii::ii::i::ii::i::l:ii:: iii: iiiiii tiiviiii: ir:;: iii; i:: r::i::i!:::i::i:vji:::ii:::: iii::.'. '. :: .: iiii .::.i:i:: '. : ? ii: .: ':::: iiiiii ::i::::::i::i::::i::i:..... ���� �(y , : ::'::!v: }}; }: :.
tin } ^ : 4 ii }: v' 4iiii : i: ; i::i:
i iii }i:ti< :L:4: >; {.: }:.} }i:•::v ?4:
?
• •.• .. ...................:........... :::::v:. �:::: :::.�:::.. �. �.: �::::::::.�::. • :: ' i ` i:ii?:i : :i:{: :i ii: ; •;;; Plan Review $ �O.0 "construction Inspection $ ��[]] HVAC Name Wis. Permit Seal $ 3e . 0 a 0 Electrical ( � Other $ ❑ Plumbing / I / Date g/ l 3
rosion
Total $ 70 .00 ❑ Cert. No. ZO
SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent
Revised: B/B°
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: / 700 ,yam ZONING: 42. /
PROPERTY OWNER /CONTRACTOR:
CONSTRUCTION DATA: 4 LNEW CONSTRUCTEN ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
1-.. ! / i!• k • 52-3 - . •
•
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
Use
_ Lot Width
Lot Area
_ Floodplain
Front Yard
Side Street (front 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: c
The Director of Community Development, or de ignee, st 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 ' APPROVED DENIED
Plan Commission Action Required
Variance(s) Requir
REVIEWED BY: / DATE: 8 Z ! /
CATE `? -21 ?;
NAME j 40,4ER - ADDRESS
LOT q51 BLOCK '.WARD
SU801 1 ONE i/
'r. ._ «. � / .�.,� - s � _ a, s� •
STREET NO . ♦ i� NW_ � L OT DIMENSIONS
SIDEWALK EXISTING / YES LJ NO El
B U I L D I N G GRADE ELEVATIONS STAKES SET AT SITE i/Z-g5 , 19 93 BY 1
FEE; $15.00 •
‘tt..z"" 4
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.
Q'EC
V 5 1 cil
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address ♦ a
Owners Name -!Y. A . -P �.. ...: f /��.. /3
Name of Subdivision .hiee -L/ �
Lot # Bldg. Permit # 3S S'
No. of Units
Fee Required / 0 0. o o
Fee Paid (00. o
�a 93
Owner's signctur- ��/ ,,', . _ ' Date `
Inspector's signature 40 , 1 0; �.... , ;,,, Date e -
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
BY R. L 0(.4 I.) A I E 7730/ /.3 SLJEiJEC,T C s...)1 — TE. 1—P1 0 F SHEET NU. I LA 1
CHKO. BY . . . . DATE .. 1 1 0 0 L A, p c., E_1 . LA.N) V-- . ... . . JOB No. . .2.2
5.cALE . 1 , , .-_- 20 '-- 0" .LOT 44 3 - . E . D V - ok)E ST
i-i o ryl 17
•
80. 00 1
1
e-
15i-0 , „
so -0 15-0
Au '
P
• c a 1 I C, _ I
I N
( X
.9 •• :".• //- /1/2 / ''' - N
0
1
. r()
'T cc) z
N
// • . / •, , ,,, ///, / 0
/ i' •'",-/ ' / /,/ //// ,r ,
. ." //' / ' / / / •.' _
/ / • /:(''
7 t
0
_ I
C•1
(Ni
, I A
i i I II
24- 0 • , •
, ....._,, '7. 0
k 0R
I Lf)
N
V
80. 00'
dr-4--
N
L A A C7 S. ?.... LA1..)
Mar
E., ..) E. J EC. T •-...) ITT 1.- r.' 0 L.)..71 O.F. SHE r"..T NO. ■ k... 1
CHOW. BY . . . DATE.. .. ... 11 00 LA.P.,C,E.,„,1‹.. 1.-..A.t•- V.- JOB NO. ..
.5c,P .1" z 20 '- 0" L_ 07 44 3 - E.ORD0111 . 7 .. .0)JE..S
i-4 o rYi E_
•
80.00 1
' t\
) 1
- 1
i . f
' i (.....,...__.
) .
L I
i (
) :
___.------- i
..,., ■.
.. I
1 1 .
Au ' '‚
:-.
.
o
(1 Pa -/"/ ‘o . 1
N
( V X
// .
• ,
/ .
.s '• ' ''' /!'',/,',/, . , ,/ 1"- N
/ / /././,/./.• Z /./' / 4 / '''': . 1 I N
. c() / , /"/ ,••• , i; ' '-' //' -I n .:
.../ •/>//' ''' -..' /• : ' .7</ Y
:://,,,,, , / • A op
- -t-
„, .
., .
'
.., si.- ....i. -.Nur N
,7 N
. . v v
A
t 1
17 4 24-0• 4 ,,
< - < '7 0
• . 1
,.,
k 0R
1 N
Y
80.00'
r” LA A C•7 S. ?... L is, N.) E_.
W6