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HomeMy WebLinkAbout0039187-Building .. ( CITY OF N° 39187 O OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG kk HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ' t a) kiNAcaR l lm.3E PLAN NO. CO - 061 SiQ A OWNER Cu t-66ke ' BA , um DESIGNER /� ; USE /NATURE OF WORK Mau Caw .� I J&C ,7Vl /C / ATjQC!'IED 97121 AND ►o' ;CID' �c .K, ,J BUILDING CONTRACTOR 0-I JSIC VAC M F\f KV „h 1 L Size 192Eo Sq. Ft. lOq? # Rooms 5- aeR # Stories 2 /WV8., 0 Height ____(/_ Foundation CoNCRETe. Class of Const. P Occupancy Permit HEATING CONTRACTOR 1ZE:UJE Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR �- O MM. Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ffieRTe)■) 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 401 000 Fee Paid $ t � ` • Park Dedication $ l �% ec ISSUED BY UA J Date s Final/O.P. In the performance of this work I agre= • . perf irm all work pursuant to rules governing the described construction. SIGNATURE IIp 4•M �.i1 . �.ii &.��.JP 5 - 5 C , 1,� A. ENT / • DATE ` ADDRESS 1. Ss 1 "" ''; IL , "V % G Q-(A, E_____ tt �� TELEPHONE # k ?f ba- c(c.1 sks4 R Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor Human Relations BUILDING PERMIT t 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) E ESTER °• nstr HVAC EI ec Plb Er osion Oth ❑ r: e ❑ 9 Owner's Name C,..L,,A& tC.--- Mailing Address Telephone No. (include area code) I7*-1�s 1S �g k) L 24o - S1loOo Contractor's Name Mailing Address Telephon No. (include area code) ............................................„. k � . � * ::::: Lot Area ::::.::•.. : : :.:.... ..........:iii::i >: Sq. ft. 1/4, • 1/4, Section , T N, R E (or) W Building Address Subdivision Name Lot Block No. 11 zc, L4 E . r- O ER— L^ 4 ows, Y-1 �Roel ' Zoning District(s) Zoning Permit No. Front I Rear Left Right Setbacks Z—S S 1 tp i r ft. rD ^ ft. (i [�N.ew ❑ Repair 1' .. • gle Family Entrance Panel • perTrced Air Furnace I . P. Oil Elec. Solid Solar ❑ ❑ wo Family Siz teration Ra ze AGO O amp ❑ Radiant Baseboard or Panel Fuel ( - - ❑ Addition ❑ Move ❑ Garage Se vice: ❑ Heat Pump Space Htg p ❑ ❑ ❑ ❑ ❑ El Other (print): Underground ❑Boiler verhead ❑ Central Air Conditioning Water Ht. mlk ❑ ❑ ❑ ❑ ❑ ❑ Other ❑ Other * ❑ Dwelling unit will have 3 kilowatt or „` "` ` +`# ..... more installed electric Constructed ncrete ect c space heating equip. . ❑ Tre �L] IVlanufactured ❑ ilAasoned r Wood : : : :: »: »: >:• >:•: >:•:::.; Infiltration control option is ❑Full sealing at Sewer of joints. ❑ Blower door test. ❑ Exterior /�� air infiltration barrier. Unfinished Basement!"7J S . ft. `i "` RIES.::::::::::;*;:m* ❑ Other roupal :<::: >:: >; e " € 3{ >}iWit S'SAtaitOta . »:::: >:: >::: 1- Story ``` �• ❑ Y >SRS�I:�1 >< >: » >::» Permit No Envelope Living Area 1 oil 3 S ft. . BTU /HR q ❑ 2 -Story ❑ Seasonal :ii: V.V.VA > !> » » >' `E "sE ? »> » ?» Infiltration ❑Other ermanent :::: �.. .�. /4 Wi6. SY BTU /HR Garage ther ,....R-Municipal Utility egkPlus Basement ❑ Private On -Site Well $ 600 r The applicant agrees to comply with all applicable codes, statutes and or inances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, on the 6 ep • - or or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATUR IC � � � �-- DATE SIGNED - 7 - q APPROVAL CONDITIONS Thi , rmit is issued pursuant to the following conditions. Failure to comply may result in suspension or rev c. ion of this permit or other penalty. (•? WS i.ALL 5 E OS/Oe.-) VvtASC7RteS peeX.. /&/R 07/ J& T own Village ❑ e Cit ❑ County State of: Y ❑ o M Y ❑ Municipality Number >':����:�y < > " >; ��`' : � P Y Dwelling Location: JURISDICTION 0514 K©sR 2 a 6 6 . .............. ....... ..:.......:........:.:... • .. •.......• . .................... :•:.::: :.: . : ..i•: !vi i i::ii:ii ii: iii iiiii:ti:iiiiii ) is' i:iiiii iii:i Plan Review � nw $ Oi 41C1 onstrudion � -� �— Inspection $ VAC Name Wis. Permit Seal $ 30. °= ❑ Electrical Other $ ❑ Plumbing Date S t 3'. q k-t Total ` • • b4 rosion ( ,•( aO ' $ I ``�� • ❑ t O C ert. No. SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent • n ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 11Q LARGER Lam, ZONING / '( l PROPERTY OWNER/CONTRACTOR:C IC.- 4:).10&C: 3j UB!' 1 1 .-_ CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) Ida.) Skl .g TA+MI }∎ mac. C ) t o \o `�& , ,_,s� = 1093 COMPLIANCE CHECKLIST 03o,s - U,cV, =. 53&02- 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 /� 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. V APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: / 1/ 41-2-71V1 , - DATE: S ©9 Y / CATE d 9 7 NAME _ C4SS/C gE5 ADDRESS LOT 1 ./3 BLOCK LIARD l,G .� SUBO 1 V . ADDN Et:RA 6 Abu ZONE STREET NO. / g 1.i+7C6E 2../2, LOT D I MENS I GNS SIDEWALK EXISTING YES E1 NO [2] BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4/2C. , 19 94 BY VrA FEE: $15.00 .Z/02-0104 Y 692,rdz DEPARTMENT OF RUB L I C 1WC KS I, the undersigned, owner or agent of the above described .rop-rty agree To have the grade established before excavation has commenced. i 4111.101 '....f........ 009 J G/ I City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 1 I aD LAA GER ENE Owner's Name Cl,IN iC- 1 nkES Name of Subdivision INA-. .V 1 (.0W3 Lot # Bldg. Permit # 3 /87 No. of Units Fee Required '1//00. Fee Paid ' Date Owner's si gnat urn +�V: ��..�J .6�i MIP IA Inspector's signat a I L Date 5/3 R Parks Subdivision Improvement Accts. Rec.: 362 -04 r - _ __ r 9 ,y 7 N _ 'optics DEcGW- • r t /'_ 3 r18aJG : 440" 4. N 14....14- 1,0 l,wf 43