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HomeMy WebLinkAbout0016108-Building CITY OF OSHKOSH N° 16108 PERMIT - APPLICATION AND RECORD TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING C /\ FLOOD PLAIN C� HEIGHT ADDRESS / ` --� Z e '- oi- r PLAN NO. a ` . ©e /` >`� 7 met. -e'_4-- DESIGNER OWNER �/ / USE /NATURE OF WORK ,(J&) z t .6,J /64 '''',.12/"--, a ( _ , ate► - v�'� BUILDING CONTRACTOR t�' m ill /s7� Siz Sq. Ft. # Rooms - ` ICI7 Stories / 34 / Height 2 � Foundation Class of Const. e Occupancy Permit, HEATING CONTRACTOR — Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR mac° ko A w4.-L l --- Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR )K{A ys0ci BT WH y Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuatio • r rmi /. Paid $ + Park Dedication $ ISSUED BY tai. / � �: - - - i ,.• Date Final /O.P. &2 7- 9 III In the performance of this work I agree r •-rform all work pursuant to rules governing the described construction. r J SIGNATURE N /t �, .^ f AGENT /OWNER � DATE ADDRESS ; C�ti� (mie .j O 57(0 235"; S TE io I TELEPHONE # r 1- ltd- foEF1 _ Stat tment o f Industry, D WISCONSIN UNIFORM eprtment f Idustry, Labor & Human Relations Division of Safety & Buildings BUILDING PERMIT APPLICATION NO. Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO. PERMIT REOUE'SiTE ''STRUCTURE HVAC 1 1 ELEC 1 1 PLUMBING Owner's Name Mailing Actsir.gss Telephone U sR _ MAC 4V rkur._ 2tq C jou (c7 C444) zss 5 t o Contractor's Name Mailing Address Telephone `J MI M4, usF. cam. 2_ (9 06C.14- ST 64 14-' -z3S - -“ I PROJECT LOCA ON '/a, '''A, SECTION , T N, R E (or)W Building Address lubdivision Name 1 Lot No. Block No. 1 l__. A- (...,A-A LNK, Conn VA, . ter. Pflo, S — Zoning District Lot Area Front Rear r Left i Right 1 1 1/ 3" 0 Sq. ft. Setbacks Z5 ft. 63.5 ft. I S. ZC ft. IS —• Z 3 ft. is PROJECT;; 3 TYPE : 6: ELECTRICAL. ` S #HVAC!EOUIPM :EI IT 12 ENERGY SOURCE ,New ❑ Addition ❑ Raze,ingle Family Entran , e Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar ❑Alteration ❑ Repair ❑ Move ❑ Two family Size: 0 amp ❑ Radiant Baseboard or Panel Gas * ❑ Other Service: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ El Other ,underground ❑ Boiler WaterHtg. ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning iIb _GARAGE ,. TYPPE 7'_ :FOUNDAI<T1ON . ❑ Other * ❑Dwelling unit will have 3 kilowatt or more installed electric space heating equip. P tape e ,> Site constructed Concrete 1O PLUMBING Infiltration control option is: ['Full sealing ttached ❑ Detached ❑ Manufactured Masonry Sewer of joints. El Blower door test. El Exterior 2,. AREA ❑ Treated Wood LeMunicipal air infiltration barrier. S ST+# IE . El Other ❑ Se ptic 1 . HEAT LOSS>(Gatculated} p Basements /09 / Sq. ft. Permit No ( o 01-Story ` E Envelope 37 ZOO BTU /HR Living Area Sq. ft. } �� J BTU /HR ❑ easonal 11f)tATEtT Infiltration ) Gara e G i Z Sq. ft. W„.2-Story Other etrmanent Municipal Utility 14 ESTIMATED COST g l s �Vl�ti ❑Other ❑ Private on -site Well The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, on the Department or Municipality; and certifies that all the above information is accurate. \ SIGNATURE OF APPLICANT . hI ii. 0 • ' • DATE /O- 27-4 7 CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. (ec 1 j f/ idlely �iF /Vrt� � - die / Do 0 — ._.. A . t le A , � I-0 v d' ce t e 1...)//k 4 t'e .3 S /Ai act � ea i a P l o ,...-„C ��tr- c �a �.s (fi( 4 P oc_c9 (et/ l /" f i - o tJ t . G f 4 , r' {-4 ._ w { e r , , ) 4 0 te-c / P r ''ISSUING ❑ TOWN ❑ VILLAGE ❑ COUNTY Municipality Number of Municipality Number of Dwelling ❑ PE �DN��DEI Inspection Authority ty Location, if different — — RI IfTCTiON ' 2 - $ BEFRMtT(S WtS. UNIFORM PERMIT P iimit� IS$ttf) 8 :ISSUE ; SAL NCt Plan Review $ `-C l_J ❑ Construction ❑ HVAC NAME / �C 0 L . (&.J Inspection . . . . $ ❑ Electrical / Wis. Permit Seal(s) $ ❑ Plumbing DATE / � � 2K-7. Other $ ❑ Other �f C ((( r�l TOTAL . . . $ C. G S- "3 CERT. NO. ° Y CJ SBD 5823 (R. 04/87) WHITE—Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent Revised: 8/89 ZONING /LAND USE COM PLIANCE CHECKLIST JOB LOCATION: f � Z ..Z.G f_ 4AP ZONING: PROPERTY OWNER /CONTRACTOR: 4 S E L CONSTRUCTION DATA: -NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) 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 n � Lot Area Per Family �( 7 Corner Lot Landscaping Transitional Yard Off-Street Loading Vision Clearance Height REVIEW AUTHORITY: The Director of Community Development, or designee, 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. APPROVED DENIED • Plan Commission Action iti Variance(s) Required REVIEWED BY: IIL _..� DATE: 67 - 0 DATE ) 0 - Z7- 8R NAME ci . ( i (V1 itsc-F1-11rErf ADDRESS ZIC au., �j LOT .C7 BLOCK WARD SUBDIV. ft020 k0, 0-012----- ZONE STREET NO. pa. S 1 - 0 - a e LN LOT DI MENS IONS 81, 5 X 13 S S IDEWALK EXISTING YES C NO 1E1 BUILDING GRADE ELEVATIONS STAKES SET AT SITE . Ct g,/ , 19 BY FEE: $ 19.00 4 i b; 2' 1 /° 6 • ,_ f DEPARTMENT OF PUBL I CWO KS 1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. / /11)1 i .►I►t !, i. • 04 WX60 la 7/ City of Oshkosh 1/1/85 PARKLAND DEDICATIIN FEE COLLECTION • CORD Address s � s' Owner's Name `Q—SA - Name of Subdivision Lot # s Bldg. Permit # � rO& No. of Units Fee Required T b0 Fee Paid (w Owner's signature 1 + ■ te Inspector's signature I P5Y ) wAf., Parks Subdivision Improvement Accts. Rec.: 362 -041 WINNEBAGO COUNTY HEIGHT PERMIT CITY OF OSHKOSH OWNER: ADDRESS: TELEPHONE: f, ADDRESS OF PREMISES AFFECTED: t / / HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: ' Z COUNTY USE ONLY EXISTING GRADE ELEVATION: qgc MAXIMUM ELEVATION ALLOWED: ln�1 , I APPROVED: YES 0 NO Q COMMENTS: CITY INSPECTOR: ,t11( TELEPHONE: r DATE: COUNTY INSPECTOR . - : -- ` l{ r TELEPHONE: // DATE: / Th , White copy - County; Yellow copy -Town; Pink copy -Owner - 11 (�;SJ;I ... ..... k: - - ....- ... .. _ ... _ . ............ ......................... ............i........... :..�,.. i...,.' a r �" 1 1 Y ERA THE REALTY COMPANY 219 Court Street OSHKOSH, WISCONSIN 54901 (414) 235 -0095 joR 25 r s SHEET NO. % OF I CALCULATED BY _ r 1 ! r- ___ DATE f D - Z ( O r � CHECKED BY DATE r( _ SCALE -- -- (( r l O I r l [ 4 1 _.,_