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0025711-Building
CITY OF OSHKOSH N° 25711 ©Ii.A___ PERMIT - APPLICATION AND RECORD TYPE: BLDG pf HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING /63- FLOOD PLAIN HEIGHT ADDRESS / 1 3 S new- PLAN NO/2 /0 / ) 0 VW-- /Z OWNER DCc to -C-Cil 6/11/11.- DESIGNER k7-2/(4) } '/ , USE /NATURE OF WORK I i ie /,if/W ly� • BUILDING CONTRACTOR �...L1 Size �/ Sq. Ft. 2-03 / # Rooms / - 36 # Stories 2 ' Height Foundation t.6i" Class of Const. Y Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr _SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuatio $ 8s; coo • 0 0 Permit Fee Paid $ 42 V' 5v 1/ Park Dedication $ /00 ` 00 ISSUED BY i�(.(.,a- d` Date / /7/ Final /O.P. V - - 9 In the performance o� is work a• ee to pe • : I work pursuant to rules governing the described construction. SIGNATUR.' ..1 �, i�f/ A /0( p �/ A ENT /OWNER ADDRES _ �i „� -q--7._-S P4 TELEPHONE # 1 2-1 / 0 '9 je., State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor & Human Relations / Division of Safety & Buildings BUILDING PERMIT APPLICATION NO. 25 7/ Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 Moo Instructions on back of pink copy) PARCEL NO. !!0000MiREO1;TFTEP:i::ii: JAI CONSTRUCTION 0 HVAC 111 ELEC El PLUMBING El OTHER: Owner's Name , Mailing Address Telephone /C/ /0 . All-A/kt- 2-3 St&t 1a rA;(1 ...-4 54 .233 — /537 Con z s Name Mailing Address Telephone 7_3 — .5 06,6c,A. / ( 0 ertA)."--". ef ila-iGied.- i421 e 6 :::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::: PROJECT Lot Area aor toc*:: • - : Sq. ft. %, %, SECTION , T N, R E (or)W Building Address Subdivio Name stert... Lot No. Block No. // 3s ■er- x...... . o ning J „ 5 cr‘S7 ft. zv / 0 . /e' Zoning District(s) onin Permit No. Front Rear Left Right Setbacks : 0 Repair Single Family Entran e Panel Forced Air Furnace Fuel Nat. * L.P. Oil Elec. so i dso ar k 0 Raze Two family Size: am. • Radiant Baseboard or Panel 0 Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg. VI 0 0 0 El 0 Other Underground eoiler Water Htg. 0 0 0 0 0 Overhead Central Air Conditioning 0 Other 4:::CONSETYPE iZi::::FOUSOIAMON:i:: ........Othel.. . .7,,,... m Dwelling unit will have 3 kilowatt or mo installed electric space heating equip .Site constructed KConcrete ;)CP1,00.40k:::•:::::H0:::::i::::::::::::::::::::: Infiltration control option is CI Full sealing V:AREKINVOLVED.::::::::::::::::::::::::::::::::::::::::::::: Manufactured Masonry giver - of joints. 0 Blower door test 0 Exterior 0 Treated Wood Municipal air infiltration barrier. x -,.: 0 Other HEAT LOSS 04 ::166tilititig:::::::::::::::: Unfinished Basement q . ft . :::L:s.ran HEA ies.:::::::::::::::: ... Se Pe P rm ti 7t No. 4$ ,.. Envelope .8999 BTU/HR Living Area 6 Sq. ft. f'21:Ssttooryry 0 Seasonal :1LC:::WATIER:i.::::::::::::::::::::::::i:::•:::::::::::::::::::::::::::::i:::::::;: Infiltration _4E7 e_2/ BTU/HR # Garage 7 57,4 sq. ft. Other n Permanent a Municipal Ut i ' - C EStriiiiiiiiiiiiiideitt::::::= :).....:............:..:................................................................,....... • Other 0 Private o• it ell 0 Plus basement $ /() COD I C9 The applicant agrees to comply with all applicable c. • s, statuts#1111 ordinances an. ith • - conditions of this permit; understands that the issuance of the permit creates no legal liability, express or impli, . the De. - ent or Municipali •,; a • ertifies that all the above information is accurate. SIGNATURE OF APPLICAN / _ DATE ... CONDITIONS OF APPRO AL Thi - . - - is issued pu uant to the following conditions. Failure to corn ' y may result in suspension or re s ation of this per • or other penalty. 1 .47)-Lf;f — ' 4/Zite-olAV '7.■• S 54, - e i.Mi- • eJ- 7 - ,442 4 / ISSUING • .:gn: n:;::::::::::::::::::::: OTOWN 0 VILLAGE ICITY 0 COUNTY Municipality Number of Municipality Number of Dwelling 0 STATE IND PE Inspection Authonty / Location, if different JURISDICTION OF: 7 ° 2-- 6 6 ................7.77.777.7 ......... pERMMISyi:!:1:!:!::::iwwvoopmgmlmRNIOiiiiiiiiiwiii::!:!::!:::::n:::,:ini:munonimum:um Kitiliecc:::::::::::::::::::: ::::::::::::::::::::::::::::::SEALNO::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::0:::::::::::::::::::::::::::::::m::::::::::::::::::::::::::::]:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::?:::::::::::::::,,:::::::::::::::::::::::::::::::: L 0 0 ,,. Construction Plan Review . • . $ HVAC Inspection . . . . $ El Electrical 9 76 09' NAME Wis. Permit Seal. . $ 3 0 El Plumbing DATE / ° Ii 0 M/ Other $ 0 Other TOTAL. . . $ 7o-00 CERT. NO. ca 2, 5 "-- , SBD 5823 (R. 8/90) 1 WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK — Owner/Agent Revised: 8/89 ZONING /LANO USE COMPLIANCE CHECK i > ZONING: JOB LOCATION: 3,!) %�'- � � PROPERTY OWNER /CONTRACTOR: PARKING LOT CONSTRUCTION DATA: (SEW CONSTRUCTI�CtV ADDITION ALTERATION TYPE OF PROPOS ED CONSTRUCTION: (i.e. fence, pool, sign, deck, n _4 COMPLIANCE C HECK LIST (Check only those applicable) DEFICIENCY /COMMENTS COMPLIES DEFICIENT 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 Calj/eA-e4 REVIEW AUTHORITY: rove all plans, except the The Director of Community Development, or desi nee, must app and when no use following: (1) Alterations or irnterior work when e uses conforming when the no w is is in use is proposed. (2) Maintenance items, siding, 9 windows, conforming and when no change is proposed. Instances where work complies with the above criteria, hempermitDcan bemrevieweddbyithee. Building Inspector without referral to the Director APPROVED DENIED Plan Commission Action Required _ Variance(s) Required / J DATE: `� j REVIEWED BY: DATE / //a /9/ NAME /67s- ei (14 ADDRESS LOT 51 BLOCK WARD 5 UBD I V . Z„4"./ ZONE STREET NO. // 3� „ir` LOT DIMENSIONS SIDEWALK EXISTING YES [::: NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE /Obi , 19 `' ( BY / FEE: SIT-Mt /JG f/ DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. ? 00 Z � City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address // 3 Sr Owner's Name .1)40-6e, , Q , /64 Name of Subdivision /j"f -c 2�n -Gt Lot # Bldg. Permit # of Units Fee Required 1 o c7 Fee Paid • + ,ca IPA Owner's signature All Date /� `,.� 7/ Inspector's signature % / Date /ol ) o /91 Parks Subdivision Improvement Accts. Rec.: 362 -041 s W 0 1 M 0 00 F] iw It Q � , 1 1 L r 0 ,58$ &-camo hamos-i To i I �. y rrrrrnrnnrrr.w�r.r�� ��rir ��r J? LO - T LAK NOTE: Although every effort has been made in preparing these plans and checking th em for accuracy the Contractors must check all details and dimensions and be res pons ible for S ame. navin f CHRISTIANSON 0 M r DC .s m Hv SCALE: A s N o T� ❑ APPPOVED BY: DRAWN BY DATE : $ - ?p wa�l REVISED - v A Pr - - t_ DRAWING NUMBER A—we R 1 i 1 I Pr - - t_ DRAWING NUMBER A—we