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Home My WebLink About0025051-Building C ® , CITY OF OSHKOSH N°_ 25051 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING J� FLOOD PLAIN HEIGHT 2 Z/ ADDRESS / / /V 04 PLAN NO. /l 6O7'7Ok?/Z OWNER DESIGNER � !� USE /NATURE OF WORK i-�� l� P a2 —�/ / ,det `- BUILDING CONTRACTOR /� 7 1 ! � C l Size // Sq. Ft. /99 / # Rooms g � 3 � # Stories 1 Height �Z' Foundation LO'� Class of Const. a , Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR ,' 6 Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - 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 [Q' 000. O 0 Permit Fee Paid $ /( fa • 0 0 / Park Dedication $ 00 . 0 0 ISSUED BY diA.7,G��.f/ �- Date 0 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE • t — 60 7 / (/. AGENT /OWNER DATE ADDRESS TELEPHONE # / State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor & Human Relations .�?- 2S / B UILDING PERMIT Division of Safety 8 Buildings APPLICATION NO. Box Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See instructions on back of pink copy) PARCEL NO. .............. .......................... ........ ....... .............. ... i :ii ................. : :':ii :: :: .............. .......................... ............... ............................ .............. ......................... PR''RESTE CONSTRUCTION III HVAC 111 ELEC ❑ PLUMBING ❑ OTHER: Owner's Name Mailing Address Telephone Contr ctor's N � i MaiOg Address Telephone /o r7 . P e Geta Z3 / -- /7e7 €'.. Lot Area . S ft. /a, /a, SECTION , T N, R E (or)W Building Address //PI- 2-. m Lot No. Block No. Zoning District(s) Z� rmit No. li � / il �F Fr ront Rear Left Right 4-1 Setbacks .2 S ft. i t / ft. ( S ft. ft. : .:::i: : ;:. :. i.... .....: 0 «:.:EL�.�: 9.: `AC:: IPMENT . I.2 «.;. ENERGY ..SOURCE.. . . . :i :i : :. . . . . . .. .: 'New ❑ Repair ' Fami Entrant P net Forced Air Furnace Fuel Gas Nat. L.P. Oil Elec. Solid Solar Alteration ❑ Raze Two family Size: amp Radiant Baseboard or Panel ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space rn9• 51,,, ❑ ❑ ❑ ❑ ❑ ❑ Other Underground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning ❑ Other ' !.> :: Foomo .>:'s R,. :t : < El Other er more i stal ed electric space heati g equips .... � Site constructed LLLJJJ Concrete :1:PL UM l : > Infiltration control option is ❑ Full sealing AREA ?< D: : Manufactured Masonry Wer of joints. ❑ Blower door test. ❑ Exterior ❑ Treated Wood Municipal air infiltration barrier. ❑ Other S 'STOR E :::;;':. Septic 13 ;HEAT: Ca{culat Unfinished Basement Sq. ft. Permit No Living Area sq. ft. 1- Story r> , ..... : .................................................. Envelope S 2 -- BTU /HR _ O • 2-Story 0 '�....�`A�`� .: Infiltration o � � BTU /HR Garage `> 7 6 Sq.ft. 0 Other 8rPermanent Municipal Utility 'I4:: Other ............ ...................... . : : : : :. . Private on -site Well 9.5:0,0D R av ❑Plus basement $ 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 impli , on the Dep tme Munici ality; and certifies that all the above information is accurate. j r SIGNATURE OF APPLICANT DATE I - ?' �� CONDITIONS OF APPROVAL This permit ist issued pursuant top the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty tt ati s td � .�Ce r�r. 4 -c 5%� 6 Municipality d / 6,- /7 - ..(;:04:01.:I./ .1-- >': ❑TOWN 0 VILLAGE C 0 COUNTY Municipality P tY Number of Number of Dwelling ❑ STATE IN EPEND T Inspection Authority Location, if different J RISD N'> : Zi t wRM & }. " : WIS UNIFORM PERMI `` : I* ii i ii ISSY Plan Review `/O, O 0 Construction HVAC NAME Inspection . . . . $ ❑ Electrical ^ y Wis. Permit Seal , , $ 3° %0 ❑ Plumbing ! DATE v Other $ ❑ Other - S CD TOTAL . . . $ 7O,O() CERT. NO. J SBD 5823 (R. 8/90) 60 t)D / IT 5 - IssuingJurisdiction YELLOW —DILHR GREEN — Inspector P1NK— Owner /Agent '27P1-0ea0(14 Y 44."4:444/e4Awisatt 8/89 ZONING/LAN USE COMPLIANCE CHECKLIST JOB LOCATION: 11 pe/ ZONING: PROPEREi CONSTRUCTION DATA: NEW CONSTRUCT O ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) Ao; astyz_s( ' 1 COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS U se ■•■■■••• •■•■■••■ •■••••••■•■•■•■•••■•■•■■ Lot Width •■■■■■■■•■•••■••■••■••••■■•■•■••■•■■••■■ ■ Lot Area ••■• •■No.s■•■•■■■■■O••■•■■•■••momIm■ 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: 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 were 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) Required REVIEWED BY?4je."-c---z.A-A---"-- DATE: 6/1 7/71 DATE 0.—S/9/ NAME /G> - c /4LX ADDRESS LOT Tt BLOCK WARD SUBD I V . 2,1-1 1, r�7/, , ZONE STREET NO. / /iL� / 04- LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO [20 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8/ 2$ ,I9 17 BY K/J FEE: $.9,0.p. 7(-10;yvvii., DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade estaaiished before excavation has commenced. 002391 ef¢ /7, City of Oshkosh 1 /1 /P5 PARKLAND DEDICATION FEE COLLECTION RECORD Address /1 '/0 /Ala , Owner's Name __ Name of Subdivision 2—"-t( ad �� 4444I' Lot # to Bldg. Permit # No. of Units • Fee Required /00 . 0 0 Fee Paid /00.00 Owner's signature . - Date 0 —a2 5� p C Inspector's signature Date 9 A-10/ Parks Subdivision Improvement Accts. Rec.: 362 -041 r' O r I" r . S 7 ' r /C a M s / AA) Pico 407-0„ 1../M-G CR GAWE v1 LIiTi6E LAA6Eg Lick 2:3/—/?07 OWNER ADDRESS WO DATE PERMIT # USE S'57 � � Woxk consists of GENERAL CONTRACTOR MASON. CONTRACTOR ' ZONE Width of lot _____ DATE INSPECTIONS A REMARKS V • Rs" > A .c • 4 a Front of lot MAILING ADDRESS , NOTICE THIS BUILDING SHALL NOT BE OCCUPIED UNTIL FIND INSULATION APPROVE)), HAVE BEEN MADE P 91 city o f D ATE � OSHKOSH INSP SIGNED BY THE . ROUGH PLUMBING INSPECTO APPROVED City of DATE , /— /5 - `77 OSHKOSH INSP " ): SECTION 7 -32 CERTIFICATE OF OCCUP, __ -'" — "" '^ (A) NO BUILDING OR PART THEI ROUGH ELECTRICAL WIRING CERTIFICATE HAS BEEN ISSUED APPROVE1) IN ANY MANNER WHICH CONFLI IN THE CERTIFICATE OF OCCUI City of DATE f 4" / OSHKOSH INSP ' ^ PRESENT THIS CARD STRUCTURAL FOR OCCUPANCY PERMIT TO APPROVE City of DATE 4 ' / 97 OSHKOSH INSP INSPECTIONS MAY BE ARRANGED BY CALLING 236 - 5050. BUILDING .1-4, a DATF 2 zi'JZ.,. ELECTRICAL - �_-� = , DATE 2- - ? -, z . 7*...1 HEATING— -- &- = * , DATE 2 -2.1 ;' 1 PLUMBING 4 �v e6.i 7 --(Th P DATE o/- - 7` J 2 FIRE 238 -5242 ; DATE NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS SANITARIAN 236 -5030 DATE Only for Businesses that Require a Permit from the City Health Department. CITY SEALER DATE Only for Businesses where Scales, Pumps or Scanning Regist' are used.