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0017541-Building
m FIC D?ipmm 000)0711 0 a a) m r a) m- � o c m m - c c �.. o 0 a = a) ° " -1 a m 3 a -r m m o m -.I m . c ' o o O m Cn c p c °' Z 7 2 C7 c c = cn V) cn = m 5 a -. y p c° W o N m ? Z .. ° _ co c� 11 <. n 2 co 0 m s (D CD � < g CD m p ,\ • cn 0 m Z w D ❑ Z ° ' m g n ,�l` ° ' 0. .' -I m 0 ' a co n a n o n ❑ o p n ► ' a illli a ❑ p O m CO r' o 0 - n -I n \ 1 XI CO M a 33 - c D 0— == 0 ° 0 0 33 D I—I 0 ❑ (D Sv 0 all Ill �C.i m XI c r O. c ❑ 0 m a c c 1 OG n- n' m 1 = m g Lill cn m 0 ;� 1 t7 s ; �► ❑ m ❑ �y o CO cn 0 cA c , /I— `n C7 cci 3 c El : _ co 3 ? CO ° w ° c m 5 o CD CD fa) ❑m o o X .� ❑ � Ill n n zr Ca - cn V? � 1 ... . ' k N ,N *` Cr 0 �, El 0 co a ❑ � ., ❑ o: * O -n OW Q `G oo d cn 0 0 7 W <. a -( m 0 • . Mr O 0 a (fl 0. ^' . m U O cn ^ 2 cn m 1 0 CO m • N ai D m m - m 5� = z �' (a m C ° o = — ` 2 y .q N a - m- t„.„ 3 7 --k (D r ❑ cn m C (D '• u1 , • a0 "8 m.a� 0 " . Z co o �o o C7 O V — � o ° o my 0 o o , a,Z O a n LI \ Iv 7 -2 Gl r. - O z c tr O. tg aW �', i (D 0 m w n c o A 7' ( a N O W ...Alp ! `* 0 l elk ' m i \ c 1111 cn ^ / \ N O ,n. iii . \ a m --..1 N CD ( I► r . O ° a ' n ° ♦ \ 1 ED, r w , w m Cr' •' 3 J N o • Depth of Lot Ia v, Q pv �, m y 5' m m o D 0 3 Z c o cr, ca 5 � ,� (2, o N a * 0 O - 0 Ski Q \ — m 7. ' co 0 m 1 0 0 m o 0 0. 1 m Cla cn O m a i ` O a) co o 1 s S 7" c 1j; - (D Q = cn •:,- (2:r -n k N 6\ .....■.k ,\;', 3 7 g Cp ch C f r i • c cn m o 2 (1 1 < - 5. F 2 a 0) o*m ' 0 7 m © a - o 1 sv o Z Z co 0 om- m q a oo 0 :..,. --. ii cu (D 7 (D State of Wisconsin Department of Industry, WISCONSIN UNIFORM 1 7c41 I Labor & Human Relations APPLICATION NO. Division of Safety & Buildings BUILDING PERMIT Box Madison, WI 53707 APPLICATION Wisconsin Statutes 101.63, 101.73 (See Instruction on back) ) ;, •• ; PARCEL NO. :' , 2,4 I 3 ' ,tu . , ' ' TRUCTURE ,J VAC ELEC IEiPLUwDIN 1G Owner's Name Mailing Address Telephone " T dM4s � 7� Li/EST/11 d�2� C i i l l en3 - 32-v3 Contractors Name Maili A� Telephone 7/hM1 S L/s a7C,o r iEs- -61 OIL PA C �,3 (— Z Z03 WI, SECTION , T N, R, E(or)W Building Address division N e Lot N Block No. 0.. gca. O M h E2VA `t ,. SC(-1 k1 r ciAST 4 Zonin District Lot Area Front Rear Left f Right, QC -- Sq. ft Setbacks QS ft 1 47 ft. l Z ft. 7 / z--- ft. Family Entrar Peel •. •rced Air Furnace Fuel Space Htq. Water Htg. ew ❑Addition I. ' gle Fam Alteration ❑Repair ❑Two Family Size: amp ❑ Radiant Baseboard or Panel LP Gas ❑ 0 a r a QRaze ❑Other � vice: ❑ Heat Pump Nat. Gas W– Qttach'hd ❑Move ai Underground ❑Boiler Fuel Oil ❑ ❑ ❑Detached ❑Foundation ❑Overhead ❑Master plan no . e+a s t '' ['Central Air Conditioning Electric ❑ ❑ 1 1 . ❑ Ot h er Wood ❑ ❑ (If applicable) •Site constructed to oncrete Solar ❑ ❑ ► : a ❑Masonry Sewer Coal ❑ ❑ ❑Treat W ood - Other 6 ° "., ., �* Municipal f ir _ � ❑Other ❑Septic . '., ...; Basements — Sq ft.� 1� -Story Permit No. Envelope BTU /HR Living Area ‘ At Sq. ft. 02 -Story Infiltratio o � /� DOther ❑ easonal W +s * "C T d • Permanent Garage Sq. ft. III Other QPrivate -on -site Well,.. ° i ' . a unicipal Utility $ 33, n©0 The applicant agrees to comply with the Wisconsin Uniform Dw• • Code .nd other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, • or im. .n he • - partment or Municipality; and certifies that all e above information is accurate. SIGNATURE OF APPLICANT /� .. /, 4_ GATE CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca- tion of this permit or other penalty. J® Q �' z Di ' ,AJ 14 cc eft_ > D 1u 71i. VNrt AM el. . -- ,onpi,ciQl. . . G/ - / 4 tr r"' /# a ► 4 � 111 1F , �1�ii✓<�1�� LEA �� - i ( l�S t c_ � Q l S'7+wo C. - 2 � . 0 7 . 044/. ♦ P _ !' , Z.140 A L4 - . r,•/L Affibiril _ _ E.c.—* 0 -.A.. 0 0 (•— © pi � 0 1 o ' �a le_ • v loo c J • -t �t. t c.� f ( .S' C5 S, ._ { ATt a �d R... IUQ'C GI x.) lick..J 'You Cate.-c.. A � ' 1 1 1 Pal ��o i '* 7 ❑V ILLAGE 4TY ❑TOWN ❑COUNTY ESTATE NAME C O - s>Ei— MUNIC. NO. C _ FEES: : , T ' x; . a+ '' �; Plan Review $ 7... VAC uction f / 7. Inspection $ • lectrical / NAME Qom( n � `n � Wis. Permit Seals) ... $ � L b7 ❑Plursshi ^g , DATE q ' 5 — v 4 Other $ ❑Other / /� TOTAL $� ( �� CERT. NO.. �4 �O DILHRSBD 5823 (R -1/82) WHITE – Issuing Jurisdiction YELLOW – DILHR GREEN – Inspector PINK – Owner /Agent ZONING/LAND USE COMPLIANCE CHECKLIST I. GOAL Building Permit # Zoning S Conforming / Non-Conforming Job Location cA9 0 51 I NERA/A- It Dimension (00K / ProPer'tY Owr r 1 earC6 it Area `7 c7 II. CCNSTRUITICN DATA Describe work: J _ /� /21 .72( NEW CONSTRUCTION ADDITION ALTERATION Accessory Building Pool ,Single Family Fence Deck/Patio Two- Family Boathouse Sign Multi- Family Utility Structure Porch Crcial Other (specify) Manufacturing III. COMPLIANCE CHECKS Complies Deficient Deficiency /Camaents Use 4:11 Iot width Iot Area Floodplain Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area it Area per Family Corner Lot Other (specify) — IV. REVIEW AUTHORITY The Planning Director, or appropriate designee, must approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change of use is proposed. (2) Maintenance items, e.g., siding, windows, etc., when the use is conforming and when no change of use is proposed. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Planning Director. ROVED NOT APPROVED Plan Commission Action Required Variance (s) Required REVIEWED BY: --- ��. DATE: DATE 2_0,_ NAME ( 5 a.Se-/-4 ADDRES - 7 . Z G SPA,/ (o' BLOCK WARD / LOT � �] / SUBDIV. el n- -ZONE /t -/ 06 STREET NO. d42.0 llO 5 DIMENSIONS C SIDEWALK EXISTING YES [ NO V BUILDING GRADE ELEVATIONS STAKES SET AT SITE a-21 ,196¢ BY 1 FEE: $2.00 7 / .. ,,e,;- jAy DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above descri• ! property agree to have the grade established before excavation has commenced. 2 t(2 L// ' 3184 1 p et 4f /34074, �µ.._����� a 31-azo 3 a+a oYw..,N.,b�.t ki2e--e44-..C( j2-64--- -64-0-6L //<-- dvA.12, oerpt, r 1 /4-14- . d'es /12, /Ow eia eti4 ? e L K&I, 1 , cdazizi-- ee tu-( s Ai 7.44 44 /1-(44 arEA-(_6 ;,/ AfriA44 csLci a te ,. t4 cLix_ (0c4...mf waS _> i . ......,– • ,C • ,, , . .4.— -,: '.,,, 4 .,o. i 41 ; al ,... di 1 0 * 6 F X .:, Illg44g/ g : h I ' qE7_:wil.: 5 i -, F " A zr ;- ... 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