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0017417-Building
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Box 7969 APPLICATION Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. a s, a 'TRUCTURE VAC C O� Pr's Name Mailing Address Telephone �� �� 1 v,i s )?e lbo Gzs� ti � O 3 Contractor's Name Mailing Addres Telephone ^ 3 r 8 ,, a0 3 � 40A S PySC- F ( p t.JE.s - iiM') 2A 1� e7( °' , 36 % Ye, SECTION , T N, R, E(or)W Building Address division Na e ' Lot No. Block No. z4 c l i\n V J .tA s CJ sc, • N,C 3: ..— Zoning District Lot Area Front Rear Left Right V - 1 Sq. ft. Setbacks ft. ft. ft. ft. 4 _• 4" 1 ' ee cA1w -' 1• AC E 11' New ❑Addition in ingle Family Entrance Pane dr •rced Air Furnace Fuel Space Htg. Water Htg. ❑Alteration ❑Repair ❑Two Family Size: 1 O� amp ❑ Radiant Baseboard or Panel LP Gas ❑ ❑Garage ❑Raze ❑Other Se vice: ❑ Heat Pump Nat. Gas .,g ❑Attached ❑Move ti - nderground ❑ Boiler Fuel Oil ❑ ❑ ❑Detached ❑Foundation ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ ❑Master plan no. .'" , m. TYPE 1 r' .v Tom + ❑Other Wood ❑ ❑ (/f app /icable) ❑ ite constructed .fin oncrete ' ( : Pf Solar ❑ ❑ v , m . • - ∎anufactured ❑Masonry Sewer Coal ❑ ❑ - E ... - k ❑Treated Wood Miunicipal Other Basements `OOQ Sq. ft. ❑Other 1 ❑Septic 13. HEAT ,m teed) I^ tory Permit No. Envelope j BTU /HR Living Area 1,C108 Sq. ft. 02 -Story Infiltration 1 (t S( BTU /HR ❑Other ❑ easonal s TER, ;' �— r.' -rmanent • • rivate -on -site Well 14... " s' �" - , Garage Sq. ft. : ❑Other ?, unicipal Utility $ Og'000 The applicant agrees to comply with the Wisconsin Uniform D • • . Cod, and other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, e.. s or i 7 . . = Department or Municipality; and certifies that all t above information is accurate. y .'• SIGNATURE OF APPLICANT —. ' j DATE __ 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 9r other penalty. . •ft) v • 0 II( tiE l M S Cotors-(J (J' fo-sk, JA 44 8rE As LGAv / xI'D "! PPitA 734 ' ' ' (X bud r. Z 3. a° 8 � � s _ �. S a ieoC4. -1' t ' u _. ©A INt JG S 1 A ,JJ ��W f - , ., E ctIA) !' barer . i 1 ( C r • Vi AFf . t? — • 44 Sr o,e= ": ❑VI LLAGETY ❑TOWN ❑COUNTY ❑STATE -' ' :. „ �,,..,. ., NAME -_ • MUN IC. NO. L© Q C:: 6: ' FEES: f .* , Plan Review $ 0 ii Construction . I�' AC ► '. M Inspection $ .1,.' lectrical NAME 1 r. Wis. Permit Seal(s) ... $ S i7 nDlembing DATE [ .2,- x C Other TOTAL $ — `�' 0 3 1 CERT. NO. 8 4 .DILHRSBD 5823 (R -1/82) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent ZONING/LAND USE COMPLIANCE CHECKLIST I. C'.RAL Building Permit #n4( Zoning _ Conforming Non - Conforming r � Job Location _ _' N f h , �. Lot Dimension (CO > Property' .0 �.,r... Lot Area � v /� II. CONSTRUCTION DATA Describe Work: /7/1u, - - - NEW CONSTRUOrDal ADDITION ALTERATMON Accessory Building Pool Single Family Fence Deck/Patio Zt„o- Family Boathouse Sign Multi- Family — Utility Structure Porch Commercial Cdr (specify) Manufacturing III. COMPLIANCE CHECKS Complies Deficient Deficiency /Comments Use Lot Width Lot Area Floodplain Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area Lot Area per Family Corner Lot Other (specify) - IV. REVIEW ALRITY 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 the Building Inspector without referral to the Planning Director. APPROVED NOT APPROVED Plan Coamission Action =• Variances) Required REtTIEw!ED BY: C=am% - 1 DATE ' �-1' '- �' NAME ` - l �C ADDRESS 4; (-t_), , L (1 LOT g BLOCK WARD ) 0--- S UBD I V . kl.ati f i STREET NO,24C,( c ) rG , /U Si LOT DIMENSIONS SIDEWALK EXISTING YES 1 NO IT] BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8-2) ,19 $ BY eN FEE: $2.00 Xia4-7 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. 3182 , i NI -J , r 5 <lc 1 1 : i,-, z 0 r._, .... .... . vl • 2. � • • • ln ON CO ° ° ° p() lfl I 1 N In CC IN ;: r; r-; No, ts‘ L__, 4 , 30 vg . tv) — cnr-- CO : C CI. 1 ''( tr• tr : , 14 0 w . _ -. g lQa < � f'�j 1 1 1 1 .2 C \ /..\ / i _ .: .1 ti • Y: N W ?, I G ♦ y ^. 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Y o 1 1 a •• • n P L a • O O N !� .0 I I 1 1 O. �; Y • • a to Q 1' • /� V O • F+ W P • w V+ J l: 1 �I� U S • y • 7 $ 1 11 "1 < t- I <U 4 n' i °J �t ] • . Z ° 0 8 n n . I • 4 K H u YL O • C • W 1 t • v u :� I S I Q I I x y, 1 1 4 -8 • < I I i 11r O Y • .+ Q • •YC sr • N O H 1 `, • • Y O • l J K K It N • • N N M I N M I ., • % O • Y D re iii[[[ Y < m 0 a ♦+ Li o m o a • H n • a�^ .. • 1 ' c 0. + • I• •' •. Q, 1. R• V V l? V V V l' V P Y G V • v° I) ° C '..44 L 6 4 3 04 < • c N U I i ! I O . . t • 8 r < .__� l i L_t_l�_L • a � s 3 C • ~ • • i ice. •O<... d • • -. • 1 -!::: r. I. • • V • 1+ • • • M 1 • u 666 1 • - OWNER / C-4A-l'A- ADDRESS( —) SS' DATE -ga -84' PERMIT # )74-0 USE 5�( J Weak consists of GENERAL CONTRACTOR _ -. ,�� %. , .a. 4--- z--- S- -.- MASON. CONTRACTOR ZONE . Width of lot 60' DATE.6j 06 0 INSPECTIONS A REMARKS 7 1 , y . 7 (/' ' 1 218*/ i fr' - , :Mt GM"'07(-G a 0 4 a . m a Front of lot MAILING ADDRESS f