HomeMy WebLinkAbout0035182-Building CITY OF OSHKOSH N ° — 35182
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING i FLOOD PLAIN HEIGHT
ADDRESS . 7 2 6 PLAN NO.7 / l S 3/
OWNER
DESIGNER /may
USE /NATURE OF WORK /7—(4.() � /C G / 444 •
BUILDING CONTRACTOR •
Size Sq. Ft. - • Rooms.. 2 # Stories Height
Foundation Class of Const. [> 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: Valuation $ 5 7 4 000. Q c7 Permit Fee Paid $ /7 a Park Dedication $
ISSUED BY
yttt, Date 7/ Final /O.P.
In the performance of this work I agree to perform all work pursuant to les governing the described construction.
SIGNATURE �� a,"7-.....24;:c°
• WNER / DATE
ADDRESS /� �/' C9Xii1;,.,W x.-73 ^- //
TELEPHONE #
b / ILS079
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. ,
Labor and Human Relations
BUILDING PERMIT 35 -2
Safety and Buildings Division
P.O. Box 7969 APPLICATION Parcel No.
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy)
NEP.:.:,EAM.:.:.:.:).V.,,..A. U...E....S.....17........E.......D.........M. onstr 0 HVAC 0 El ec 0 PI bg ;Wrosi on 0 Other:
Owner's Name Mailing Address Telephone No. (include area code)
Cont Nam ailing Address _ Telephone No. (include area code)
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0t Lot Area
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33
fr.e.
2. —
Sq. ft. 1/4, 1/4, Section , T N, R E (or) W
Building Address Subdivision Name Lot N 9 Block No.
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Zoning District(s) I Zoning ermit No Front Rear „, 9 ft. , „...... Right , f
X1 /
Setbacks ..23 ft. r•-•7e- / S ft. I 7 ft.
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ew 0 Repair .7 ingle Family EntrancfgNel ' ■7 orced Air Furnace F Nat. L. P. Oil Elec. Solid Solar
a Alteration 0 Raze • wo Family Size: i l i '-' amp • 'adiant Baseboard or Panel uel Gas
0 Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg & 4 0 0 0 0 0
0 Other (print): >i de rg round 0 Boiler
0 o n verhead CI Central Air Conditioning Water Htg IIIM 0 0 0 0 0
0 Other
NMYPE:':::::::KOUNDATION 0 Other * 0 Dw z ing unit will have 3 kilowatt or
-...... ......... ...:. .... .. .............. ... more installed electric space heating equip.
XSite Constructed oncrete 4.0i#00.000.4MM:iiiiiIii:Iiiiiiiiiiii!ii Infiltration control option is: 0 Full sealing
0 r
lZiAREKINVOINED::::i::::::::::::.1:::::::::::::::: 0 Manufactured of joints. D Blower door test 0 Exterior
.
......SVORI"M'i 0 Tr Sewer . ----. .......'
air infiltration barrier.
Unfinished Basement Sq. ft. 15.1. . -- .... :.. ... ' . . . ''.--.::::::::.:.:-::::.:':i'. 0 Other .,......... Nlun
laziii:iitiottos slakowtea
rgiiig
0 1- Story 930USEi:ii]iii.iidgeRi: Permit No. Envelope / 7 / 7 / 10 9 BTU/HR
Living Area 9)4* Sq• ft. 0 2-Story
Reasonal /2.
liViNATERM::::i•:::;.; Infiltration ..- 7 2- 3 . kse BTU/HR
xOtt Permanent '"••• ” "-....• ••••• ••••••••••••- ••••"'''''''''''''''
Garage 544 Sq. ft. r Other I <Aunicipal Utility lki::'EStIMAXIING:COST:imilmi:miiiii.::W:::
0 ,. :. .... • . .......... . . .. • ... ... ..: ... . • .. ... .. .. ...... ............. . • . :•••,,,,,..,•,•:::.:•,•:•:•:,.....,:,,,,:•:••:,
Plus Basement 0 Private On-Site Well $
- ..;
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 implied, on the Department or municipality; and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED
APPROVAL CONDITIONS Trehvisocpaetrimonitri:fissued permit o ua r n o t t t h o e t r h p e e f n o a l i f t o y wing conditions. Failure to comply may result in suspension or
-144- , ■Orfr. i eri) de.e../ dr" ZXC .-7 / 1 A-eel.4.1 - frt JC6X.4-41./A-1 ,,,.se"..4..-e, / dze...4y41 .,
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iii i iiiii 0 Town 0 Village Atity 0 County 0 State of: Municipality Number of Dwelling Location:
JURISDICTION M 4144/,--201- _7 0 - 2
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:::::::::::::::::::::::::::::::::::::::::::::::igg:::. MOM gpi:::::::::08iiii i:iii$Egi.14.0.;::::::::::::::.:1:::1:::iii:i:iii:iiliiii::::::ii:::!:iiiii::i1 Eli:::::.::::::ii::::::::::i::::::::::::::::::::::::::::::::a:::::::::::::Ii::::Ni:::::::::::g.1::::::::•::::::::::::::::::::::::::::::i:::::i:::::IN::::::i::::::•::::::::::::::::::::;
Plan Review $ ( 46.6 o Xonstruction
Inspection $ VAC Name "/ - . el .. . / ■ ,
Wis. Permit Seal $ 30 .42 mc. 0 Electrical / 7- V 6 3 /
C fr
Other $ El Plumbing Date 2.4 _3
rosion
Total S. - 70 . f0 0 lOr Cert. No. 2- S C -4)
SBD-5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent
-----
Reiised: a/Es
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: .9-( c1, / ZONING:
PROPERTY OWNER /CONTRACTOR:�u
CONSTRUCTION DATA: 41 t CONSTRUCT:{N DOITION 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 (fruit yar
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 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 Required
Variance(s) Requir- 4
REVIEWED BY: • ( ! , /i DATE: Z
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CATE
641 r� ADDRESS
LOT / S BLOCK .__. W, `
WARD
SUBD I V . 4 k�,y /- � � ZONE
STREET NO. Z 6o - �r�rctl ,ems LOT DIMENSIONS
SIDEWALK EXISTING YES LJ NO El'
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 1 / � , p , 19 c4 3 BY 6A
FEE; $15.00
DEPARTMENT OF PUBLIC 'WCRKS
1, the undersigned, owner or agent of the above described property agree to have the
grade estaDiished before excavation has commenced.
004803 ��
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