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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) iiii&i:iii::::iiiiiiiii: 0t Lot Area ojE ...:. ::::t • .,::i ,:: ::‘.. . 53a6F 14.71-/:A • Ifrdie-e91— s---'7e767 /3 se/ 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. /A,,, f ltuaaK -- /re,"toit' Zoning District(s) I Zoning ermit No Front Rear „, 9 ft. , „...... Right , f X1 / Setbacks ..23 ft. r•-•7e- / S ft. I 7 ft. iii:Iii ... s': .................................................................................. rIgri7;:: .C .. i . "'.'":'':.;: rigtrititdiC .............................................................................................. 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 ., . . till.oki 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 otatt(s):::::::::::::: ii:XlifitifUMOOlititinfiNitt :::iiiiiiiiiiiiiiiiiiiiiiitiiiiiiii::::::::::::::::::::E::::::::::::::::::::::::::::::::::::::::::ii::::::::::::::::::::::::::::::::::::Ni::::::::: :::::::::::::::::::::::::::::::::::::::::::::::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 t e ,I .14' t. ,vi i / 4 i ' i \ O j 7S ,, ----T-- . _—_ Gfii SS 1 * .sp a / , ok 5 / V' l \ . J X C _ _ °l• •o �‘ N 1 \ 1 i \ ") (3 q i tu . a ,p? Q t`\ 4) 4 ---- - * / e. ' ** .-,-...; 1 . 1 . � ____ r/tiQtlr______ 4( Ys" M R✓.9. sr; _....._co,rc _ -_ -_ a N.R is s .i ao' Cul{Li DoT G1' —/,a AolJ. C u Ac s at.. 47u,.5 Ch -/6 E.✓ ST , ..5C.4-1..4 / ".r.--. „?n. S /3 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 �� I � 1'3