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Home My WebLink About0008442-Building CITY OF OSHKOSH N9 08442 PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING 1 FLOOD PLAIN HEIGHT_, ADDRESS 240S' -/lL v- t !�F' A PLAN NOf- (-7 © S1 OWNER 61- tF C. l 1' DESIGNER USE /NATURE OF WORK AA-J.,' (...--)/ iff && rr-. :Z x a-3 BUILDING CONTRACTOR A e Size Q- P Sq. Ft. # Rooms g r� p • # Stories re -ii ` Height Foundation f,�,�� Class of Const. O ` Occupancy Permit P Y HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S s ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Te p ❑ 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 Ail FEES: Valuation $ : erm' j • e Paid $ _ Z- Park Dedication $ ( 0 Co ISSUED BY _ ,. _ _`� � Date Final/O.P. _ / 0 ' 5(eY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. �, - Q"' i SIGNATURE ..•i�� /i..r.a. (J AGENT /OWNER � DAA E ADDRESS /// 3 . d r 43.6 6 3 TELEPHONE # State of Wisconsin WISCONSIN UNIFORM Department of Industry, Labor Human Relations Division of Safety 8 Buildings BUILDING PERMIT APPLICATION NO. 6 4 4 4 1 Box D Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO. R Ire E T L" � STRUCTURE ❑ HVAC ❑ ELEC ❑ PLUMBING Owner's Name r Mailing Address Telephone �r y � ecKL ° r — /rr. ©r o,. - 3-0 ._ Contractor's lame Mailing Addressa Telephone we- PROJECT ,OCATIOhf '' /a, %, SECTION , T N, R E (or)W Building Address Subdivision Name Lot No. Block No. ' . 11 /!; y f .,-- -Mi,"1 7 Zoning Di t Lot ArT b 0 Front Rear Left Right *si Sq. ft. Setback n. a n. 7 -5 ft. 71.-5 ft 1;a , PROJECT : : ; T Y PE 6 ELECT ICAL.: .> E. $VAC E IPMEN 12 ENERGY SOURCE Yew ❑ Addition ❑ Raze Single Family Entrance Panelorced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar * ❑Alteration El Repair El Move ❑ Two family Size: Q o amp ❑ Radiant Baseboard or Panel G s ❑ Other $e, rwce: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑Other iUnderground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning tb GARAGE :> 4 CO T 7 FOUNDATION El Other * Dwelling uni will have 3 kilowatt o t heating equip. r more installed electric space hea i h.itached ❑ Detached ite constructe oncrete 10 ;PL UMBIN" Infiltration control option is: ❑Full sealing ❑ Manufactured ❑ Masonry a er of joints. El Blower door test. I=1 Exterior CI Treated Wood Municipal air infiltration barrier. El Other Septic Basements P5 fl Sq. ft. STORIES i3 ` CHEAT LOSS (Caictslated) SSE Permit No Living Area 7 -- --2 -0 . 0 Sq.ft. ❑ 1 -Story Envelope d0 BTU /HR _ ❑ 2 -Story ❑ Seasonal 1# WATER Infiltration C BTU /HR Garage S ( 2_ Sq. n. Other ermanent Municipal Utility 14 :ESTIMATE COST de ❑ Other Private on -site Well $ a' 0 The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal li b'lity, express or i lied, o L Z XZI Depnt or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT r DATE t( CONDITIONS OF APPROVAL This p r issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of his permit or other penalty. W!� t 1Z12M a. T - I SSU I N ❑TOWN ❑ VILLAGE CITY ❑COUNTY Municipality Number of Municipality Number of Dwelling ❑ STATE I PENDE ho InspeectionAuthority Location, if different 4LURISINCTJON 7704 _ OF: $ PE RM S} W S UNIFORM PERMIT PE S tT Plan Review $ Construction LJ HVAC k(ci Inspection . $ NAME tit. 4i N El Electrical Wis. Permit Seal(s) $ ❑ Plumbing DATE Other $ El Other TOTAL . • . $ ....7 O & 066,3 CERT. NO. 4.f.-ii 0 SBD 5823 (R. 04/87) WHITE - Issuing Jurisdiction YELLOW- DILHR GREEN - Inspector PINK - Owner /Agent ,ys736).o ZONING;/LAND USE Co 1PL/ANC E MEC:MIST I. CAL Building Permit # Zoning rvng 1Z ` C'onfoani.ng Non-Conforming Job L ca '/0-.r e 1--(Cap `1'' Lot Dimension P ly Ors - �J e C Ke- r lot Area • II. • COVSTRE CI'ICN DATA Describe Work: �e �. cv t • 2 Z k 3 NEW CCN'STRUCTI N ADDITION- ALTS R TTCN Accessory Building Pool k" Sitig1 Family Fence Deck/Patio Too- Family Boathouse • Sign _ i�slti.- Fanuly Utility Structure Porch Crumercial Other (specify) _ Manufacturing III. COMMA= Cages - Deficient Deficiency /Comments _✓ _ Use Lot Width Lot Area FLCOdplain Front Yard Rear Yard Side Yazd (R) Side Yard (L) - Parking Building Area lot Area per Family • Corner Lot �. C (specify) IV. REVIEW AUM RITY The Planning Director, or appropriate designee, nnast approve all plans, except the wowing: (1) Alterations or interior work when the use is oonfozming and • when no change of use is proposed. (2) Maintenance item;, e:g. siding wivst etc., when the use is conforming and when no change of use is. proposed:. Instances where work catplies with the above criteria, the pezuat dart be reviewed by the Building Inspector without referral to the Planning Director. C APPROVED NOT APPROVED Plan Cbnmission Action Required Variance (s) Required REVIEWED BY: BY: � 1 DATE: 6 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD ..------ Address - II - ( ,T'' 4 (_% 5 - , ,..- (-- c C v\ , Owner's Name 6 it t- -.4 r- -- Name of Subdivision ', x i - Lot # / Bldg. Permit # (1 .' Y . 1 ../ - ,› No. of Units Fee Required (0C) Fee Paid i (,,(,) r / - , ,./- Owner's signature /., / - ',,,-,,,„; - i, ,/,, ii Date :--. ,4; A -- . , / 7, Inspector's signature .5.91 R i ' , 1 Date --." < / ' J Parks Subdivision Improvement Accts. Rec.: 362-041 �-� DATE � ' e3 /- � c�. NAME �"r -rte Jr. �� r' ADDRESS li C v-e oft LOT BLOCK 1•tA&D /a - SUBOIV. ZONE STREET NO. c) 4 7 ' O S 3 4.�, i Gt --/ LOT DIMENSIONS SIDEWALK EXISTING YES NO jJ BUILDING GRADE ELEVATIONS STAKES SET AT SIT S % 1 ,19 Fer BY 4 FEE: $10..00 DEPARTMENT OF PUBLIC WORKS E I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. :// V; • 7Z /260-e2 747-iaitid A 7 r C I A Jo-1 A). AtA-G9 J . ,5 41 , 09 ,021 0 0. O ill( • V V O 0 . m _ • i I T S O a O • D Z • V ... .. ... O V O 0 • • 0 0 a. g S . PI . . b N ,541 .09.. ,02I o •3f1N3AV c 0 • ,541 09 ,OZI NI a q c m I 0 • V 4 .• 0 V O r^ 0_ V/ H m rn c H O V N / , O . • • J Z.'L V V ' • ,S 0 1 , 09 ,0Z I • 44 /y° ------- • ,�' s:; 1 ptcL io 9'1'j- . ,1 2 ., y8 0 a n 1: , kl • A Az-- ,5 •, 4 /P' `a a n • 1 n C { - 7 b i 0 4 .....1.4.-. 4 ' OWNER G b ADDRESS O R S / e r r `i `I DATE PERI4IT # O? / USE Ai e pjz Waxk consists of GENERAL CONTRACTOR MASON. CONTRACTOR ZONE Width of lot DATE INSPECTIONS A REIA V E >" A C 41144‘ ult Nt m Front of lot MAILING ADF •ESS