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Home My WebLink About0024000-Building ® . CITY OF OSHKOSH N2 24000 PERMIT — APPLICATION AND RECORD TYPE: BLDG j v HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS '2 // A.C' /le- PLAN NO.# /XL OWNER ,e,./V• biAI DESIGNER �/J �� USE /NATURE OF WORK ' (-6C4J IS a� /6 / c BUILDING C�NT�C�TOR Y N.t �� Size 2 : 2 ", 42 ."( Sq. Ft. /17 t, # R 00 0m ms v bilide # Stories /CI e Height 40` 9 / Foundation Class of Const. F Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR dz,991 i Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR /11'-4C BT WH Disp WSoft CBasin Lav _Sh DW DF San. Sewer - WC FDr SP Ur Storm Sewer - Sink LTub Eject SS Water Other d 5 v FEES: Valuation $ 97000 • O / Permit Fee Paid $ 7 7• Park Dedication $ / 0 0 + 0 0 ISSUED BY � � ' .K .I , , _ -,�. —' Date 41/4- 7 /9/ Final/O.P. /0 - 3 - 4j In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE + /ee _6/ad/A/ /// AGENT /OWNER DAT ADDRESS C(3 �y(i s - Q #t# 3S- , � /' � // TELEPHONE # A/30s9e 9//6 State of Wisconsin Department of industry, WISCONSIN UNIFORM � Labor8� Human Relations BUILDING PERMIT APPLICATION NO. Division of Safety 8 Buildings Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO. ....................... ............................... ......................... U:: : ........................... ....................... ............................... ................ .................... ....................... ............................... ................ .................... PERMIT 'R f# E < < Pivr ;;;;; wil4 CONSTRUCTION ❑HVAC ❑ ELEC ❑ PLUMBING ❑ OTHER: Owner's Name Mailing Address Telephone Contractor's Name Maili g A ddre Telephone A 1� /(/3 �d)l Al � /jL >'Qoi Z3 S - -k0 3A � Lot Area " tTtON "::, ft. '/. '/a SECTION T N R E (or )W Building Address Subdivis' n Name Lot No. Block No. �'Zo Alite: ,te.c�. z Zoning District ) Zoning Permit No. Front Rear Let_ / „ Right / / ....................................... ............................... Setbacks c S ft. S s[ , 7 7 -- ft. ;z ft. 5' ft. ;1V::POE T: 3:: ::5':.ELEC AL:: :::. :EQUI NT ::< 12. ENERGY SOURCE KNew ❑ Repair XSingle CJ amp Faly Entrancq,PPAgpl p Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar * Alteration ❑ Raze Two family Size: / Radiant Baseboard or Panel Gas ❑ Addition ❑ Move ❑ Garage Se vice: ❑ Heat Pump SPEtee Htg• X ❑ ❑ ❑ ❑ ❑ ❑ Other Underground ❑ Boiler Water Htg. g ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning ❑ Other :.:t::.d _:: ❑ Other * ❑ Dwelling unit will have 3 kilowatt or more installed electric space heating equip. S ite constructed g,__, Concrete :.1O.:: PL UMBIN Infiltration control option is ❑ Full sealing �:. n co :. AREA! k.: 0� '�I#`::.<:;;;;.<;<;<;:: :;::;: Manufactured joints. ❑ Blower door test. ❑ Exterior Masonry 'p Treated Wood ` VVer of Municipal air infiltration barrier. Septic ❑ Other 13: T LOSS.: # Caicuia(tad Unfinished Basement 1/7 RIE ::: Sq. ft. E:: T Permit No. 3g J,O BTU/HR t fie ❑ 1- Story .. � E ...: : > > > > > > .. Envelope Living Area ` r7 �P Sq. ft. ❑ 2 -Story ❑ Seasonal I:' »:::A1::::::::::: Infiltration r+2 3 0• BTU /HR � Garage 5- 7(.. s ft, ❑ Oth Permanent Municipal Utility 1 ; EST.oUIL � � J COST • Other 0 Private on -site Well �7 ❑ Pius basement $ q /� 000 ' 0 0 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 implie • o the Department or Munici . : lity; and certifies that all the above information is accurate. ,i Q SIGNATURE OF APPLICAN /I ,,_ J �� ° DATE V g/ CONDITIONS OF APPROVAL This permi ist is e. pursuant top the following conditions. Failure to com ly may result in suspension or revocation of this permit or other penalty. i / / , / /L�(,4 2 . 0 - (� J 3 e.pi l f. 1 .0.405,1 6.4ci f p � l ` :t / �r a.Dfi t e.,c- , /[ -iV,e- 2-3 i Cf ,."- ,�,�.�r .�t/ / f 47 i, ,/,- -- 5 ,, .� �J /i /mot �Li .!r« �.i , .. / rte / /.-t _—_. �L. ! 7 , . iit-aiirt_...- ../ -..: T OWN Municipality Number of Municipality Number of Dwelling ><< ❑ 0 CI TY 0 P tY P tY 9 ❑ STATE ❑ INDEPEND Inspection Authority Location, if different JURISDICTION N : ,, / Z i PERM I ::: [WIS. UNARM PERMIT P 1 tSStJID IFiY Plan Review . . $ 1 R i:ai 9 s ._, 7 s ._, 7 ��, /// NAME Ispection . . . . $ Wis. Permit Seal, , $ 03 /2•0 d ❑ Plumbing DATE Other $ ❑ Other S TOTAL . . . $ 70.00 CERT. NO. a�` SBD 5823 (R. 8/90) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ..a`f Z.D p Lte,t Lehr✓ 4J- ZONING: PROPERTY OWNE• ONTRACTO'• ,- CONSTRUCTION DATA: ✓ NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) z-yy -( S • COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use • Lot Width Lot Area Floodplain Front Yard Side Street (fiulL yard) 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 REV I E1 AUTHORITY : " The Director of Community Development, or design 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 Variances) Required REVIEWED BY: DATE: e 074;// DATE 612_ .f.-S / NAME i6 /V. B)../.4-(4. ADDRESS LOT Z BLOCK WARD SUBD I V. e lA t i c x'41- ZONE STREET NO, ZV ZO 1 -etet-t S LOT DIMENSIONS SIDEWALK EXISTING YES [::: NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE 25" ,19 4 / BY FEE: $4 //6" (:::E; ' DEPAR ? ENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree TO have the grade estabiished before excavation has commenced. ya ziel City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address al 5 /i Owner's Name ,/R A./tat( Name of Subdivision . 4€44,:letit, Lot # Bldg. Permit # o 2 1 1OO O No. of Units / Fee Required /00 , 0 0 Fee Paid / 00, O 0 Owner's si gnatur- A Date f Inspector signature ,/ , A v►r Date • Altr Parks Subdivision Improvement Accts. Rec.: 362 -041 / ' / (9 <------ N t-a kr) ./bR• f Z a I' '" . I/ 4 ' it‘ 1)* (Nd ,D, % li-t- q . (\ts .> z , , , ,,- 8' /g, , \, 00 V kv - M ..1 4/1 • 5 '7 0 , 4 /A 0 Sher - ,'clan Sf. 4 0 t S h C. r/ 'alo ,, E++ t S