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HomeMy WebLinkAbout0012707-Building CITY OF OSHKOSH N°_ 1 PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING P FLOOD PLAIN CO-Al HEIGHT' /' ADDRESS Q 4.3.5 c./-1 #r12 / .04 `- PLAN NO A 2-0 3-3 .a 9 'e— OWNER (64./N l ckE& I 1 1(3 C�/ee-e.0 S CSi/LoS#, An S�9O/ DESIGNER Aj2C 0 e r - :z)I S t'G;.0 , kt i/Cice S US NNATURE OF WORK (C/AfG � C441 / 5i /Gr /!a .4,X- / b0 �' 4 TT' =� v.A2 6 :<- a4k tQ S' (— 6 S BUILDING CONTRACTOR .14./,,e../("2-- Size X47 7 ' Sq. Ft. /3 (3C. 3 s # Rooms '. Ekns # Stories / Height / 7::2_ / Foundation fi'C1/G 0 atic" 2tzt- (cterc_c... Class of Const. '2) Occupancy Permit !`-`� Q QG'f' HEATING CONTRACTOR C 4 . 67,7:/G - 34a <oe-T Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR C UJM /AJCCdS Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR (A/d l BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink _ LTub Eject SS Water Other FEES: Valuati. 6s Q. Pe rmit Fee Paid $ , lz. . , bs Park Dedication $ /U 0 ISSUED BY ' •%T -��" Date <` 9 Final /O.P. 7 3# - 4 / In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE . p_ 1 d AGENT /OWNER �� •ATE ADDRESS i 3 Jellryt-) - -�'—! 3 d L) TELEPHONE # ` ?/ - State of Wisconsin Departmentoflndustry, WISCONSIN UNIFORM /Q � Labor ivisio n of S an Relations D BUILDING PERMIT APPLICATION NO. Division of Safety 8 Buildings Box Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) _ PARCEL NO. ....................................................................... ............................... STRUCTURE ❑ HVAC ❑ ELEC El PLUMBING Owner's Name :. .....................::<.;;.:. Mailing Address Telephone C r b eke r /i /3 0r- °Pi � -,S Contractor's /game Mailing Aeleftess Telephone Oct, Gt- r .. ; 4 S : PRO.IEC LOCATION /a. 1 4, SECTION , T N, R E (or)W Building Address Subdivision Name Lot No. Block No. z � t tb wlc/aPi L r -c (7 Zoning Di�strict Lot Area �.. Front Rear Left Right 1 tr ( {s ) Sq. ft. Setbacks 2-5 '4 /3". ft. / / ft. / / 7 ft. ...................................................................................................................................................................................................... ............................... 1a `P OJECT S : TYPE B:: ELECTRICAL. 9 I I)fAC EQUIPMENT 12 ENERGY SOURCE ,-� ew ❑Addition ❑Raze +. -Ingle Family Entranc a e forced Air Furnace Fuel N . L.P. Oil Elec. SolidSolar ❑A teration 1=1 Repair 1=1 Move ❑ Two family Size: amp 1=1 Radiant Baseboard or Panel * ❑ Other ery : ❑ Heat Pump SPace Mg. ❑ ❑ ❑ ❑ ❑ ❑Other nderground ❑ Boiler WaterHtg. ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning 1b 'GARAG : > 4. IST: PE 7 FOUNDATION ❑ Other * Dwelli g unit will have 3 kilowatt or more installed electric space ating equip ftached ❑ Detached 1�4 `it e constructe ktrncrete IQ PE:IIMGING Infiltration control option is: ❑Full sealing • Manufactured asonry Sewer of joints. Blower door test. ❑Exterior AREA ❑ Treated Wood m air infiltration barrier Basements #000 Sq . ft . 5 STO ❑ Other eptic i3.` :.HEAT.:LO3S `CaIcutated) Permit No. Q� BTU /HR ■ Ti 1- Story VE.------- Envelo pe Living Area / 0 3�- Sq. ft. • 2 -Story sonal 1 t ifigeR Infiltration BTU /HR �/ Garage 0 Sq. ft. ❑Other manent unicipal Utility 14 . S1 MATED COST ❑ Other Private on -site Well $ n --5 7 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. I'' , express or implied, on the D- .. rtment or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICAN 4 4 i' . ' DATE I� CONDITIONS OF APPROVAL This permit is iss - d pursuant to the following conditions. Failure to comply ay re.ult in suspension or revocat' n of this permit or other penalty. �t so fu r 4 ��tJa -- -C fir-444,.S 7 f`i � c- V v r-r' fl 4 (a ✓f ❑ TOWN El VILLAGE ITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling ❑STATE IND P NDEN Inspection Authority Location, if different JURISDICTION > OF J S ?67 _ ? C Ca — — — — I S' Pt»R M -- SI 1AfI,Sr ; UN #R � M PIEIftMIT pEiii[FT ieiii t3 D LNG Plan Review $ .10 /Construction / L L� HV NAME ` ,/ L t.. Inspection . . . . $ El Electrical Y Wis. Permit Seal(s) $ ❑ Plumbing DATE 1 - 3 Other $ -7 CO ❑ Other / 8' � �f TOTAL . . . $ < © Co 33 CERT. NO. ' < SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner/Agent 6 67-15490 cf�-+.4.1 e+-- ZCNIEZ/LAND USE COMPLIANCE CFIDQQ.IST I. GENERAL �j BU i di Permit # `w 7 Zoning I` / Conforming Non -Conforming Job Location �'`f �� v-r' t r� Lot Dimension Property Owner Gr -1—U-- Lot Area L'C II. DOZTx CTICN DATA Describe work: Ol , 1 -� 2___ ADDITION ..i:! AIDERATlal _ Accessory Building _ Pool Si igle' Family Fence _ Dec /Patio _ Ztao- Family Boathouse _ Sign _ Bblti p"amily Utility Structure Porch _ Commrc a i Other (may) _ Manufacturing III. COMPLEN=CMECES Complies Deficient Deficiency /caiw is _ Use Iot Width _ Iot Area froa, Floodplain Front Yard Rear Yard _ Side Yard (R) Side Yard (L) _ • Parking _ Etuilding Area _ lot Area per Family Coaxes Lot Lt — Other (specify) IV. REVIEW AITtBORITY The Planning Director, or appropriate designee, unst approve all plans, except the hollowing: (1) Alterations or interior work when the use is conforming and when no change of use is pt000sed. (2) Maintenarboe items, e:g.. siding, windows,- etc., when the use is conforming and when no change of iise is. proposed: Instances where work ooaplies with the above criteria, the perm= C'Sn Ise reviewed by the Building In: without referral to the Planning Director. APPROVED / APPROVED NOT APPROVED Plan Commission Action Required Variance (s) •_ • - REVIEUTZ BY: �C �� DATE: 3 3. City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 3 S Si O' ) S- r Owners Name C Name of Subdivision J-JFee-/ f),,4.&) Lot # 1 Bldg. Permit # (2 7 0 - 7 No. of Units ,cdf Fee Required /00 Fee Paid /0 Owner's signature AS _ ,, / , A :ate Y V i7 iv Inspector's signature -f Date 4- Parks Subdivision Improvement Accts. Rec.: 362 -041 :ATE 0-.3/ -g q NAME 6 v f-y 1)r c_ (r-- ADDRESS (((,- Q Ne j e GA LOT / 7 BLOCK WARD SUBD I V . .`� h r- IA_ /� ZONE & f STREET NO. 2415 .3 r iX44 t. S / {.or DI MENS IONS SIDEWALK EXISTING YES [1:: / NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 31 ,I9 BY y„iJ FEE: $15.0k Fes' - . z e,v-h..... , --o-c. ()2 DEPARTMENT OF PUBLIC WORKS / A.- j. I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. / 4 tell; (X --- ,J__-/ / ' TI\) / , // 3 6 ---- 4 , J 1 ,. cIN I cY �11/r ,, ` 1 c li - 9y (, /7 O / — F T � ARa Y H. DECKER it Ca R City of OshkoF.hl 0 1113 OREGON STREET 0 City Hall 067/KOSit MI SW Allyn Dannhoff 414 M 215 Church St. Oshkosh, ":';I 54901 SUBJECT DATE FOLD - MESSAGE April 4, 1 Allyn: The will he a concrete pation added to 2430 Sheridan — size, 9' 5" X 16`6 also to 2435 Sheridan — size, 7' X 14'. Both of these patios will be off the patio door. Thanks, ti ORIGINATOR -DO NOT WRITE BELOW THIS LINE REPLY TO ■■■■■ SIGNED DATE SIGNED RETURN THIS COPY TO SENDER