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Home My WebLink About0035688-Building //o 35688 CITY OF OSHKOSH N °- PERMIT — APPLICATION AND RECORD TYPE: BLDGX HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS a S i . a�...' PLAN NO. r / /et S 3.k OWNER OAR IL y / - /t v DESIGNER ��/ O/� �j USE /NATURE OF WORK �O./,Li� G(/(X/ �� i i( ) b� (` i.,00,' S l , 3,,F9 ,_,,,,—,,,,,k BUILDING CONTRACTOR G. H , - DtCKck Size Sq. F)-. iRSO # Rooms 46 aR) # Stories / Height Foundation CnVR-ta) CRETE Class of Const. 5 Occupancy Permit ____*t HEATING CONTRACTOR 1 W� Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR el.)N i NI C-. Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR \Ikik. - BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ b0/ ©CO Permit Fee Paid $ / 55. • Park Dedication $ 100 • (g ISSUED BY 'Q. Date gI CA 3 Final /O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE / / ATE A ENOWNNER c ADDRESS / / 3 7'1 v l C.''��" a' 85�re a,5' ' / �� ' TELEPHONE # AUG -01993 F I / 8" ?3a Wisconsin Department of Industry, WISCONSIN UNIFORM Application No Labor and Human Relations S B UILDING PERMIT s 6 U Safety 3 y 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) QIJESTEn. ::::::. Constr HV C Elec Plb Er i n ❑ os o h ❑ 9 Other: e. Own is Name Mailing Address Telephone No. (include area code) 6 i• Vk • 7CKE 11 13 t C A _ c, 35 — 9C Contractor's Name Mailing Address Telephone No. (include area code) k »i >:`•:: Lot Area " .............. Sq. ft. • 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivision Name Lot No. Block No. 5oS • Sil-' ID Ate SNER1DAIN) ES l3 Zoning District(s) 1 Zoning Permit No. Front Rear Left Right ;•::.:.:.;::::..;..::.. R . : :i: :: :::,. . : . :.::. : . >• :..:.... Setbacks 9 l :: e .;:::> ::::::iifi3: ?: . :::ii .: � .; � .:.:. r . '�`�: :;:y- :'::;::<:.::: :' .. .,..,.T..: `::;:':"' : ,::"''.:. <:.; .. .:. ...::.r.,.`:. �.... :ri`:::: : ?; ;.; • ; .... : >;;:.;:.:.;:.>; ;:::.:.:. ?:•:;. >:.:; >; >;;:<; , �,.. ,y .............. . �!' I��F: �► Y....: �.. �. E.:;::: �:::; �: itA�: �E?! �Vl �l�i<:>:« �: �<:: E��aY::: Etii::::::>:<>:::: :::::::::::: >: >:::::<:<:: »:<: p New ❑ Repair Sin Family Entrance Panel - 4•Forced Air Furnace Nat. L. P. Oil Elec. Solid Solar Iteration ❑ Raze ❑ Two Family Size: /00 amp ❑ Radiant Baseboard or Panel Fuel Gas * ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pum ❑ Other (print): El Underground ❑ Boiler p Space Htg ❑ ❑ ❑ ❑ ❑ ❑ Overhead Central Air Conditioning Water Htg j ❑ ❑ ❑ ❑ ❑ ❑Other tOther * ❑ Dwelling unit will have 3 kilowatt or '� „i `'iii��`` :::: more installed el ri Site Constructed Concrete ect c space heating equip. ii104 PLUMINNR•i >''' ><s » ?' :, 0 Manufactured ❑ Masonry Infiltration control option is 0 Full sealing ❑ Treated Wood Sewer of joints. ❑Blower door test. 0 Exterior Municipal air infiltration barrier. Unfinished Basement /ZS•O fS, '. `.'•E:F.I mo.: : %: >% s » > »> ❑ Other Sq ft. Se ti 1 -Stor ::: »::. ❑ P ::;::HiRT.:.5. k)d; >;;:::; / Z �O �. Y ;:. ��:•. : � »!i<iEi:': ><'` ? ?: » »:: Permit No. Living Area Sq. ft. 2-Story Envelope Z! DSO BTU /HR ❑ Y ❑Seasonal ••• � •••> •••.• 6 c• Iiti :iWATEIti > > ': >ii > > <> > : :: Infiltration Z Garage J Z8 Sq. ft. ❑ Other Permanent:. :.: /F, BTU /HR Munici al Utility Other P ❑ Plus Basement ❑ Private On -Site Well $ ` ..) 00 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 mplied, on the Dep. m • municip. lity; and certifies that all the above information is acc ate. APPLICANT'S SIGNATURE ■,'E =.,,,,-,,hr dA , ( /Z..” DATE SIGNED �`�/ APPROVAL CONDITIONS This per • - ued pursuant to the following conditions. Failure to comply may result in su ension or revocation of this permit or other penalty. r!) SuRm,T `„„s‹, ,---p,,,,,, t spE-e_ &,‘1.4,..,.,,E IV, ? zk- LA v, �c1 C_ E�3, i , tL)Q\ )DE, r R2PC 11 c L. CA z, C> 1 C \ T V ill age i t County. State of: Y ❑ e o. Y ❑ Municipality Number of Dwelling o wellin Location: 9 y �y� ` :::<: i a RrN. Jl. :::::ii:i::: . . «i:: ii:< :::::::;:::::;: i:;:: : i i::;ii ::::iiii:j: �:::: <: :':y:::::: � :� ::.:::i:i::':::::;:: ::• .. �y ( `�., • :•: i:+ 4iii :::::::::.::::::::::::::.� : ..:...::.....o.....:......, i:: • .: :C:i::i: :i:ii;:ii ii:. . .... .......... {: • 1�: 1[ ii::: :i: }: :v:::iti:i ti:i:i::ii ::i::i'i:::ii ......... ...... .......... ... �:•::: ii: i L:i . . . �: ?i� i�ii iii ii:� iijii ri i�:i ii }ii::i:':: iii ii §+t:` i Plan Review $ '7�0 • o o construction � Inspection $ ❑HVAC Name ,. �R Wis. Permit Seal $ 30.0 ° ❑ Electrical Other $ ❑ Plumbing Date 1 1 Total $ •7 , O 0 7..4 rosion Cert. No. /�� 1 yd SBD -5823 (R.07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent Revised: 8/ ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ��oS' ZONING: )2' PROPERTY OWNER /CONTRACTOR: / b , ,e el • CONSTRUCTION DATA: CONSTRUCT:Di ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) c73 4. • COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use • Lot Width Lot Area Floodplain _ Front Yard Side Street (front 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 REVIEW AUTHORITY: The Director of Community Oevelopment, or d sign 444-1-44Att!"`--- t 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) Required REVIEWED BY: OATS: 0(4?" CATE 1/3 /93 NAME t<1 402.4keil ADDRESS LOT 13 B LOCK !FARD 7? SUBD I Y . / 1cen- ZONE STREET NO. .2 S fl - - l ; LOT DIMENSIONS SIDEWALK EXISTING YES NO [21 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 9/3/ ,19 43 BY 461 FEE: $15.00 • DEPARTMENT OF PUBLIC WORK_ I, the undersigned, owner or agent of the above described property agree to have the grade estaaiished before excavation has commenced. 00.71824 14 �k 1 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address DSO S c C . \V 4\ 1 Owner's Name f�22 N`° = l� Name of Subdivision Lot # Bldg. Permit # No. of Units Fee Required G0- Fee Paid 4F1coo Owner's signctur- � / ,ai/ i' /A '.te sm Inspector's signature i,j Date . 30 93 Parks Subdivision Improvement Accts. Rec.: 362 -041 / 10 N 0 I ° I ', k „ 7 7-4 4 {off/ c■ Z -•• o e- , . Q SO _, > b _ao Decdk 4 No - � io c ry .1 1 - . % 4- a y- 1 q ! v 10 4,07 13 SAer / /an/ E S1a7L€ a —61 5- S e r 'do 0 571--,