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Home My WebLink About0021883-Building CITY OF OSHKOSH N° 21883 PERMIT - APPLICATION AND RECORD-, r TYPE: BLDG HTG ❑ ELEC ❑ P LBG ❑ S IGN ❑ Z ONING 2�� FLOOD PLAIN HEIGHT ADDRESS a 5-.90 n PLAN NO. £2 , /A /X 902 OWNER 4.6 • ,& DESIGNER 11AA USE /NATURE OF WORK )!tom Sig Q /eittf . BUILDING CONTRACTOR /121G4!/t/ Size Sq. Ft. 4 7 S - * * * - # R o o m s 4 # Stories ... L - Height Zd Foundation dot-n/ Class of Const. 0 Occupancy Permit ieggr HEATING CONTRACTOR ei 1 - •%z 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 /e/a.24-4' BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other I FEES: Valuation $ /10) 000 ' 00 Permit Fee Paid $ /' ° Park Dedication $ / "'d o ISSUED BY 94i- AG�GZGlr/ -e[.ov Date /Ll /7/411 Final /O.P. to °,9a // In the performance of this work I agree to perform all w. k pursuant to rules governing the described construction. �J SIGNATURE / 16) ��_ -1 " `� E .-�- -- AGENT /OWNER / DATE ADDRESS ' ,.. OA/ �.rrii -All ' ' d .4 �� `� ( � 3 TELEPHONE # a 6/P44z90 _ . State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor & Human Relations A • •=v 1 4 itf Division of Safety & Buildings BUILDING PERMIT — PPLICATION NO. Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 ( See Instructions on back o 1 pMk copy) PARCEL NO. OgnielirrRE00000010::::::::::::0::::::::::::::::::::::::::::::::M::::::::::::::::::::::: Ipr 1..,nJ STRUCTURE 111 HVAC El ELEC 0 PLUMBING Owner's Name Mailing Address Telephone ,ecrxi21. 14. fltzAeti ///3 (9,L41 . & . 0 3 .5 Contractor's Nape Mailing (Address Telephone ..,„;;:„L.,:,„ Wiftlka::COCAlopito::::;::::mimini:::::::un:::: :::::::::::::::::::::::::;:::;::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;:::::::::::::: 1/ 1 4, SECTION , T N, R E (or)W Building Addr , Subdivision Name Lot No. Block No. (25V9 e d-X-Ptido-rc i ? Zoning District Lot Area Front Rev Left / Right ( i-1 Sq. ft. Setbacks .2 S --- ft. ( c7L , (f ? L 0, ft. ft. 340::::PROJECt:::::::.;::::::MR: 3 INTC:::::::::::::::::::::::::::::::1ELECTRICAL:::::: i9 i:::itinaECtUIPMEtirMim0 12 N New 0 Addition 0 Raze /g 1 Single Family Entrance Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar Alteration 0 Repair 0 Move 0 Two family Size: (•._ amp Rt Radiant Baseboard or Panel Gas * 0 Sir Service: 0 Heat Pump SPace Htg. Cii CI 0 0 0 0 0 Other M Underground 0 Boiler Water Htg. NfooDon Overhead 0 Central Air Conditioning lb. o Other * 0 Dwelling unit will have 3 kilowatt or ....,.:.. . . . . :.: . . .. . . .. . .. ,.:.:.:: more installed electric space heating equip. M Concrete ilt0.W.NROONG:::::::::::::::::0::::::::::::::::::::::::::::::::::,: Infiltration control option is: 0 Full sealing itlAttached 0 Detached R .Site constructed Manufa M as°nrY 2. AREA — 0 Treated Wood Se wer of joints. 0 Blower door test. 0 Exterior nicipal air infiltration barrier. WSTORIESM ... Other .. ..... ....... Septic :Iti:iiiitATIOSSIiikiiiiiiiiiini:ii;li,i Basements ..5 1 3q. ft ' 8 Permit No. Envelope /R BTU/HR Living Area / k 7s sq. ft. A 21-S-St°rY . . .............. ......................... tory 0 Seasonal :I1 VM101::::Bii::::::::::::::::: Infiltration / BTU/HR Garage 56 / Sq ft 0 Other Permanent 151. Municipal Utility iitlittt iiiittiiiiiiiddirtit • . .14..t. Other 0 Private on-site Well :,...........:„............„.....,..„......:.............................„...........:...........,...,...........„:„.:...,...„:„.:.: $ 7,0 079 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: • ility, express or implie , on th - g . • artment or Municipality; and certifies that all t•e above information is accurate. /:__ SIGNATURE OF APPLICANT 4d1P2g 1 a - /■ ..i--C-4-4--- DATE -'' / CONDITIONS OF APPROVAL T re h v is oc p a e ti r o m n it of is th l is - p . ‘ : r d m p conditions. Failure to comply :y resu in suspension or �. 0 ' . . t ' e giEMni W- il-e, . 1" , .. / 1 ' e`r...t..:4g•- • 4 _4_4,1 ' )i r - 0 • _ ......L.....f. .../...e 4-4 of 1. , _. .....L..._.a.A.C7-.A._ _...- . 4 ....lir A•rz 1SiSillittp::.n: i.W:: 0 TOWN 0 VILLAGE AGIT( 0 COUNTY Municipality Number of Municipality Number of Dwelling J URISDICTION ..:,.:.:.:.:.:.:..:.:.:.:.:.:.:.:.::..,.:.::::::::::::::::::::::::::::::::::::::::g 0 STATE 0 1;12 N Inspection Authority Location, if different :10 _7_0_ - _ k __ _ ii4i, :::::::PERWRS):::::::::::::: INNLuNrOmpEnfirr.:::::160::::::ter:',,.:::',::',',:::tock],,,i:':',,m,.',:,',':',:',,iitk:'.':v.:::'.*:::::::::::::::::::::::::::::::::::::::::':::::::::::::::::::::.m::ii:::::::::u.::::::::::i:ii::::::mu::::::::::::::0:::::::::::::.': ::::::::::::::::::::::::::::.:,:L . -, : , .1)::::::::::::::::::i: . 61 0 a Construction Plan Review . . 9 0 HVAC NAME /04.4e#Z ile.A. •- Inspection . . . . $ 0 Electrical a 9 2- Wis. Permit Seal(s) $ 2 0 Plumbing DATE Other $ 0 Other CERT. NO. 49.5-47) TOTAL . . . $ 70. 00 SBD 5823 (R. 4/89 ° WOTE - Issuing Jurisdiction YELLOW- DILHR GREEN - Inspector PINK - Owner/Agent OVP • Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST DOB LOCATION: 5' /,--I- j ZONING: )42`l PROPERTY OWNER /CONTRACTOR: * /V.44464.. CONSTRUCTION DATA: L. CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc..) , er7 e 1A-t- 2-2- 2- C " ft 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 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. PPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: �� -!iC_ /� `� DATE: % DATE / i /,S NAME J /" • ,e2.ez i_ _ ADDRESS LOT 9 BLOCK WARD SUED I V . ZONE STREET NO. c 54 Si' LOT DIMENSIONS SIDEWALK EXISTING YES [::: NO j1 BUILDING GRADE ELEVATIONS STAKES SET AT SITE VZ 11 , 19 6 BY ' ` x ^ ] FEE: ; OD S =o • • !' 61-5<":frirl-.1":l e DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree To have the grade estaDiished before excavation has commenced. 41 _• wig II Alte'e-X /0 004290 City of Oshkosh 1,'1!85 PARKLAND DEDICATION FEE COLLECTION RECORD Address ,25") , 4 4t/Le - Owner's Name / Name of Subdivision 1 Lot # c P Bldg. Permit # No. of Units / Fee Required • d-T7 Fee Paid 70gam. "-4 Owner's signature Aim' 1 , I. to 7/6 Inspector's signature Date ('Z/J7/� Parks Subdivision Improvement Accts. Rec.: 362 -041 // . _,........„. l'i ..._— . ----- ,.. , ..,..„ 1 " 7c) . cs, ,,. ......9 Ci k'c " ....... N i . I ( 71 N • c-i ,... ... 6'4 ... ........ ii, 1 I . 9 1 ( E ( • '. :1 i g vi f / ■ ' • I (a j %,-1■01 1 7.\---"- 1 ■ A ;\ k Y) c'c . . _ - ,..,- / e ,0" I 0 ( . 1 ... ...... " • X(,) ,j--- Check List to Obtain Building Permit. 1. -Get Grade Stake a. Take legal description, plot map to building inspector. Ge t-ak2- b . •. •, ..II II •0 —.8 !.. ... - - li 0 -e. . -..... ...mmn,. • -.iv • 2. You need these items to obt ain a building permit. a. Owner name} 4 / �J �''-- b. Owner:: mailing address /ii 3 0!J c. Owner telephone number a 1,1 — fd 3 . d. Contractors name & Address ,,,l - e. Where you're going to build,,/,5 1/0 f. Two Plot Plans ✓ g. Two complete sets of plans 4-- h. Energy worksheet on entire house i . Know type of heat ,, -Lc. a ` -. c • j. Estimated cost 16, &-v-o / 7 _- k. Type of shingles, siding foundation 1. Type of construction ��, r manufactured 0.-ID m. Electrical AMPS e 61� n. Who is Mason Carpenter Plumbing /,cJ Heating Electrical o. Know zoning of property /?�/ p. Take a check -_ - We have a blanket permit for height from airport. •