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Home My WebLink About0029509-Building CITY OF OSHKOSH N2 29509 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING f-( FLOOD PLAIN HEIGHT ADDRESS c S 1 PLAN NO/43q4 0 4 9 2- #'_ OWNER DESIGNER USE /NATURE OF WORK )7x.66 (We L../67 / •/ ( BUILDING CONTRACTOR 4 ,4 4/ Size Sq. Ft. r / /� q• T/ ! # 5 �L � #S tories �� He ight Foundation t�,.0rt- Class of Const. Occupancy Permit _*._ HEATING CONTRACTOR 446/GezA.1-64 Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR (-e GAO / Electric Serv. New ❑ Change ❑ Te mp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ./.4 ?: � - BT WH Disp WSoft CBasin Lav — Sh DW DF San. Sewer - WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ 09, DOO•O O Permit Fee Paid $ / S Park Dedication $ /00 0 0 ISSUED BY ir7t4 ( ALLA.f.} .4-- -� Date 4 / Z- Final /O.P. //"//- V/2_ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU I • Air - ��-- /// AGENT /OWNER T / ADDRESS ` / / 3 OL.,-,__..... _, d r TELEPH• E # 4 39‘ 069zic_ _ State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor Human Relations A PPLICATION NO. a z V Division n of Safety 8 Buildings BUILDING PERMIT Max 7969 i n, APPLICATION Madison, WI 53707 Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO. P ERMIT _ ..... REOUE TE .:: «: , e C O N > STRUCTION ❑HVAC ❑ ELEC ❑ PLUMBING ❑ OTHER: Owner's Name Address Telephone /d • At /vet bt // /,a d c ,oyt ` Cvj V 3.1 Contractor's Name Mailing Address Telephone Lot Area . E.0 L. CC TION Sq. ft. Y., ' /.. SECTION T N, R E (or)W Building Address Subdi i on Name Lot No. Block No. c2 5 C J t u x, -t!.7 // Zoning District(s) Zoning Permit N . Front Rear Left Right 1 Setbacks ft. ft. ft. ft. 1 :: : :.:::: CX': >< : >s: > >;<::a<::::::i ..:. tll > ; ELITRIfCALO ,'SE: #4#'AC:EOi[IPPITSi:: 12.ENERGY SOURCIE~ N ew ❑ Repair LJ � c ingle Family Entrancepanel 13 Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar Iteration ❑ Raze Two family Size: / amp Radiant Baseboard or Panel Gas * ❑Addition ❑ Move ❑ Garage Fice: 0 Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other nderground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ ❑ verhead ❑ Central Air Conditioning ._.;. ❑ Other * ❑ Dwelling unit will have more kilowatt or El Other :> . : .:.:::::::.:.:. >: ,, : : :: Q , more installed electric space h k i l equip. Site constructed Concrete ') O PI UMB$N z ::<:< : :: :: :: Infiltration control option p ' is ❑Full sealing Masonry f rY of join D: >: >:`: Manufactured is ❑Blower ew er . 1 door test. 0 Exterior ❑ Treated Wood Mun air infiltration barrier. . "...." ❑ Other > ::: ..:.. . . ...: . ..::::: : >:: : :<:> Septic Unfinished Basement 0 sq. ft 5r. : =STO# I ? >« <> : ::::1 A ' LOSS ::#Caiculated:y:<::: <::: :: p ":.:....:::. Permit No Livin Area / 6.O ❑ 1-Story >l $ Envelope * 3 jL BTU /HR 9 ea S q. ft. ❑ 2-Story Seasonal 2 ❑ asona 23 0 ,r-do� Municipal I n filt ration 1 BTU /HR Garage Z' Sq. ft. �O er Perma al Utili tY ❑ Other P 11 ..EI�O:�T .........:. : Private on -site Well ❑ Plus basement $ 7.00 O • O' 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 implied, • n the Department • r unicipali ; and certifies that all the above information is accurate. / SIGNATURE OF APPLICAN , � '� v � �.�..� • - � � DATE CONDITIONS OF APPROVAL This permit is is ued pursuant to the following conditions. Failure to comply may r sult i suspension or revocation o • : permit or other penalty. T ": ❑ OWN ❑ VILLAGE Municipality CITY cl ali Num ❑ COUNTY tier of .' > >; > >:' >;: Municipality P tY clpality Number of Dwelling : :g `::':: ❑ STATE ❑ INDEPEND T Inspection Authority Location, if different :: <:< :«:>::>::::: :«<:::::: >:: >:::<: >:: >::<::::� ; :< :< OF: (J 7 O - Z `v 4 i iii. Plan Review $ •O O Construction ^ Inspection $ HVAC NAME ❑ Electrical / / i / 390 © Wi s. PermitSeal, , $ O* °° ❑ Plumbing `f' / 7i Other $ 0 Other DATE TOTAL . • . $ 70. O CERT. NO. ' C'5'..-D SBD 5823 (R. 8/90) 3 S WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK — Owner /Agent Revised: a/89 ZONING /LANG USE COMPLIANCE CHECKLIST JOB LOCATION: ;2.!s&.! c ZONING: je- PROPERTY OWNER /CONTRACTOR: /0,e- 4e CONSTRUCTION DATA: —AN CONSTRUCTI{ ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc 4 O&&? . d • �- � i ; 1' COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use • Lot Width Lot Area Floodplain Front Yard Side Street (frait 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. APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY DATE: �p� /4 DATE 6/ NAME del. " D -( ADDRESS LOT / / M1 BLOCK SU801 V . 1.t G� o f r— COfZ,� ZONE STREET NO. 05 LOT DIMENSIONS SIDEWALK EXISTING YES El NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE A „ , ,;?D , I 9 9t BY FEE: 01-.00 ( 5,a> Age DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade estaaiished before excavation has commenced. O5-"c/0 City Of Oshkosh 1/1/85 PARKLAND DEDICATION r /' J' , FEE COLLECTION RECORD Address ��:(o S Owner's Name 1 d Name of Subdivision Lot # / / Bldg. Permit # . No. of Units / Fee Required / // - 0 . c Fee Paid /d© .0 Owner's si ncture � ,�''� .a. A . . ,�_�L„ , ate ; / � 9 / Inspector's signature �u,.`ltry` Date l./ ?/5z--- Parks Subdivision Improvement Accts. Rec.: 362 -041 M t ri M ( X) e % Faye=1r • r aSToo 9'y'" ay ' h 7 5--, GP �- S h e r1 �' 4a161'74 eti.44°101614) /4Z/a2 .4;f/40/Z•1-414.4*() j/7i