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Home My WebLink About0036863-Building HD , ® CITY OF OSHKOSH •°- 36863 PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS G 0 iv' 1 . PLAN NO. OWNER G. -c DESIGNER USE /NATURE OF WORK IEE 1,..16.1,-E. ,,,,-- , ',` `\ _ " CEO ikt kg.' )c r ' —wk. BUILDING CONTRACTOR G* 4 • - - I e_4'` + 350 6, - rte H- W 7 //�� Ft. r { # #S tories . � H �� Foundation CC)m , / Class of Const. e Occupancy Permit ___Y_". HEATING CONTRACTOR \ Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR CONVII ` V Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR VJ A-_`r t c 1 - BT WH _ Disp WSoft CBasin Lay Sh DW DF San. Sewer - WC FDr _ SP Ur Storm Sewer Sink LTub Eject SS Water Other O2 n FEES: Valuation $ � I n Permit Fee Paid $ / ` � ) d Park Dedication $ /" ISSUED BY ;f�5 �-4 /� a 1O-Ll Date </ f g /cn Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU r ----4 / 1 I . —41 0 6 / AGENT /OWNER D EE ADDRESS _ 0./ /% 0 3 F6 TELEPHONE # Pi— id's ,1JgsR Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. LabondHumangelations BUILDING PERMIT '36 S)06 3 Safety 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) «.g ::: ::::.:::::: : : ::: SZkonstr El HVAC 0 Elec 0 Plb r Erosion Other: ...............................::;:.;:;;:.>:.:<.;:. ::.;:::.::. >:.:;;:.;:.:::;:.;;: — Owner's Naive �) Mailing Address Telephone No. (includ rea co ) t i/, . .iC 11 IS sr y —g3 - Contractor's Name Mailing Address Telephone No. (include area code) :' » L �y 4 � . ... Lot Area •' '::: ":: Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivision Name Lot No. Block No. 95 90 Shi R /D4 J 5".. "n iDrlitl - r /0 Zoning District(s� Zoning Permit No. Fro Rear / // Left / .\ f � // Right /"., : ... J ;; ; ;:: .:. .;;:. ; .::.; : . :. ::..: ..... .:::. . :: : : 4: .:: Setbacks � .:.:::... :4 5 . i : . ft: .. I .... - .n , ft. ! V ft. / 0 // ft. •: �. : . . ,n.:0.• v i: ;4;4:• ?: ki: t .I� : :: •:•:Y.:•:GL�. t. •'•i:•: L:• ...i:. " �•... ::: ?::::: :: :'. i'::: :. ': ;'i i '• 9i.. i:::• i:• :•i:•::•i:::•i: ::i:•:i:i ii ' ew ❑ Repair 7: Single Family Entrap Panel . Air _ ced Air Furnace Nat. L. P. Oil Elec. Solid Solar ■ Alteration ❑ Raze ■ wo Family Size: amp ' Radiant Baseboard or Panel Fuel Gas ❑ Addition Q Move ❑ Garage Service: ❑ Heat Pump ['Other Space Htg ❑ ❑ ❑ ❑ ❑ (print): Underground ❑Boiler Overhead ❑ Central Air Conditioning Water Htg 0 ❑ ❑ ❑ ❑ ❑ Other ❑Other * 0 Dwelling unit will have 3 kilowatt or ''`'''`` `' °``' more installed electric space ace heatin equip. Site Constructed oncrete P heating . q p '• ' #[LI IINNi ?> ? >: > '• » :: `:' > > > i : : : : : : : Infiltration n .;; .;;; :., - - :, ,, ; ;;• . ;; .. ;• .,,,. ;;;; ,,.,,. control option is: ❑Full sealing � Manufactured Masonry of joints. ❑ Blower door test. ❑ Exterior ' % "``> <" > ❑Treated Wood Sewer air infiltration barrier. 3J : 6 0. ':J°: > ': >si ❑Other Unfinished Basement/ �q. ft . ::i: <::: • ; . <:::: >;<: >: :::: S epti c uniipal «:::>::' �3'.{ :: >:' t�II��!��t #eC#� >:::: >::: >i::: ❑ 1- Story > <:: SE<;<:::z::: » >E >::> :::::<::: Permit No. Living Area /3S-0 Sq. ft. y Q Seasonal Envelope BTU /HR :`•11 W :ii >: E ::: 'iii:::::;' ':;:;: > ::>' >::>:: Infiltration 3 BTU /HR p r ermanent :::::::.:::::::::.::: / Garage Sq . ft. tom' I nisi I ill P a Utility ❑ Other �'� ..... .IS`I11;11411 > >E:<: > » ?'' V elus Basement ❑ Private On -Site Well $ Cc-*" 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 i ( plied, on the Depart ent o cipality• and certifies that all the above informati n is ac rate. APPLICANT'S SIGNATURE � ,i , / DATE SIGNED 6i APPROVAL CONDITION This permit is issu: pursuant to the following conditions. Failure to comply may result in spension or revocation of this permit or other penalty. 14) .5).6/ FOC ` <& 0 f J IS /) )CL /A,) iltii, &24--- , - c /ice / AJ !acv t)A477c i .7G�b / it/9 / ,b1,�/ /) �s . C ZYZ, /IL1 , ::- .. .x/3/')* rr TROT..,.C PC.LIMS, Town Village ❑ County ou t ❑ St of: State o . 9 Municipality ❑ N um r f ❑ be o Dw Ilin Y e i n: ocat 9 Location: I I I — I 0 _ 6 C .iiii�.. .......... ........:::::.:::::::.:..: .... .:.:. :..::....... ter.:.:. ... ..: �:.. �:::::.::::::::::::::::.......... . . . . ...... . ....::.::::. :::.:::: .................. Plan Review $ 4'O Cb onstruction Inspection $ VAC Name 'N?, Wis. Permit Seal $ SOt D � ❑ Electrical ,) �- Other $ ❑ Plumbing Date C ( rosion 3L '1& Li Total $ ---- e) , ✓ `(� � 1 � Cert. No. (:) SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: J a ` JL�{��J ZONING PROPERTY OW 1Y NER/CONTRACTOR: , - - Zk CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, ool, parking lot, sign, etc.) Alt) ,/ COMPLIANCE CHECKLIST `� _ /2 DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off - Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval �� Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan REVIEW AUTHORITY As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval 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. `��APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: // 6 /fi CATE // -- ,5' - 93 NAME ADDRESS LOT ____/© BLOCK WARD /" 5 UBO I V . ,a4 - d C.2t ZONE � STREET NO. 570 ./`1' �, �� ,, J LOT DIMENSIONS 7 x / 4I t . :2,2- SIDEWALK EXISTING ..�1, YES NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE 8 ,19 9,3 BYoef-i FEE; $15.00 7 * (11 , --01- .4" DEPARTMENT OF PUBLIC 'WCRK_ I, the undersigned, owner or agent of the above described property agree ro have the grade established before excavation has commenced. TI3 Y G Y ______{ city Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address I SI Owners Name H •KCR Name of Subdivision ��ICJA TES Lot # /b Bldg. Permit # 260Z3 No. of Units l Fee Required Fee Paid' Owner' s si ncture �i ,mot,` / < _ e (/ ?3 "11 Inspector's signature � .4 cs ✓ Date /f/R/ Parks Subdivision Improvement Accts. Rec.: 362 -041 BY .R..g, < . 11 SUBJECT E I.-..EL i ti, REE SHEET NO. i OF I , CHM). BY. . DATE Ep R.o.0 rvl IA ..... E JOB NO. 2..3.4 . _Lc -r - 1 SKER.1.0.6.m., 5.0..5 T21%) ts.4 p 1J 1 ----- , .. . In /0 -3 . : i■ . o 4•9 -;'//.' •"% , co _ ,./zot, . • . / . N 1 ,/, ,:9(/ ,./, „, 12. • -..;-.., / ■, .// / 7 :1: . . Pd.,: FC• .... • „ . ..,.';. , I ,.. . .9 • N . / . . •,-- v A . . , •;,‘ . . .. z , 0 , I , 0 . 1 . in in . (NI cA Y 1,....... 6 1. (9 .... ..1.,...A.....................___,...j.. , / 77'-o" • 5( , r 6tr /S Z r - HER I DAN STREET 'folz 1