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HomeMy WebLinkAbout0012305-Building erg $ .0 Q) c C as O 1 . ma c 3 0) M N ' �' O 0 0 Q On 4r = ° ft Z Z co 0 as v m E O ca _ o 4 \ ` N O O M o � r C C C O C Y V1 O O O <` r \� as ` n 0 p 0 i1� a g � � ° y , 0 co Y Ili as r c o t += • ,z,„ • C L ° o' ° II O .• O O. t N 1 o c C .t C O U O i a7 O N N c 1 U y of c C t p) O ( Sr Z U Q S LL W (n LL O a. 3 c a o 3 a) N \ )\ U) H . e1 4 0 11 0 g d co aci J ! 4 . j i 0) Iiii 1 1 1 1 1 1 i V 7' o V, C V d O -\$ ') \ .., 0 _ C f0 ri pt 7 t 1\'')] 72 iii v N a) fl c cn X cd 410 " I a) 1 \ ,/ i i d r \' \.4 y, j II L� � i Cl 4 O G � T� ; � as v s c ` \ p v a� m 3� -H Y J H 1& c..) as k \ , - o Z 1 � 1- 1144 C i■ J b p `° o c Pi N I 1 = 1 0 U � tc g 0) co a: m�c� a� v CO m _ L. a� O Y v co a CO _ a) — 0 o o N .� E 1- o w 0 .0 v c at D - 0 N �`' 3 m 0 cc IL in 2 UO W � Ov ; ' m ' cm) CS co Q m Q LL aP O c o ❑ .? ❑ ❑ LLi N •- n cn N \ `�� a) al Q g a y 1 E ❑ , 1 L I.= 0 Q. 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PARCEL NO. sox Me MADISON, STATUE APPLICATION WISCONSIN STATUES 101 .11.1 PERMIT REQUESTED 3gcONST LEC -- ner's Name Mailing Address Telephone e.-T gM ( T H B 1 LO s E to i 0 0 sA4....i y xat., s-r Z 3 f- o h eo ntractor's Name Mailing Address Telephone S MtTN BO ►LDE S 1 r► I , c rk, C'z- z i d:8 p PROJECT LOCATION 1 4 1 4, SECTION T N, R E(or)W Building Address tall, S otur 4v*..., t Name Bl No. ock Name avivinod ox. i��C.oc4. 14/ gt � w� Zoning District Lot Area Front • 7 Rear Left Right 2 - I q sot. I Setbacks -�}�.�,,ft S O �7 ft. 9 ft. Z 6. ft. 1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES anel Space Water New ❑ Addition Ingle family �Oej AMP Htp. Htp. ❑ orced Air Furnace Fuel Size: Alteration Two family kg/Radiant Baseboard or Panel El Garage El Other Service ❑ a pump LP Gas ❑ Underground I i Heat ❑Attached Overhead El Nat. Gas ❑ Detached El Central Air Cond. Fuel Oil ❑ CI ❑Other 6. CONST.TYPE 7. FOUNDATION ❑Other Elec. El El ❑ Master plan no. Wood ❑ ❑ ❑ Site const. Concrete 8. PLUMBING Solar ❑ ❑ (if applicable) Manufactured Masonry Coal ❑ ❑ Outside (Dimension) 10. STORIES ❑ Treated Wood ❑ Other Sewer M 9. AREA unicipal Other A / RBasement 1006 sq.ft. , 1 -Story 11. USE ❑Septic �{ ❑2 -Story ❑Permit No. 12. WATER iving Area 1 OAS sq.ft. ❑Other ❑ Seasonal 9e Permanent �❑Private sq.ft Other �o 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 liability, express or implied, on the Department or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT --I DATE / t'L CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply myy result in suspension or revocation of this permit or other penalty. ilNQ., v . 1 S • 5 " /NS/ 4. ,t/ /4 cgd4 IIE .4ss14. ti1 - 774 es c.c -[,vc /1/4- Ti./rr 14 4.wv4 - 4 _ P•gavFt) y 7hiC , ZO1e Pr .Ai+ -- 'TWO h p.44.1 ./c 15 44034r-0 FQ THC fr ,ate /nk'c f 7 -- 13. ISSUING JURISDICTION ❑ VILLAGEITY ❑TOWN ❑COUNTY ❑STATE NAME Okopi MUNIC. NO. 7 0 — c2 6 FEES I EER ED (S) WIS. UNIFORM PERMIT PERMIT ISSUED BY SAL NO.(S) ,� r� PLAN REVIEW /1. $ en I i CONST. 4 a NAM Aez. .4 ,,f 1 rZI� INSPECTION N HVAC 1 oa� / WIS. PERMIT SEALS) tcELEC 1 3(.faq DATE �� /-- OTHER ( .) 0 E p _e TOTAL $ . CERT NO. 4 '0?S'ice DI LHR -SBD -5823 ISSUING JURISDICTION /AGFNry - V 1 _ _ ? m Hm Ii ■1 .' r y a. 0 00° H N °\ -_ N ¢ N�r S ,..4- s r <3 a lo • s o $ N • �^ 0 0. 3 L I A Ca t'. 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