HomeMy WebLinkAbout0029887-Building CITY OF OSHKOSH N°- 29887
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN 111 ZONING �- FLOOD PLAIN HEIGHT
ADDRESS °? 50 (N • Z-e)Q a:6 PLAN NO. 4 &/ I 0 0 792 i
OWNER '-0/ :4 /LA( 6 171 - 41 4 4.
DESIGNER �/�
USE /NATURE OF WORK ) J 240.) /� ,C. CC AU
BUILDING CONTRACTOR l/eih'c.LZ
Size t/.i( ��-/� Sq. Ft. 9/ # Room s. 0/ # Stories -` Height �9
Foundation �r 61 • Class of Const. Occupancy Permit —5f
HEATING CONTRACTOR 41.1e ,a6"(
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR / X17'1 /,7c g/-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Aktele--t
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 $ 00 Q 0 • Q 0 Permit Fee Paid $ � 0 S 00 0 Park Dedication $
ISSUED BY .--A- 7.amu" t-7.--- Date 77 2 .- - Final /O.P. ka - 30 . 9 a
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE r f f
AGENT /OWNER TE
ADDRESS
TELEPHONE #
/4 q /lo o79' 2- "C
State of Wisconsin
Department of Industry, WISCONSIN UNIFORM 9117
Labor & Human Relations g BUILDING PERMIT APPLICATION NO. 01
Division of Safety & Buildings
Box 7969
Madison, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 (Soo Instructions on back of pink copy) PARCEL NO.
..: :
PE RMIT REtUESTEU.:::«::
`' ' >' ::; / V CONSTRUCTION ❑ HVAC ❑ ELEC El PLUMBING 111 OTHER:
Owner's Name Mailing Address Telephone
Contractor's Name �' /,, �� /�/ Mailing Add 44-/t/ere2/.--- Telephone
..2 1111 tA2-64: » » >7`7tY d 6/1,1 1 (/ �/ c, l fl .
{ Lot Area
S + ,
Sq. ft /a, /a SECTION
Building Address , � Subdivisio a Nam Lot No. Block No.
S C7 / W W. (N et,a 14/ C ( /// ` "1- -/- L 4ti/4.(z4x.. l
Zoning District(s) Zoning Permit No Front Rear ` C ( C Left Right
le —I v p Setbacks 2- q0 st ft, -2_7 ft. z_ _s ft.
�:: :�.::::IIL��;.: �I�111 ter':::.:::.:. I:�.:::IINERGy 30uI�C� :::: ::
New ❑ Repair Ingle Family Entrance Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar
❑❑
*
Alteration ❑ Raze LJ Two family Size: / fi"D amp Radiant Baseboard or Panel Gas
❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg. c } � �/ ❑ ❑ ❑ ❑ ❑
❑ OtherIJnderground ❑ Boiler Water Htg. I� ❑ ID ❑ ❑
R❑ Overhead 0 Central Air Conditioning T
0 Other `;; ,; ... 'OUNDt ON Other Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
Concrete
. Infiltration control option is:
❑ Site constructed �#� >;I�Ir11SM�;; << > > ''''':'<<< > >< P 0 Full sealing
2. >:AREkINVOLD. « > > 0 Manufactured 0 Masonry Sewer of joints. ❑Blower door test. 0 Exterior
❑ Treated Wood Se ptic unlcipal air infiltration barrier.
❑ Other
Unfinished Basement /z/sq.ft. a�>>�!� > < > ; : 7�'«:<:: A� :LO.�S<: #ealculEtte�#�:<:«<: ><:
Permit No.
9 / + 9 ° BTU /HR
ry 8:« US <> > < « > ;> < '/
Living Area 9'��i S q . ft. ❑ 1-Story ;.. ,:: > >:....... :...... :.: >:; » »: ss:;::: >: » > » : »: »:<::::
Envelope
/� ❑ 2 -Story �asonal [1:1° `A i :: : :::; >:3<:. :.; : : :. :: >: >: ><:<:;:<: Infiltration /7 t,.' /. 3K BTU /HR
Garage L i 4 Sq ft got r 8 Permanent Municipal Utili
❑ Other
P Utility .14 r .
.7ral lt"D +1 C LST «; >>><
Private on -site Well
❑ Plus basement $ pv
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, on t apartment or Munic ality and certifies that all the above information i accurat
SIGNATURE OF APPLICANT L DATE i 1 10.'
CONDITIONS OF APPROVAL This permit ist issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of th permit or oth penalty.
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,4:4 '.01 fre.(4. or-d-se.4,-44' 41 a ... p p , _ft IR , 0_,,,,,/zalf..,A2(. eA.G.07C.1 ahit tAe - • /261-d : .-.• %
a4.c .aac ei,caz ut.Ztf, . % . , ,, ,.lam _ �' - i _ / _
O G ,( e.° T' fl -r,---e `LG/h'L 2<..,,9- rt,cs, , y /a �.6. -, .e.e- 24,c. in A, n „-- 1 .'
CI VILL
A Municipality uni i
CITY c alit Num
❑ COUNTY bar of Municipality P Y Num
�< ���IB :::::<;: > <�`:::< ? �: : : : > : bar of Dwelling
::::.. :.: :. ❑TOWN ❑ STATE ❑ INDEPEN Inspection Authority Location, if different
S ..:....::::..... O ..:........ —2 O -� -
Plan Review . . . $ 40 O At/Construction
HVAC NAME
Inspection . . . . $ ❑ Electrical / / 4/1P 1 ( I �Wis . Permit Seal, , $ •c 0 El Plumbing I DATE Z/
Other $ ❑ Other _
TOTAL . . . $`7O - 0 0 CERT. NO. S J 0
SBD 5823 (R. 8/90) 30 WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK— Owner /Agent
47 4* / Li
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: c D f iorovrze,iFY &'j •h/ IZegG NG:
PROPERTY OWNER /CONTRACTOR: )L )e,64CA, 6,1/14
CONSTRUCTION DATA: ✓ NEW CONSTRUCTI{N ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: , sign, (i.e. fence, pool, deck, etc.)
7 a, y' . zZ- ¥ ( 1 ( v4 .
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
Use
• Lot Width
Lot Area
Floodplain 4244. Agiirass K 7744
Front Yard /Ml -- /Sit CIFifsAkt+4 60t1) 7L fii✓A—
Side Street (frcrtt yard) AAL - t AWKarc1t l
Rear Yard - Wits #//&It- l4 Cod- of $f�Ci1j94J4 Side Yard (R) tl/A .
Side Yard (L) - w1 tr 71tfitr k4 e4- zn £411- -7)flLkik
Parking Spaces iPM) 44L. - Xititg
Building Area hit til, t 11 Ntx1z '/ " - 4-'
Lot Area Per Family 4W peljtiCitt S CAZAV 4 erAl Ca ..
Corner Lot Nit 001 i fr APB Nn Alik.41f AA
Landscaping btOla9 t Aidge41 Mfr A--/ f-4IC c P •
Transitional Yard STALL kiCAZIAArr oX 7TlIS 4204
Off - Street Loading - i /-- O.C.c.4 0 tot GL I
Vision Clearance bJL7l I AQ f" AIWA A i
Height 410 �1 / Au- Ap. % .,•15 ,� T
REVIEW AUTHORITY: No '
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 1 Pf • Cktcld - 4 / 4V°.:/6 DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED B DATE: Z''
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DATE �� 74 z
NAME /a -w iar- �z ADDRESS
LOT I BLOCK ?1r1FiD
SLAW I `J . ZONE
STREET NO. 2 5 D (
LOT DIMENSIONS // 9 A 9s
SIDEWALK EXISTIN ef-4 a 1 .YES NO 0
BUILDING GRADE ELEVATIONS STAKES SET AT SITE - 7/34 ,19 9� BY 164(
FEE: U4,40
6 ccf?;._t_.,_
DEPARTMENT OF PUBLIC 'WORKS
I, the undersigned, owner or agent of the above described property agree TO have the 0/3 ,
grade estaaiished before excavation has commenced.
413 00:1533