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HomeMy WebLinkAbout0029462-Building CITY OF OSHKOSH N ° - 29462 PERMIT - APPLICATION AND RECORD TYPE: BLDG (i' HTG El ELEC ❑ PLBG ❑ SIGN ❑ ZONING Ie"/ FLOOD PLAIN HEIGHT ADDRESS .299 9 ( / v • t & ( j t A - e . PLAN NO ,7 3 6 OWNER / 40 11-61 -A 4- ir,(1/01...9 DESIGNER USE /NATURE OF WORK )1_444. /&/2 a4 . . BUILDING CONTRACTOR atlin/A /� / (o Size Sq. Ft. // 7 # Room -3aedf J # Stories / Height /�� Foundation Class of Cont. Occupancy Permit HEATING CONTRACTOR 6.A..2/.(1..e t Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ` ELECTRIC CONTRACTOR a/77Z f Electric Serv. New ❑ Change 0mp T e Volts Am ❑ Type Amps P Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR — 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 3 0 Permit Fee Paid $ /i0 . 0 0 J Park Dedication $ / 0 a 00 ISSUED BY 4 Lt' . ( )l2 4L Date (9 1?- 5 /9 Z- Final /O.P. /4020/93 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7 Piri 6/0 AGENT /OWNER DATE ADDRESS TELEPHONE # zi ?8 . cr" Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 0219 5r 0. 1)a,,t,c -t€trc ZONING: ,`l / PROPERTY OWNER /CONTRACTOR: CONSTRUCTION DATA: , CONSTRUCTIO ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) 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 Heigh REVIEW AUTHORITY: • The Director of Communit�lopment, or des ee, m 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: 543 S7 O b9 z State of Wisconsin Department of Industry, WISCONSIN UNIFORM // Labor Human Relations g BUILDING PERMIT APPLICATION NO.�JKpZL Division of Safe 8 Buildings Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO. PE .REO ES._TE m: : :: :;:; , �J CONSTRUCTION 111 HVAC ❑ ELEC ❑ PLUMBING 111 OTHER: Owner's Name /// ��\ Mailing Address Telephone Co cto 's Name /et.. e4 Mailing Address Telephone r 27 Co o /.U.i�L / (2a/(1.00-0& P !�}��,�.}� Lot Area Sq. ft. / a , / . . CT ON /si , T � R E (or)W Building Address Subdivision Name z_s Lot No. Block No. - S 10 . W att��C..w Gut . �./7/1 .4. 1 Zoning District(s) Zoning Permit No. Front _ Rear ( Left Right re — 1 Setbacks 02 ft. Z i" tt. 2- ft. 3 ft. >.:a<: :::> : >::;> < :: : >:: >:: >:« :: : ::::: >:«;::: > <> ::. �f'; �C: � ::::: ::.. R' �R�: 5.»# fIPI�F�': <:: : :<: >: >1:1!`: > ENERtrf ; SO#JREL;::: ::: ::: / lEklew ❑ Repair Single Family Entrance Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar ❑Alteration ❑ Raze Dwo family Size: /4F) amp LJ radiant Baseboard or Panel Gas ❑ Addition ❑ Move ❑ Garage Service: ❑ Heat Pump Space Htg. ❑ ❑ 1:1 1=I [I ❑ Other ,Underground ❑ Boiler WaterHtg.. ❑ ❑ ❑ ❑ El ❑ Overhead Centr Air Condition ❑ Central Conditioning Other � ❑Other * ❑ Dwelling unit will have 3 kilowatt or ::.<:...:... .:: ..; ::::.:::.:::::::..:;:::.:.:: . >: >::: :....::.:.;.:.;..:::... ,:...:., re installed electric space heating equip. more Si te constructed Concree >1fk . ::< :':::: >; <'<':' > t Infiltrationcontrol � .. option is' ❑Full sealing :::> AI I : > > > < Manufactured Masonry a er — of joints. El Blower door test. El Exterior ❑ Treated Wood J..2IR Municipal air infiltration barrier. ti Unfinished Basement //9 sq. ft. �+ .::;:STQRME: ❑ Other ❑ Se p c . : �: 5:;::: IE�11; 't':LOSt:: >�Caleitlatect� >::«<> Permit No. t� / �1 -Story i :::<:: > :<:< >' ': : :: > Envelope /7 (VI / , 7- - z —BTU /HR Living Area / W 7 i* Sq. ft. LJ 2 -Sto ❑ Seasonal . D ry .. «.::AVE� .:: .. .. . :::... .:: <::.: :. :.;;:;: ::. Infiltration Z2 - 7/9 7e BTU /HR Garage 5 S ❑ Other Permanent q. ft. mac' Municipal Utility 1 2�i �:I�II� 40�T: >:<::<: Other /`� ❑ Private on -site Well ❑ Plus basement $ 4a,000. 00 The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this perrnit; 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 ":~ DATE d /�/ ' 2 CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or / - revocation of this permit or other penalty. ��y / / ':: ❑ TOWN VILLAGE LAGE Municipality CITY c ali Number 0 u ber of Municipality P tY N m � ;:.;: >:! ;: •: >!?' > ::: Number of Dwelling ❑STATE ❑ INDEP D Inspection Authority Location, if different UR:1SDTN'< < > : OF: _ -s�12 - -'--- >: €P ER#A :: - :: ,/^ ' 1 Construction • . ........::..._. .:::.:::. ^ ::::.. : : . :« <.::. :< : ::::;:;: Plan Review $ �"�0 O / Inspection $ HVAC NAME Al Ail � 4 �f�? yc� Wis. Permit Seal , , $ 30 9 0 ❑ Electrical DATE / O ? p�/ / // L ❑Plumbing o j K� Other $ 0 Other 1 �C TOTAL . • . $ 7 O.O Z) CERT. NO. J SBD 5823 (R. 8/90) 30 WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK — Owner /Agent Z . i 1 i i! w l I y r I t I i l,: , l I ! } 1 { I i 1 I{ ! 1 1 j t 1 1 ' 7,iit 1! i I j i 1 lit {?i 1111I1 I#j Il I III ,II, 1 ! C V) ! 411 1 1 .11 11 li l!i lj1 !I i Iii I 1 N { i i I i 1 1 t ! y U 1 i ! s 1 1 t ! i , I ' l I t { ! 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( lI;ili WI i i i 1 ' 1111 )t ; ■ ! 1 1 1111 i !,, I I ; ' ' ( :.� ,��;± �;%�{ 1 j { ►( l ' . `. s 4 1 I 1 1, r 1 , r 1 l { i I! 1 ! ! 1 1 ! { 4 I i 1 i t I i { ' s 1 { i f t i t ' I t + I l I I; J 1 • i t 11 { I ' ' j1i l}i I . 11 11;.' i i IiI 1 } + i E I ii , it i `�I ; 1 11 Hi' i i ! I I €III i i1. 1!r ' I l 1 1 1 ; III ;I HI; i ( t,. 1 1;1 1 ilii 1ii1 a t 11r ; I ' / ► , . H, ! 1 1 ! l � ! ? I i s ' = W 1 i t 1 ! 1 _ i l ! ' � ! i 1 1 1 i 1 ' 1 1 ! 1 ' } t t ! I 1 ! i 1! ' { i i 1 L ' :, 1— • • ' kfi y- sl j 1 { 1 1 1 11 1 'j I Ij 1��� � Ill HI l� 1 I 1 1 , 1 4 11 � 11/1 � �� I! 1 I l ! • i l 111 ( t l i�� f 11 i ' 1 1 1 ii 1 1 ! ! ! { i � 1 f I ! i i+ 11 i (!I i ! ' I ! { ! i 1 t l , E , y I I j 1 r 1 i ' 1 II HH ! 1t I i i 4 l l It X } i g. I ! ( i': i 1 1 1 l ! j ' 1 t 1 4 I i ■ i i l ! 1!' 1 I 1! l 1 i I y V l i j • j t l i ! ; ■ t I, / i!{ 1 i W ` 1 1 1 I i. I . f I l l II 1 11 ' Ill t : f u.i + I, , • " , � t ••! i , 1 { i 1 ' ! j I 4 I t ! 1 ! I ! I. 1U + l _ . t' /!?�'t ' 1 � , , 1, 1 1,1 1 1,.i :!.! I. ,,: i 1 1 I i 11 l I 1' 1 4 1 1 I^ ,' 1 i i 1 t ' ,H1 ! • t. i 1 11 1 ! i I 1 ; l� L . l t' ;, '4 1 1 ' 1 '• 'J ; w .1 s il!;., ,. I i , ■ . . 1 t J k ( II, i } 4 ' 1 ' ' ? t • I I I t 1 1 '• I 1 ` ` tt ' s i i 1 { i I 1 ' I I , ' ., • 4 4 I 1 1 i 4 j • 1 t` 1 I 1 . ! 1 1 1 1 1 ..i 1 11 1 1 i' II i; i i i j l .• - 1 f 1 i t City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address a2 a) . GO ,,,' J.ac sA (Z -Q • Owner's Name d 444-eit 67144z: Name of Subdivision cJ,if 2_P3 e Lot # / Bldg. Permit # 29 94 Z No. of Units / Fee Required / D . © O Fee Paid /D©, ©'J Owner's signature /Z-- Date 4 / Q Inspector's signature Atuat,v--44-- Date 4/ . Parks Subdivision Improvement Accts. Rec.: 362 -041 3 / DATE 4 / NAME Lc.5 69--yZ44 ADDRESS LOT / BLOCK WARD 13 c 5arvey as38 . SU801 /. ail a ZONE STREET NO. / 75- i 1/ LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO j:p BUILDING GRADE ELEVATIONS STAKES SET AT SITES 29 ,19 FEE: sit-:0e- r � 5,00 DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. • O9t..15,1. 1 • A STATE OF WISCONSIN ) _Sheet 1 of.2 WINNEBAGO COUNTY ) SS WINNEBAGO COUNTY CERTIFIED SURVEY MAP NO. c,2613 !l SURVEYOR'S CERTIFICATE: I, Steven T. Chronis, Wisconsin Registered Land Surveyor of Aero- Metric Engineering, i Inc., certify that I have surveyed, divided and mapped under the direction of Thomas N. Rusch a part of Lot 2 of Certified Survey Map No. 1785 recorded in Volume 1 of Certified Survey Maps on Page 1785, Document No. 692290 in the Winnebago County Registry and being a part of the Northeast Quarter (NE *) of the Northwest Quarter Four (4), Township Seventeen (17) North, Range Sixteen (16) East,Thirteenth (13th) City of Oshkosh, Winnebago County, Wisconsin containing 35,963 square feet of land and being described by: Commencing at the North Quarter (N}) Corner of said Section 4; thence S.00 ° -50'- 24"E. 33.00 feet to the Northeast Corner of Lot 2 of said Certified Survey Map No. 1785 and being the true point of beginning; thence continue S.00 ° - 50' -24 "E. 124.17 feet; thence S.89 °- 19' -32 "W. 287.89 feet; thence N.00 ° - 40' - 28 "W. 125.00 feet; thence N.89 °- 19' -32 "E. 252.98 feet; thence N.89 °- 23' -04 "E. 34.55 feet to the true point of b. That such is a correct representation of all exterior boundaries e of n the g l.and surveyed That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the City of Oshkosh in surveying, dividing and mapping the same. Dated this ,73 day of Q ir� `������ »ullnttu►pigii pi � .. �->v � T __ • , i 992. ` O # 9 A � -44• ...... Wisconsin Registered Land Surveyor, S -0913 STEVEN T._ Steven T. Chronis CHRONIS = S -913 - ° NEENAH < WISCONSIN (�` W Wa1�Ke(� AVENUE I �0 • I N �' Nor t . 412 S / 1 . 2 V _- ��/ °f ✓ ✓�� (�`'� _ __ e4S.OQ N 99°49% 3! '!. 84519 �°- T. R . 16E . , T.IT ,R.16E � // 1/ / sU f1 V `;\ � \ ��`\\\` ?s e I - -- 9 1fUMINUS N. 99 -44" 4' „ pl / /ItIIiiIIlII ' o 0 232 • •••N89 = 7T.53 y 70.00 4 y 70.00' 35.45' 34§3.1..0 e c 0 0 O 1n O a 0 C ie ,e . 4 Lot. "1" el Lot "2" N .. "3" n n Ir C 1 41 x • � Lot 3 Lo 4 # x o � !r 9 691 S , Ft . "' 8,750 Sq.Ft .P 8,750 Sq.Ft,!� 8 Sq.Ft o co ^' Ul a b vs, °- 0 e �y 0 77. 0 7 0.f10!••• • 70.00' 70.36' • v p f a 3 . 8 9 °- 1 9 r -32 W. o a . • o 287.19 847' M m Unla ed Lank; CD a g• CL - LEGEND- o 1. W a E o. 1 "124" Iron Pipe weighing I P 1.68 lbs. /lineal foot, Set • ° 1 "'Iron Pipe, Found COVENANT •I'• m Pursuant to Section 30- 67(0(6) of the ?4. •• $ °• Winnebago County Berntsen Monument City of Oshkosh Subdivision Ordinance, a • c � / Recorded Information $100.00 per unit fee shall be paid by the I 0 All elevations based on City of Oshkosh owner/agent prior to issuance of a building ! osh Datum permit. The fee shall be used for neighbor - • hood park and recreation area r- r. BM s R Spike in Power Pole 17164W35 at 847.02' N • purposes. d O ta � • o • ~' 90' SCALE IN FEET t 1--+ 1-a �-- f 5 0 150' 4 e ' w -/J' L t ' 7j THIS N @-/ // ENGINEERING, INC. VS1AUMENT DRAFTED BY: Steven T. Chronis LANG SURVEYS NOTE BOOK 120 PAGE 5 -7 539 NORTH MADISON ST. CHILTON WI 53014 L. 2090 • 1 Sheet 2 of •2 STATE OF WISCONSIN )aa AGO COMITY CERTIFIED SURVEY NAP t . ..2.S3 1 WIANEBAGO COMITY ) OWNER'S CERTIFICATE: As Owners, we hereby certify that we caused the land described on this Certified Survey Map to be surveyed, divided and mapped as represented on this map. Dated this 9— y a , 1992. da of In the Presence o� 4 10.a..._ 1. .-......_,„ e 4.-etz 40 .0 If r=----- o ra ' 1 7/LIMIAIN/ #- Clille m . _ ..... - Tria l vt lermr..,-.3...grer....rei.-ffziJm, chard L el.- t STATE OF WISCONSIN ) WINNEBAGO a0ONTy ) Personally came before me this c11 named Thomas N. Rusch and Richard L. Gabert me known to be the persons above executed the foregoing instrument and acknowledged the same. 5 .p.r .i Gutnneba NOTARY PUBLIC Notary Public, COL, n ii , Wisconsin STATE OF WISCONSIN KAREN L. RYF My Commission Expires 3-23/-94 CITY OF OSHKOSH PLANNING COMMISSION CERTIFICATE: This Certified Survey Map of a part of Lot 2 of Certified Survey Map No. 1785 being a part of the NE; of the a NW� Oshkosh of Section 4, T.17N., R.16E., 13th Ward, City of N. Rusch and Richard L. .bert, own- -, : here•y approved. Date � `� . •�•...r /� LW c • Bruce Rosk. p , Secr - .. ry Dated this ,? 3 ~✓may of 1992. x()1'700 W s n Reg stered La e yor, S-0913 Register's Office Winnebago County, a I�'�►r Receive ws. �� `�� ������ da of __ for record this 2- at ��' C•• 18 9� * STEVEN T. - o'clockM. and CHRONIS filed in Vol. _ _ of _.C,5 A/ S -913 e NEFNAN on page _ v.�J WISCONSIN Ct Pi de... .