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HomeMy WebLinkAbout0036895-Building 110 CITY OF OSHKOSH N° 36895 PERMIT - APPLICATION AND RECORD TYPE: BLDGIHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1O \. I en_� �)Z.., PLAN NO. FI- /93 41493/ OWNER O C Ak C.1�ZVC- IO DESIGNER USE /NATURE OF WORK 050 QN 6 L MM 1 WIT WIlli A' (A C, BUILDING CONTRACTOR // l'�ae- Size S Ft. J��0 # Rooms (6 3 B/? # Stories / Height /'7 ' . Foundation NC «TE Class of Const. r2 Occupancy Permit HEATING CONTRACTOR 4W Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Cu M M i NHS Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR IT BT WH Disp WSoft CBasin _Lay — Sh DW ._ DF San. Sewer WC FDr SP Ur Storm Sewer __Sink LTub Eject SS Water Other FEES: Valuation $ Dt DO0 Permit Fee Paid $ /0Z I C)7") Park Dedication $ / ISSUED BY 3;A4 Staaaao Date /I /J6/ Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE • )y A AGENT /OWNER A TE ADDRESS TELEPHONE # thr 0 -- (-/--'4 67 -2-) ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ' /0S EEZ ... J -1 ,1 12, ZONING * 1: PROPERTY OWNER/CONTRACTOR: � ) vG G-S CONSTRUCTION DATA: New Construction Addition Alteration 1 TYP E OF CONSTRUCTION: (i.e. fence fe pool, parking lot, sign, etc.) T ION: COMPLIANCE CHECKLIST , JUS6 --P1- 6 -::- 5- ) 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 Ca-2� / ' , Height ,� 7/e-- Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan y 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. 4------ APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY ___- 1 a DATE: 0 1 F1- ' t l ct3 `R Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Safety and Human d Buildings B UILDING PERMIT 36 ggs Sfety ans Div P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) ..:: :::IRgR ESTE, E:;:.::•; Eltonstr • r Eaf#e>r li / rosion 0 Other. Owner's Name Q 0,1 Address Telephone No. (include area code) �' .�z 1)*14 t '-- .w I & (23 / f'ole 3 Contractor's Name Mailing Address Telephone No. (include area code) <( (/ 1 1 l c I( 1 ?i:: Lot Area .. .. OJECI M : 7c? Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Address uilding / '31 QA Subdivision ot N Block No. Na � Na ' / , 1, Zoning District(s) P.onin Permit N g 9 No. Front Rear Left Right Setbacks a S ft. ft ft. I i ft. O. ew ❑ Repair r, Ingle Family Entrance Panel . fi, orced Air Furnace Nat. L. P. Oil Elec. Solid Solar ❑ Alteration ❑ Raze ❑ Two Family ize: l0 O amp F ue l ❑Addition y p ❑Radiant Baseboard or Panel Gas i * ❑ Move ❑ Garage Service: ❑ Heat Pump ❑ Other (print): {derground ❑ Boiler Space Htg ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ 0 Other ❑Ot * ❑ Dwelling unit will have 3 kilowatt or ` "' more installed electric space heating Constructed l].&ATicrete p eat g equip. Manufactured ❑M ••� �• � � �� � _ � � <��� >�� » >' »� >:' »:•> Infiltration control option is: ❑Full sealing ::: ; ,: ;: : .4:IN}(VEj;;# of joints. ❑Blower door test. ❑Exterior . ❑Treated Wood Sewer z`" >: >: °:' :' ',. •;; >,• air infiltration barrier. Unfinished Basement t6SG ''> >? ` > » <. ❑Other uniapal Sq. ft. Living Area � QS� S . ft. ( tory ;:8. USA <> ` :Efi > : >':` IN ❑ Permit No. Envelope H T• 47W S J 4� BTU/HR Sq. ❑ 2-Story /�� ` iiiii :.� AT 3 » >:':: »<z:>: > > » #z: ><< ` Ifil i ntraton O BT Gara e c Q ❑ Other ::::::::.::::: 06 /HR 0 Other U 9 J ?' U Sq ft �' unici P al utilit i iiii i iiiiiiiiii i iii i ii i iiiiiiiiiiiiiiiiiiiii i ii i ii i i i ii i i i iiii i i i iiiiiiiiii i i us Basement ❑ Private On -Site Well $ The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; and rstands 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. APPLICANT'S SIGNATURE 7 ..._ f a 1 , - DA TE SIGNED I / R �3 APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. 1•) Soi3rrn rr TRUSS fe.ANS . a•) 9b/l. 672ostocc/ /yl4Asv2z 5 TO 86 /A r 4 ?J /LIIR o?1 • /&s r own Vill a e ❑ it Co n ❑ ut S 9 '� ❑ tate of: M ni i Y Y ❑ u c alit Number f Dw p o ellin Location: I IS ICTIO > >: CZ IkosN �' a - 43 6 6 ................ :::.......::.::::•:::• : : : : ::.:: ::::. •.... r ; p.. .: . ...... .............:..::::::::::::............ .................:::: ::::::.::: • ......................... 1 :..::.::::::;i} iii:+ !!i i iii: [ is4i;{{ 4i:: ' i 'riiiii::• : ii::•i::: it:: :• }: i:•: iiiii ?:•iJ ......... ............................... Plan Review $ 0. bo Q]( Construction Inspection $ HVAC Name QM. Wis. Permit Seal $ .a7•`"" ❑ Electrical Other $ ❑Plumbing � ���� Date �; I' 1 6' q Total $ Eros ion • Cert. No. SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent , ZIiJ f {��� iji f• N J I J! i i i ` Il 1 ,r► l i l .1 , i ' J \;, \ I . , i ; I ; . i • 1 1 , I ' I =, 1 f il l i { 1 1 1 .- ._ • YY , 1 i l ` 1 II .I ,,W 1 i + 4: i1 , I J { 1 1j Hz N CO l i , I!! . ! i H • • . t • I J W I, I ' , J , . I '.J. ' �° ! .� I . • . ' . , I i i i z1�►- ,• 11 1 /i i i 1 1 1 111;1w I ; , ! • i . . • } � J ,-,� , , 1 I j !i ` W_ c 'Uj 1i• • ' I I : 1 ! . • �-- . , - - • 1 !J , + j 1 , 1 , ; I .1 w ' 1 t ; la;I{ c� I • > : J', 1 i 1 i w I t l } 1 , , I w • . w 'I I 1,1 J J '. • i i i I ; I I W, i I W I I i i 1"1!;;;111. ,1 1 I Ili _ Ii 1 1 j • ii .!1111' i; 4 , 1i ;a f ! i I. 1 . 1 , I / ;•1 1 f s� ■ I i i 1, ! i I 1 I ' ,t ■ 1 1 1 i i i f 1 i I 1 I C I I li I i 1.� . �I I E i I i i I j • ' i I ( i i 1 ■ '! I i i ( 1 li 1 ! I li J!ii!i �• I W • J j J `I '1 i ! i ' i 1 CC I , l i i I E • i . 1 i F- 1 I J i 1 1 J i I !at i 1 k •♦ CO f i '11 1, I, , 1 i l' 1 l 11 i i I I I I i i , j i f ! ; i; i I I / U 4 � ' 1 11 lliili;i •f x` � • ! , ! i � l i , I ' , 1 • • ; • i s j , !(I� I W ,— • • J j I 1 1 J J �` �, 1 ,I Il I ;l+ W � � ! . , i J• i i { 1! > 4) i f i { !. 1' i , r J s • t I l i' .1 ' t! l( i l I 1 ' 1 I ill l..il(l1 1 1iII f J I i t L I i { I i I i' I { III ! 1 J i 1 i i j' • i1 '; 1 (II' • ! 1 1 +! 1 J i I. ( . City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address SIDS - I.L_"FieZ.1j �R a Owner's Name fiL') CN C©NT1Z,0C.71 S Name of Subdivision v ILLA eet■.) Lot # Bldg. Permit # 2689-s" 9S No. of Units Fee Required $/00. Fee Paid ` /1o• `' Owner's signature P-/4 Date /a /`1t3 Inspector's signature IL Qa.1.41e,7 Date /l 103 Parks Subdivision Improvement Accts. Rec.: 362 -041 CATE l //u q3 NAMEVSC N`���Z, ADDRESS LOT a �f BLOCK WrIEUD susoiv. \V 1LL ikr> ZONE STREET NO. LOT DIMENSIONS SIDEWALK EXISTING YES LJ NO a BUILDING GRADE ELEVATIONS STAKES SET AT SITE 112- 1 , 1 9 ° 1 BY le-14 FEE; $15.00 DEPARTMENT OF PUBLIC 'WORKS I, the undersigned, owner or agent of the above described property agree to have the grade estaaiished before excavation has commend of,K633