Loading...
HomeMy WebLinkAbout0036896-Building //y CITY OF OSHKOSH No 36896 PERMIT — APPLICATION AND RECORD TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1 O9 FL—Loci D^ i lG PLAN NO. P /— a' ) OWNER GAg r ArNt F)sck (2)A)sr bt-77E)" DESIGNER USE /NATURE OF WORK / V EW Si AIG4.6 ram i g (ICJ / a/ 4174CHD 64/g56 BUILDING CONTRACTOR cA 4 c Size Sq. Ft. I C)9 # Rooms 6 3m. # Stories / Height / Foundation cb/t/CRf7 Class of Const. (C Occupancy Permit HEATING CONTRACTOR PRGWER Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR CLMM /AMS Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR '- '1 _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 $ - 30 )(:)CC) ` Park Dedication $ /CD �,„ Permit Fee Paid $� °2- ISSUED BY _om S 1 Date UN /3 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7-7-: /at 4/ �'3 AGENT /OWNER DATE ADDRESS TELEPHONE # ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 3 1 O TTELL‘k ZONING /2/ PROPERTY OWNER/CONTRACTOR: 1 )C1' - / C CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) 1 c?.v ( / outni A7 RA T COMPLIANCE CHECKLIST Poc). i /(0a -' 2 DEFICIENT CO ENTS 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 CeL/1,Wr— 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. t - APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED DATE: /4 `? ,i qL/ I/193 )9 Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. • Labor Human Relations BUILDING PERMIT �6 S96 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) >QtE,.S....TP;: »::;::: onstr ;; [�]'CGAtFe+c— rosion Other: Owner's Name Mailing Address Telephone No. (include area code) �...",,,, - �i.t,�-/l+ ec. . 0 766 /j2D&4 ry 23/-- 2 za3 Contractor's Name Mailing Address Telephone No. (include area code) t t It ) 1 I OiJE:' �',,..;:LO� A O ;: :::; �1 ............... ....................ss: /� Sq• ft 1/4, 1/4, Section , T N, R E (or) W Building d• ess / // . Subdiv'sion Na 1 / . Name Lot No. Block No. Zoning District(s) 1, ning Permit No. / Front L ar Left Right S etbacks 025 ft_ 9. % . ft. :: iiii :: > ?::::ia::ii:<: # >::::>i::> :;<::> ii:: i::: :::p:ii::: i::::> , �y :; .: :• >:.: �j ::.u,�- fly.. ..:::::::::. :. >;:.;:<.::.::.:.; UPj� 6y :. A . :.;:.::. >:..:..:;;;:.E� .{� :: :::. ;>:. .:.>:. ::.;:.;:.:.::..:..;:.;.::.::. K.i: �.o.�. ''l�l'' : �'? r ii; i:��. � � � . �' ..iii : <� i l!l•ir� . � A .II���li::: :: {• i :�.�I i :RiiR�FY :• .�.G�;. �� � . ii:{!:' , .i ?:�:::ij:: •:::� ew ❑ Repair Zw, ingle Family Entrance Panel . ►, orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar ❑ Alteration 12 Raze ❑ Two Family Size: !D O amp ❑ Radiant Baseboard or Panel Gas * ❑ Addition ❑ Move ❑ Garage Service: 12 Heat Pump P Space Htg ❑ ❑ ❑ ❑ ❑ Other (print): Llfunderground ❑Boiler ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑Other • ❑ Other * ❑ Dwelling unit will have 3 kilowatt or ` «' : ::::. more installed electric space h e Constructed Concrete t , ' *' p ce eating equip. ''104 PL U M BR .• iiii'i it iii:iim'fi • ,;;. ❑Manufactured ❑ Masonr of joints. ❑Blower door test. ❑Exterior •• ••'••••' '••• " " • � � � ' �;':• >:•:: >::::.:.:::. Infiltration control option is ❑ Full sealing "" ° ❑ Treated wood ::; > >'`'' > » : Sewer >`:ii% " <'.::'•: <• ;';:•: air infiltration barrier. ... �tl » » > ? » > > ❑ Other uniupal : • :: •::...... ,.. .... : : :..... ... ::.. :..::.. ::::::::. . Stor Unfinished Basement IX— ft. `' - �' :< :: ❑ Septi > ?' > > E E Ti SS< :.:.:...:..: ..:... :: >: ><: Y >'•`• >: >'' ". >'.'•`• »: > :«::: Permit No. '619 Living Area + O QZ Sq. ft. Envelope 87 / BTU /HR ❑ 2 -Story ❑ Seasonal A 11, ATFR ''< >i i i : : > >.< ?«i c^ iii �p BTU /HR 9 4 4 0 Sq. ft. ❑ Oth r ermanen � � 1 �`�0 Garage . Other 6a'Municipal Utility ? GcOST >> :: < >> Plus Basement ❑ Private On -Site Well $ /c D 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 in led, on the D �rtmm t or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE i�/ DATE SIGNED / / i V9 Z. APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in uspension or revocation of this permit or other penalty. /o7 Sbgrn ?ROSS 1 -t 4AJ$ . 69.) SOI. 6FOS /one [f ASUR 3 70 RE /A 374U-60 p elk Ala 7 /,/o2s Town Village a ❑ e i Ct ❑ Count S 9 Y ❑ State of: Municipality ❑ N m �E � Y u ber of Dwelling Location: � 7 u �� G ^ '•. >�i` " > �' ocat on: • 9 > JURISDICTION <> > 0 - g 6 6 Plan Review $ y0. C9 {Construction Q , Inspection $ HVAC Name 2 ��` Wis. Permit Seal $ �(`h ` ❑ Electrical Other $ Plumbing Date t' lb t q- $ Total . oci Erosion ` 3E ? ?? 460i? "'LLLJJJ ` Q Cert. No. SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent 30/000 .' 1* ' • II, ! •• !!' • ' , ',' . • 'II :I I 6 1, : ,, •: , I • :, , • , . iIN .' : . i z' i ■ . • '• •., :!'..,!. 1 ,! • - '1. 1 , , , asi •• . 1 1 v■ ,, : , , i l . • • !. : • • ."•!,1111, , 4();I I! N! • ,•,••'• • '•• • c_i Ul . ' 1 . i •• 13 .i • . : •: 61 I ih, 1 I.:. ,., •: 1;;,. j1:1;•,•.: . i, ;!, o I ii:tj!,.:': ,, • il I.. ,.. . , • , .• .. cri . i ;. ,:t7- 0 ' I. '''' ".... • 11 , :. ,• 1 ' I 1 I II , 'IIIIIIIIII :, I ..; , • I • Ii .11 ....1 14j I I Iii j I.II' HI . . I • II ' • • . • .. j z I Z 5 ( C I k 1 :t : 4 . 14141 i'•; ' ''.• . 1.1.1 U) : .' 1,!'.11 '''•• . i in 1 a. k • iiii .,,i 111,11, , • • • 1 i i— c4 1 , 1.ii : •;,...: 4 ' I ■ • ' 1 i 1. I al ' 1 • ' , ' 0 • I " I IC ‘' , i t • ■ 4 ; i . 1 ; ■ •; . ■ ' ' ! 1 0 I I 1 . . 1 ! ! i i ; :11;j, I. • SIIIIIIII: :..1 i' • l• ■ i ' 1 Z I* I .' III I ' ' I , • :•j• Ii.11± I 11:1, IIII!:' .• " 1 :I; III.I II! I j: • • '" •' • •• • • • . j III ILLI ' iH1 !; : .. : . . • • a. 1czt I • : ! ' ! •• : ; , , , , •i.i : 0 , (.01'.!:::!!': ! :L.LI '!•! .' 11 i ce 1 !I•I •1I:III •'• • - > 1.1.1 — ■ —.J ' 1! 1 C" ,....ii t.t., , • I _„.D • 1.2.Q 1 . > ELI c c* = 1;1 ;; t •:... LU ‘ • l ! 11 ,.'" 9Z i • IjI : mi •,-,,.... .., I • ; . '. t ! .. . , : , ! , . 1 ; ! I: •, .. .L.!1 • - ! :. 11 > :!■3:• , , : ! > . '.! ! 1 '. II, • , :.!:; al u.1 • • iii , I L...• i'HI,I uj,i•II, I, —J . : • l! . ii44.': •''' " LU 1 ' .• 1 1 I• • II L'Lli'1111 :„1. e , , ,. ,,,., , : ,, .11 i : 1 1 ,, IIII:.• • • !if'!" . :r •.• ••1 .•,, , , , 1, Ii.111 1 1.1..1: ii,• :, , • 1 -: 1 1111 I ! l• ; II I .I I: II''' • ':, !•- , i. •• •• OH ill , •• • ,I ! 1 ;t1iIII.• • II 1 .. 1 1 I.I 1 ,,110 : •k % , . • i . :; ' '!if : ' 1 ii . , ,! :. l'• V , •. I 1•1 ..,.9/ ,:t , ‘ 1 .i.. 1, .. . , ... ••• , _.c , HI ,, 11 11.1 LC; ii, 1, 1 i 1 .•il!; . 11 : 1 !HI. I 1 I .. . .. • . . ' I ; I I : k.)).......... 1 I I i 1 i ' ' '• ! I l l • 11 11 1 ' 1 i . t I ' 11 q ■) sc ) Nt i 1 . i■I' , , 1,1 ' : ,■11 1-. ,;•.„.., ., „.. . . , • -....11..0 ,,,,,,• .. I.J.J : -• : ' ;;;;: ! .14 1 • 4:1•:1 ;1 4! 'I 1 ' • ,itl.:' i• • ."' .4 kilf f'- . ..,., 1, : i .:, ,, :„-• i.,:- ;,: ' I i I t , ' ! . ; 1 ; 1 : I I II, 1 ' ' ' 1 . - • . , 1 i ; ; ' ! ' I ' ' • '. ; , • ! : . ' t r 1, „,,i,,,,,, I I „, , ...• ,i,„,,,,,,liti ,••,• 1. 1, iii.11 1 . . ....3_„ . .,.......\7\ . . , .I:. I I • I i ■ . . • • i I . t . ( - . 1 ; , .. ,••••, ! : I i • ' . I - • ' ' ' I ' ' ! : , • f U !. 1 uj •.::,,, > • i, 't i . 4' __I 4 .... ... 11 1 . ., Hi 1 11 Iii''.';j1 4. •'..! • LU . •• , 1 • .: 111-11 1 ; ili1V4/ :"•,•, :4,! 1,1:,• ..S , - • illj 1 .4 ›H 1 1••j::! 1: i NUJ J•• .• l• • , ■:..i. .44 1 LIP •,. ', 1 , i 1 : I : ' . ' I ' • ! —J• . ! •'.., I t 1 1 • :.' . '11: . .. 1 j •' •• 1 ' 11‘ 1 1 i '' s'I'• I i•! 1:•°11 I , I '• . . ; ,• . I . , • ,I I i • .;,1 j, I•'• II!' , i I • j ' • III i i• ; • II• • . • • III I I I •• •• • • j" I • • 1.,• 1: „ • • •'" • i '' . li.! II' • I 1 j • '•' • • . 2 tl 1 I! 1 . , 1 .1 • •1: • I' ! . t ,' • • I I • ,; I J .. ,. .1 1,, ••1.:11 • j • , • . NAME 7 o5 Cta ()57e. GATE ADDRESS 1I i / /Q3 LOT 3 BLOCK WARD SUED I V . V AGE 63 47 ZONE STREET NO. 3/' / !1= e44-de(4 LOT DIMENSIONS SIDEWALK EXISTING YES LJ NO El-- BUILDING GRADE ELEVATIONS STAKES SET AT SITE 11 1 ,19 q3 BYK N FEE: $15.00 4 4, / :‘ , /t1,4 2( ;,: , r-ed DEPARTMENT OF PUBLIC 'WCRK_ I, the undersigned, owner or agent of the above described property agree to have the grade estaaiished before excavation has commenced. OOF .838 414144 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address /09 - _I '446 Owners Name 6 A, b sari Name of Subdivision I/ / u-A66 65 Lot # 2 Bldg. Permit # �f3 !� No. of Units Fee Required lr iOpe Fee Paid 1100 r ©LC) Owner's signature 712- Date ld /`/ I3 Inspector's signature ; . �, :���. I, Date /1 0.3 Parks Subdivision Improvement Accts. Rec.: 362 -041 11,57 �/� OWNER t; �,' 7' V N ADDRESS 69 a ez,b . DATE J 06/1_3 >3 PERMIT # 6896 USE A/SF Wo consists of GENERAL CONTRACTOR MASON CONTRACTOR - ZONE Width of lot DATE INSPECTIONS REMARKS 1/EV9 ;l.. Sae. - iii AID paw? iT ages ocarilub y = , • .› A W / 3 9y F - ' Oil - I t�S ru. loo C,a2A a �_ 1 17' F2Amind6 , 4�C- Ks - - P.. � r ?I �l F. ,ct‘ , ..tc � T 1?� - VAR o tAt gio _ - y a m a Front of lot • MAILING ADDRESS •