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Home My WebLink About0038329-Building /10 CITY OF OSHKOSH N °_ 38329 PERMIT — APPLICATION AND RECORD TYPE: BLDG . HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS '3 1/ 3 -� _ UG -C.F ELb De! Vi PLAN NO —1(2) 3A4 OWNER —;- 52 -) Age - PT - ANb Ra-S _!`� �/, DESIGNER USE /NATURE OF WORK 4,1eij _ciA.l C_E ' 1/ /e. ` 1 ; 4 ✓ 77zClia)4 f2 litibob 2- BUILDING CONTRACTOR ( `�'l1, GCT V /R)SC Size Sq. Ft. qo # Rooms �/� # Stories / EVE -- Height / -z, Foundation CTI/OC - Class of Const. Occupancy Permit HEATING CONTRACTOR -RPSI 0 Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 3 )(244 , S Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps 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 W Permit • Fee Paid $ � � ' Park Dedication $ /(..t.� ISSUED BY Date 7l�f/ 9 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 4:- P.% r AGENT /OWNER ATE ADDRESS TELEPHONE # Z.07 , -mob — Az46c �:1 J ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: -' f ' r ___q/ ' �� L�� / /,�� ZONING .2? PROPERTY OWNER/CONTRACTOR: 't� .5 CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) Aka) 'iN.16i_ -F, , ArrActi6p) 7,aq6.4 w cx),) --- c.i, COMPLIANCE CHECKLIST C/'10- _ geDP� (672---:--- yq `J 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 Height � 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. APPROVED DENIED Plan Commission Action Required Variance(s) Required y REVIEWED BY: � '�- -- DATE: 7Z/7 , a ' --- OR / / Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT Safety and Buildings Division P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 1 01 33 (See instructions on back of pink copy) !•;. -•:- : IL, ...onstr ..--E1 0 Other: Owner's NIme Mailing Address Telephone No. (include area code) aci bert - ascii Cofrig 1 z74 weSirnoo v- RA 414 Z?(-gza8 Contractor's Name Mailing Address Telephone No. (include area code) PROJECTIOCAllOrtili 1 i - 263 Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivision Name Lot No. Block No. . • 3t1-2_ apea QA44.•z u - .4 T t9/14.eiv0 tillt 0 C Zoning District(s) V Zoning Permit No. Front I Rear , Left Right Setbacks 9 2, ft I 1 ft. 16 ft. 16' (c) ft. tiii .:i:I:Pi' . .1":' ..- : .:;:v.::::::: :::ifignigH: i :, :...:' r's 'ii.ii::::li :::::Wi.: ' .., VA •:..:. • 1 ''''' :11: 0 ew 0 Repair C ingle Family Entrance Panel ' C orced Air Furnace F .,.. 1 Nat. L. P. Oil Elec. Solid Solar 0 Alteration 0 Raze 0 Two Family Size: t 60 amp 0 Radiant Baseboard or Panel " Gas * 0 Addition 0 Move 0 Garage Sere: 0 Heat Pump Space Htg r#r 0 0 0 0 0 Other (print): Mnderground 0 Boiler fl Overhead 0 Central Air Conditioning Water Htg 0 0 0 0 0 0 Other 440.10STAYPE:::709UNDATION:i 0 Other * 0 Dwelling unit will have 3 kilowatt or ................ .. .. .. .,...,........................................ more installed electric space heating equip. NSite Constructed &Concrete 40IiPWMOthiggig.Mbige Infiltration control option is 0 Full sealing 7 . 7 2 1i i m umwomp::: , :::::::::i:im 0 Manufactured H Treated Wood " Siservre of joints. 0 Blower door test. 0 Exterior air infiltration barrier 0 Other . unicipal Unfinished Basement C U;o0Sq. ft. .::'**"**'*•:"•"‘"*•':'"'':::::::::::::'''' MOATtOginfirMated)::::::::::iiiii:i 01- Story 11;::iitISEti:ii:i:::ii::i:::::iii:iii::iiiiii:i Permit No Envelope 1 7 a d 4 t -- - . • ,SM BTU/HR Living Area cr613 Sq. ft- 0 -Stor o s_ OthAr manent _ ''''''''''' ''' : ' . '' ' ..1131106:::iiiiiiiiiiiiiiIiiiiiiiii:!iii!:::: Infiltration .S.69 BTU/HR Garage 440 s ft. m . U•rer : - ... DI5 i (foe( 0 Other e unicipal Utility 44 20g0 ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 4 ,plus Basement 0 Private On-Site Well $ I-1 01 Oeno 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 o . - • .- • • • - - • - • or m nicipality; and certifies that all the above informati n is acc ate. APPLICANT'S SIGNATURE k— 0-4 A DATE SIGNED 2, • APPROVAL CONDITION il S This permit is isstd pursuant to the following conditions. Failure to comply may result i suspe sion or revocation of this permit or other penalty. / ) 1 A151 _c/ C. ORDF.2 /7/764_2)(2 ge /LAX. — Zd r , /2c, iii6IN41 1:1 Town 0 Village yi 0 County 0 State of: Municipality Number of Dwelling Location: ................... .. .. .............................,............... JURISDICTION N C., ‘. 7 0 - .? 6_6 ,,:.:...................................................................................... : ...„ ..,.........................,...,...,,..,,...........................................,................................,....................................................,...................... c....,::::::::::::::::::::::::::::,:: • ..u..,..„,„..,„•:•:•: b. ::::r......,........*::::::::::::::::::::::::::::::..:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: m,:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::.::::::::,::::::::::::,:::::::::::::::,:::::::::::::,,,,,,AssuED::::::::::::::m1:: i:i:i:iggi:::::ii:iiin Plan Review $ 4 10 • kConstruction i . ....... sstza Inspection $ HVAC Name ...__\,azszc Wis. Permit Seal $ --- 4..), ' 0 Electrical Other $ gPlumbing Date Erosion Total $ I E9 '-14) Cert. No. SBD-5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent 3 6 DOD : 1 O I i 1 , cni� 1 1 i •, 11 • ,. i i X • I' 1 n, ! . • i. : 6 I l ! � I ' ' ► !!'1! ■ I ;�, � + l i `sue f } ( ' 1 f )J I I 1 i f 1 ( • • i IQ CO } j I • to ( �, . 1 1 1 1 1 1 ' ! • • 1 i J ! 1 1-14C ' l . i 1 1 1 ( I ; 1 .` i LL I I Z l I ► i:' 1 ,! j l , ! ' ! IW 1 --a t 1 1 ! t ( ' I } W _i G ! ; ! i i ;� i • w I 1 ; 1 • • i ► .�� i > . II I i• i W iii ti i i 1 i i i; }` a 1 -- ., w • i 1 i ! I w ' 1 W i i ! i( ! I 1 I i 1 ( _ + i ! I 1 i i i 1 1 I I • f I i 1; ; ■ ) 1 1 (-4\i 11 ' I I 1 1!; 1 I I $ i i i. i i I j W • • I I i ! i 1 j! \v N ; I ► f } ! l i I 1 f !! ! 1 I i I t I I e '(I I t ( --*- • • >' i J 1} 1 1 j i !! ! 0 ! w ! f 1 ! I I ' ! i > I ij. ! 1 1 I ' ,+ (i W f+ • 1 i I( +ii I 1 I 'fiii i f ) f � f ( \ 1j1 CATE _ /v9 / NAME eleCer T ADDRESS LOT 96 BLOCK WARD SUBD I V . R6E" ZONE STREET NO. gild 2 &Zb .2W LOT DIMENSIONS SIDEWALK EXISTING YES El NO r BUILDING GRADE ELEVATIONS STAKES SET AT SITE 3 3 ,' BY /2/4 FEE; $15.00 DEPARTME::T OF PUBLIC ARKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 4 '16 4 (8 0457-333 City Of Oshkosh 1/1/85 PARKLAND DEED FEE COLLECTION RECORD Address / / / / ez.b. ?j (/‘ Owner's Name f-� ✓ c Name of Subdivision 1//“, 46- Lot # Bldg. Permit # ' E No. of Units / Fee Required Fee Paid , Q Owner's signature Date S Inspector's signature �, , 1 jj ,,� I, Date S Parks Subdivision Improvement Accts. Rec.: 362 -041