HomeMy WebLinkAbout0036898-Building 1 /0
CITY OF OSHKOSH N ° - 36898
, ® PERMIT - APPLICATION AND RECORD
TYPE: BLDG V HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS SI r �l�� ■�� PLAN NO. F7- - l '76 111h3R
OWNER GA s c
DESIGNER
USE /NATURE OF WORK k --'\/3 113C — fie YY\ k J LA-3 Mk r\ ' ��
BUILDING CONTRACTOR GA `---. / l
Size Sq. Ft. / 1 Oq # Rooms t� .' 33R # Stories A Height / /
Foundation Class of Const. g Occupancy Permit r e5
HEATING CONTRACTOR 53VE
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR (v PAM k V361
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR Lk
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 $ i QiI)C1 1 0L
Permit Fee Paid $ ` 0sr Park Dedication $ / ° °`
ISSUED BY Date 11 `1,61 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I &4 /./ /y 4
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
Lr - tom
Z ONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 1 LL—L I _ , ZONING ki
PROPERTY OWNER/CONTRACTOR: USC?
CONSTRUCTION DATA: 4 New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
Ma) ULw\ 6M)2■€sE
= a---
COMPLIANCE CHECKLIST (1�" 0 7 �f
DEFICIENT OMMENTS
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 j
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
REVIEWED BY: DATE: �'
F'1 -196 81Q3 R
Wisconsin Department of Industry, WISCONSIN UNIFORM Application No.
Labor and Human Relations BUILDING PERMIT g6 g9 0
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)
1111#010110101
EKonstr Erosion 0 Other:
Owner's Name s Afri Mailing Address Telephone No. (include area code)
Contra or's Name Mai ng Address Telephone No. (include area code)
:::. c 7 :
: : e A.) co cp76 D G(J satme lo/ 23 /-8,o3
#�, > Lot Area
�i:i:i:`:'EO # L .....O ::::
Z Q0 Sq. ft. 1/4, 1/4, Section , T N, R E (or) W
Building Address Subdivision Name Lot No. Block No.
S t 3 L iet� 1)`.. , i �ri "v
Zoning District(s) Zoning Permit No. Fr nt Re Left Right
Setbacks a5 ft. ! ft. r ft. 0 ft-
1! ew ❑ Repair C: ingle Family Entrance Panel ' C orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar
❑ Alteration ❑ Raze ❑ Two Family Size: 1 0 b amp ❑ Radiant Baseboard or Panel Gas *
❑ Addition ❑ Move ❑ Garage Seryice: ❑ Heat Pump
❑ Other (print): ['Underground ❑ Boiler Space Htg ❑ ❑ ❑ ❑ ❑
❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑
❑ Other ❑Ot * ❑Dw insta elling led uelenit will have 3 kilowatt or
"'''' " ''` more l ctric s ace heatin equip.
ite Constructed oncrete her p g g
:'• moog E: % >: »<::: >'<` ?z ii: Infiltration control option i : Full
^^�^� ❑Manufactured ❑Manry •• •' ••••'���� �"'� � '� � � ����•��� �•� ����� o op o s ❑ u sealing
.... .......
: :: o joints. ❑ Blower door test. ❑ Exterior
x: >:I ?<'. %s.ii' >' ❑Treat Wood Sew air infiltration barrier.
`' "" ` ❑ Other unici
al
Unfinished Basement ��q- ft. >..:� >r:...::.:.: •.. i. Se tic ' 4' >:11EAVI SS:<:.xx. #tI <: :::: : ::z ?::
>:; i> SSE :s €i'':.':':. : : ::>
. ........ ..
Story - • •••• Permit No.
Living Area llb Sq.ft. 2- ory ❑Se sonal
# Envelope r BTU /HR
r7 :�: ': » ::: >::s >: ?: >::: <> 'Infiltration �� .�7 y3 BTU /HR
// the ermanent ,..:�: . .: J
' Garage 6, sq .
unici I ili
P
Ut t
a
❑Other Y ,:?�. ��, �:
�I ��s. 0' a ►�,
� . :.
.......:.:.:..:..,
lus Basement ❑ Private On -Site Well $ 1-- coo
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; un that the issuance of
the permit creates no legal liability, express or implied, on the Depart t or municipality; and certifies that all the above informatio is accurate.
APPLICANT'S SIGNATURE_ A DATE SIGNED II 1 (5M
APPROVAL CONDITIONS This permit is issuld pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
l' .81*/ /r TRUSS "; X1 /GS,.
-e) ,ic E'cS/ itY/ .,4St.Y.45 "&ie /4.1, 2/- /23
Town
Village i t
n
❑ ❑ County State of: 9 ❑ e o Municipality Number of D
Y Y ❑ p be o Dwelling VIWG �
Y 9 Location:
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Plan Review $ qQr )� 4
Construction
Inspection $ ❑ HVAC Name 1 "n ' ,"A" IA
Wis. Permit Seal $ 3O i °'T ❑ Electrical 614
Other $ ❑ Plumbing Date t X
Total $ 7` t rosion / 38$80 U
❑ / Cert. No. L1,
SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent
.- 30/
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City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address S\ V3 C ��� �� ��►�
Owneras Name ( f ■?3 ' 4
Name of Subdivision \ tU,.tkiz
Lot # Bldg. Permit # g6 R9R
No. of Units
Fee Required
Fee Paid 4' Ca oe
Owner's signcture 1 / Date /vA f
Inspector's signature Mr , 40 / Date Of
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
GATE l 1 c l
NAME (T iZ Vl
G:1■YS-ANZ. ' ADDRESS
LOT BLOCK WARD
SUBOIv. U tLL ZONE
STREET NO. 31� a LOT DIMENSIONS
SIDEWALK EXISTING YES 0 NO [::;V
BUILDING GRADE ELEVATIONS STAKES SET AT SITE / / //Z , 19 93 BY
FEE;$15.00
DEPARTMENT OF PUBLIC WCRKS
I, the undersigned, owner or agent of the above described property agree ro have the
grade established before excavation has commenced.
ly •
83? PA
4