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Home My WebLink About0048075-Building 110 CITY OF OSHKOSH N ° - 48075 PERMIT - APPLICATION AND RECORD TYPE: BLDG1g HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING t`^‘ FLOOD PLAIN (NA HEIGHT 10 ADDRESS 31 6`j PLAN NO.R3'OI‘^ I!4 OWNER \L0 4 -- \ " DESIGNER' USE /NATURE OF WORK �v BUILDING CONTRACTOR Size t e-- Sq. Ft. 9f9 /C -t.O Rooms 15 a # Stories ( rP.Vc_A Height I- Foundation Class of Const. 8 Occupancy Permit r elvt fc,4 HEATING CONTRACTOR �f�x- - Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR ws"1 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 $ h i(7 J 000 Permit Fee Paid $ Park Dedication $ /CD 00 ISSUED BY 47 Date c( ‘ Final /O.P. In the performance of this work I agree to pep • all work pursuant to rules governing the described construction. SIGNATURE AGENT /OWNER DATE ADDRESS TELEPHONE # ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 3 bc-A ZONING PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration . TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) N COMPLIANCE CHECKLIST 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 REVIEWED BY: la (2) DATE: Il — Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor fety an Human Relations iv io PERMIT APPLICATION ' / D7 / Safety and Buildings Division. P.O. Box 7969 (See instructions on back of pink copy) Parcel No. Madison, WI 53707 The information you provide may be used by other government agency ,.„ Wisconsin Statites 101.63. 101.73 pro yams [Privacy Law, s. 15.04 (1) (m)1. PERI4 ' E EQUUEST 1► constr [] HVAC ❑ Elec [] PIbg [Erosion 0 Other: O=ne I Mailing Address Telephone No. � a�C ( ( ) 23/- 82'7 Co tractor's Name: ❑ Con ®'Elec ❑ HVAC ❑ PIbg iUCert # Mailing Address Telephone No. Con ctor's Na : ❑ Con ❑ Elec I VAC ❑ PIbg iUCert # Mailing Address Telephone No. ( ) Con fa r'sme; 0 Coy Elec ❑ HVAC Ibg ic/Cert # Mailing Address Telephone No. C Name: ❑ Con ❑ Elec 0 HVAC ❑ Plbg Lic/Cert # Mailing Address Telephone No. y!s Ct� ( ) £:R �EC LO ort >? > Lot Area I Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building A ddre SubdivisiQn Name - Lot No. Block No. 3/e y It.� ,1,1� .a per, 32 Zoning Distn (stt ) Zoning Permit No. � Front / ft. , y'• 2-J ft. I Rear Left Right Setbacks t.,3 ' ft. ( ft. 1'4./ JI'A:::: i::: T:: i? ii ii:: ;: :iii ::::iii ::i:v'Si :: ii ::: .: :.i. ` . :i .: .;: �. ..: yi iiyi :;•; . '' .:: : .. . .: ..: .: ::.i i; ..��. ...:. :..... : . ...:. •i:•iii:4 ::: :•: .... ..::.�6.��: : ..:: � I�' �A�.: . �#EI�MII�'!'::. ..:....ii ..:: >' � ................ New ❑ Repair Ingle Family Entrance Panel [forced Air Furnace Nat L. P. Oil Elec Solid Solar ❑ Alteration ❑ Raze ❑ Two Family Size: /6.0 amp ❑ Radiant Baseboard or Panel , Gas ❑ Addition ❑ Move ❑ Garage Ser ice: ❑ Heat Pum ❑ Other (print): Jnderground ❑ Boiler P Spate Htg ❑ El ❑ ❑ ❑ ❑Other ❑ Overhead ❑ Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑ ❑ Other * ❑ Dwelling unit will have 3 kilowatt or 4 > °1.45T T f 141:.1TI °1 :. more installed electric s ite Constructed Concrete pace heating equip. ❑ Manufactured ,...• ..... ; E,�., .H�� z ><; Infiltration control option is: Full sealin ❑ Masonry P sealing ° '( " "'`'" "``' ❑ Treated Wood Se r of joints. ❑ Blower door test. ❑ Exterior " " "" a ir infiltration barrier. 5 ST ' .:;i: :.; ::::::::.:::: ::::::.:.::: Unfinished Basement 9 ' Sq, ft_ >:.:: " > :.::.:.(E. >< »'• > 0 unici al <: »::: ❑ Se tic P iii:i ' :: :•. `TIC.: :: :.• i:: .:.:. : : : .:::..:::: , s >:: '. 1- Story >' ❑ Y :� ..�.;? ' R `> ' ::: Permit No. Living Area q5 Sq. ft. ❑ Y • ❑.Se sonal Envelope ,�� 78 .75" BTU /HR 2- for Garage S ft. Ot k ermanent AI.Ot :::.: :::::: ;. Infiltration O (3�[ , 6? BTU /HR Sq. i lunici al Utility Other P y ❑ Plus Basement ❑ Private On -Site Well $ So d The applicant agrees to comply with all applicable codes, statute . .. rdin. ces and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or i . D .. p ent . r municipality; and certifies that all the above informatio is acc ate. vapefrerre APPLICANT'S SIGNATURE r -- DATE SIGNED /d ,T F j 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 1 e.; r. eta- ;,.), -+ c..o,rnrtcal 0 S' to I I I `t,,k,otr, Tow \ Village a ❑ e Cit ❑ n 9 Cou County of: Y ❑ o Municipality Y ❑ N umber of Dwelling '��J!��hl > r e Location: .M13 ISDICTION ® 5\ -4405\ __ - - 6 — L_ :.. : Ell . .. :i::':.'.ii:.i:.::::::.i:ii:. iii:.:.:. i:::::.::.i:.:::. : :: ��s. .::.: : :: : :: 5�::.1it�S.l�ll�ll~I��1rI :: .:.... :::::.:::. ....:::: :::.::::::.::: :: . :. i:ii:..i.:i.:. i i Irr� .......... ........... i : .:: .:i ::. . '.: : .:.: . : i.,.:. :.: i: is :::: ..:ii:::i . ::.... : ll��r��y �y�■ �y(y .............. ................ 4 ...........................:..:::::::::.::: . :: :.ii::iii::: ::.i i:: iiiiiii:;: i::: i :: iii: i ticiiii' td: c ti ti??: ••: :':':':•::::':':•:: Plan Review $ l )` nstruction Inspection $ '❑ HVAC Name WIS. $ Permit Seal $ 3n °O ❑ Electrical Other ❑ P lumbing Date /[ "' 3"9j $ nOC plosion I6 x,35 Total (� ❑ Cert. No. SBD -5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent NAME 41 A II I MIA ADDRESS LOT LOT V , a LOCK T. STREET NO. • / ZONE f .' a LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO El-- BUILDING GRADE ELEVATIONS STAKES SET AT SITE 2 FEE: $15.00 ,1 9 �� aY • 4 / 4 & 4 _ I , the undersigned DEPARTMENT OF PL c L I C WORKS est .owner or agent of the above described orrnnence pro agree ro have the 0� iq City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 314) ) ••••(...\‘C . i c \X Owner's Name Name of Subdivision Vi t l a G too .) Lot # '3 Bldg. Permit # l '8 07 S No. of Units 1 Fee Required MO Fee Paid l O U Owner's signature Date Inspector's signature aryr Date Parks Subdivision Improvement Accts. Rec.: 362 -041 ggi PPP 0 U 1 a) N N d' YE`o. m k C. L. M O w - b 11 z n t 0 a p1;1,2,110 r U J U N rieg ba 1Y U' p.r 3 .o '8 tv !Oil m m ° (::: CP i- \Y t 11 ` 5P rr Q0 ` , 02 D� M \1 1 I hZ X22 ' may hr d \ n v___ 00 ,._ ht--)