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Home My WebLink About0048079-Building )1d s® CITY OF OSHKOSH N2 48079 PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN V HEIGHT ADDRESS 3 1Y) Pas31 1 e ` PLAN NO. fa`00a4/ L i f'm( OWNER ®„✓ SC .ln, GOr,5 DESIGNER USE /NATURE OF WORK IV BUILDING CONTRACTOR V--•- Size -1- C - Sq. Ft. ta b / '' Rooms 6j b Ct # Stories 1 Height I L Foundation Pa-)Ce - Class of Const. CI Occupancy Permit ref{-o■it4 HEATING CONTRACTOR Z tQvJ �-r Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S 1 ELECTRIC CONTRACTOR J w1t115 Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR S N"tT - 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 $ 4' '3 Ott Permit Fee Paid $ J i a ' w Park Dedication $ /00 0 ISSUED BY ZO, Date 1 ` ^ 3 —9 Final /O.P. In the performance of this work 1 a to perform all work pursuant to rules governing the described construction. SIGNATURE P 5 ----- AGENT /OWNER DATE ADDRESS TELEPHONE # ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 1 7 ZONING PROPERTY OWNER/CONTRACTOR: U S (/ CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) 4i,5- 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. V APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: d DATE: 1/ 1-i MI■II Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No. Labor and Human Relations Safety and Buildings Division PERMIT APPLICATION ' i i 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 WiscirSinS 101.63. 101.73 ! gams [Privacy Law, s. 15.04 (1)(m)). ,:,.,.„.......:•.:,,:.:.:...:.:.:„.:.:::::::::....,...•:.::;!..„,.:„.:.,.:.:...........,..................:............ PERMIT REqUESTED::::::::i:::: onstr 0 HVAC 0 Elec 0 Plbg ILKosion 0 Other: .,.,..,. Ow7 zZre,4qe Mailing Address Telegbone No. , , a 76o C/-4440 i fzi,:11-- gza? Co actor's Name: 0 Con lec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. ./. ( ) Cor11.18ctor's Na - • 0 Con 0 Elec aile/AC 0 Plbg Lic/Cert # Mailing Address Telephone No. PA& ( ) Contriect 's Name: Con ec D HVAC lafebg Lic/Cert # Mailing Address Telephone No. afi br- arnati/L) .. lt ( ) Contractor's Name: 0 Con Elec 0 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. ( ) Lot Area oecrtocwnow Sq. ft. 1/4, 1/4, Section T N, R E (or) W Building Addr9ts . Subdivision me Lot No. Block No. 3/77 10, () jt/1.1MA) . 33 Zoning District(s) Zoning Permit No: Front I Rear Left Right Setbacks A5 ft. I 6 ft. r ft. i ft. 1 iy.RAIECtini:::::iiii:::i:::1:::::::::::::::iiiii:i::ii:::::::::::::::::!:::!:::3::::PCCUPANCY.:::N:::6 1.Ecilklaie::::::: ::::941VACiiKilittPMetaiiilii:iiiii: ligliatigiiiiiiitri::::::::::,::::iiii::::::::::::::::::::::gii::iii uNew 0 Repair pSingle Family Entrance Panel VWorced Air Furnace Nat L. P Oil Elec. Solid Solar 0 Alteration 0 Raze D Two Family Size: 16 0 amp 0 Radiant Baseboard or Panel Fuel Gas * 0 Addition • 0 Move 0 Garage Sen/ice: 0 Heat Pump Space Htg Gas 0 0 0 0 0 0 Other (print): Nonnderground 0 Boiler 0 Overhead 0 Central Air Conditioning Water Htg 0 0 0 0 0 _ 0 0 Other ...tic°1•411"YPE:iii:49110,1DATiort.ii 0 Other * 0 Dwelling unit will have 3 kilowatt or .:.:.............:„..,. more installed electric space heating equip. ite Constructed EVoncrete Ati Infiltration control option is: 0 Full sealing 0 Manufactured H d s • • - • • of joints. 0 Blower door test. 0 Exterior -rmr ae rt en r d Y W o o air infiltration barrier. LIWMunic ........ ............... . ........„,.....„.„,„...,...„:„:„.....,,..,,...,,.. Unfinished Basement laaSq. ft. !II :::::::::::::::::::::::::::::::::::::::::::::::::: ['Other ipal ICHEAtiOSUaltaiti ,... .... ... EK- Story , Permit No. Envelope 1 8 d7? . 3 BTU/HR Living Area 1 6.54 , Sq. ft. D 2 Vasonal 1:41t WATER Infiltration " A (... ) (-,( . 0 BTU/HR rmanent Garage - 6 8 sq. ft. 0 Other 0 Other !Municipal Utility ::14:::;g$IPBORDNACO.V.,:::::::;:::;:::::::::::•0:::::1;;:iii::::::, 0 Plus Basement 0 Private On-Site Well $ 56 .00 o . i The applicant agrees to comply with all applicable codes, statutes . nd o • ina ces and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express 0. . rtm :. t 4 r municipality; and certifies that all the above informati n is accurate. APPLICANT'S SIGNATURE I DATE SIGNED AP ROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this perm? or other penalty.. i YWA ;on •C ibsio, Kolvi i s st i iN 0,,,.: : : : :::::::::::::;:: : ! : : : : : : : ::::: :i: ,. : ... „...... G ..:. :......:::.:.:,::::::::::,::::;::::::::::n: • 0 Town 0 Village ..*ity 0 County 0 State of: Municipality Number of Dwelling Location: JURISDICTIONM \ 2 Q. 2, 6 -4 \tA.5\-, PERNIEM)::::;:::::::i :::::WISAINIKORKPORIVIt: :::iiiiiiiiiiiiiiiiiiiiiiir::1 ::::: ::::::::::::::4•SiiEll::::::.i::::::::!:ii::: :;::SEALNO..':::::::::::::::::::::::::::::::::::::::::::!:::::::::i:: ::: Plan Review $ 40 _Wonstruction Inspection $ -01-IVAC Name Mat 13a.vuzi,, , Wis. Permit Seal $ t2) 0 Electrical Other $ 0 Plumbing ......■ Date ii ""' 3— e tc -"ngrosion Total $ —7 0 D j() ° Cert. No. s 3 4 --- SBD-5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK -Owner/Agent GATE 4 /c)e;" NAMED ADDRESS LOT 3_ BLOCK WARD SUBOI Y. V � \L C Wiy) ZONE STREET NO . ° 3 0 7 .f) � t"c■ � � � OXi'Ui7.t2 LOT D I MENS t GNS SIDEWALK EXISTING YES 0 NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE 19 9S- BY/97 F EE: $15.00 ✓U- , /7tJ2c,� DEPARTMENT OF etaLic WORKS 1, the undersigned, owner or agent of the above described property agree ro have The grace established before excavation has commenced. .0 335 S go City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 317 7 6e, l/ P \ � Owner's Name 12,d,, LA, Name of Subdivision \M` � seQ ►� Lot # 3 Bldg. Permit # 990 No. of Units Fee Required 100 Fee Paid (I 0 l7 Owner's signature z, Date `7 Inspector's signature 0 Date 11 — 3`" e / Parks Subdivision Improvement Accts. Rec.: 362 -041 o r i c (1) -1-' figb9`r w 8s N 1 N i Y°1h to M N E �o. ii k , in Z Q J y ° s ' 8 5 c 4 U °l pag—„Y a - 3 J N 110 114 - 4 > z ..1 h a U tOmil , t g Ilfgg gii. ° \ ' J o 41/ N 0 r7I •01 • N cJ { IC, ,' b .57 INn CO N CO