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Home My WebLink About0046019-Building li-o // 0 CITY OF OSHKOSH N ° - 46019 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONINGi2-L— FLOOD PLAIN HEIGHT ADDRESS Z r 9 Y el/Cie ld b 1' PLAN NOF ^ -- OWNER -LA S DESIGNER f. USE/NATURE OF WORK 4 - _ t - ' M%' BUILDING CONTRACTOR 6 "' GQ� Siz Sq. Ft. 7 3 +'171 # Room v� 6� # Stories f Height l Foundation Class of Const. A Occupancy Permit da HEATING CONTRACTOR ,1 � 1"'l°.1 Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Chan ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR rtig ___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 $ `7SG' Permit Fee Paid $ �y-- • -- Park Dedication $ .4 ISSUED BY Date S Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE lb/! S AGENT /OWNER DATE ADDRESS TELEPHONE Wisconsin Department of Industry, WISCONSIN UNIFORM BUILDING Application No Labor and Human Relations . Safety and Buildings Division PERMIT APPLICATION 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 Wiscansin Stat?te 1q 1():73 programs [Privacy Law, s. 15.04 (1) (m)l- i MpERmirREQ UESTED :::: El Constr 0 HVAC 0 Elec 0 PI bg 0 Erosion 0 Other: cwAe= I Mailing Address - No. • - Q17&3 11.0C2a7Pkteek) A ( 1Z? liZa Contractor's N.arne: 0 Vlec 9 HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. ( ) Con Con • Elec ROVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. ( ) CoAra r's Nam : 0 co3 ft" ec 0 HVAC Ibg Lic/Cert # Mailing Address Telephone No. — /7 amatvti ( ) Contractor's Name: D Con 0 Elec D HVAC 0 Plbg Lic/Cert # Mailing Address Telephone No. ( ) PltathertocAtitottl t otArea Sq. ft. 1/4, 1/4, Section ,T N,12 E (or) W Building Add ess Subdivision Name Lot No. Block No. 31 7 al . • ' i),„„*„, cal Zoning District(s) Zoning Permit No. Chiell Front I Rear Left Right Setbacks 0/5' ft. I (08 t ft. g 1 ft. 2.7 a ft. yL,PROXCriiiiiiiii:::::::iiiiiiiiiiii::::::::ii:::::iii::::::::::::::iiii:::::iii ii:t.IOCCUPANCY.:ii:ii liWIRECTRICilkCii: 1•4 MANtAGEQUIPMENTSiiiiiiii:42;:iitagRattritilttliiiiilliiiiiii:::::::::::::iiiiiliii:::::i::iiiel INItlew 0 Repair &Single Family Entrance Panel ' 2.EPorced Air Furnace Nat L. P Oil Elec Solid Solar 0 Alteration 0 Raze D Two Family Size: /06 amp D Radiant Baseboard or Panel Fuel Gas fl Addition 0 Move D Garage Sere: 0 Heat Pump Space Htg 12 0 0 0 0 0 D Other (print): &Underground 0 Boiler 0 Overhead 0 Central Air Conditioning Water Htg 0 0 0 0 0 _ 0 0 Other 0 Nsr v iwuNoAnn w 0 Other * 0 Dwelling unit will have 3 kilowatt or .,,,:.,.„.:.„.;.:.:...,.,.:.„,..„.,.,.;.,.:„.:.:.:.:,.:...:.,.;.:.:.„,:::,,:,,,,„::::::„,,,:::::,„ more installed electric space heating equip. ite Constructed L7, M Concrete iilog r ptomplpogiiimi:imi:i:i:::: Infiltration control option is: 0 Full sealing ,,,-,,, .........,......„.....„,,...,,,:.....„,„...... 0 Manufactured 0 Masonry d Sew of joints. 0 Blower door test. 0 Exterior . 0 Treated Woo air infiltration barrier. Unfinished Basement/Z-6 Sq ft ":j ii;E.:.:.:::44.4.iiififii;.E.:::::::::::;:ii:::::::::i:, D Other RMunicipal . : :)' )1 " 4 ": W W"L : : : ' : ' : :''''': : : : : : : : : : '''' fianankoiged.)::::::::::::: rea gn_ Story :::::kiV.S.E.:::::::i::::::i:ini:i:::i:i:i:i::i:i Permit No. Envelope ...q..„ 901, BTU/HR Living A i 7 -6 / S_ a,. ft. 0 2-Story 0 Seasonal '! t'fi:WAIITERE:;!:.ni:EN:::;;;:::: Infiltration ,./ae;e2 BTU/HR Garage ((Or) 0 Other ermanent Sq. ft. 0 Other Municipal Utility i14AEVAPILAMOOtriiiiii:iiininn 0 Plus Basement 0 Private On-Site Well $ 5 . C5 1 4666 The applicant agrees to comply with all applicable codes, statute - nd ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, on thz.ip rt nt or municipality; and certifies that all the above information i accurate. / 7 APPLICANT'S SIGNATURE La"- T . DATE SIGNED r.""..- APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or ot er en Ky. -6-et-t Ad.....)...... - A.... " . ___ --iteD -0P.o 4( \.1 _ • . - , • - !:::::: ossuaNG::::::::::::::::::::::::::::::::::::::::::::: alown [I Village 4 . g . it; -- 0 County 0 State of: Municipality Number of Dwelling Location: : .;H . . J , :RISDI ,...:....„..:...,,..,,..,:ii:::::::;:;:: CrION e v z -A_ ::::1::::: ( A Z ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.6.-.....,,,.:.:.„ :::::::::::::::.ca.:-:„::::: ''''''''' '''''''''''''''''''''''''' ,,::::::::::::::,:::::::::::,:::::::::::::::::::,::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::,::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .... .... Fosti„„„„„,„::::::::::::::::::::::,:::::::::::::::::::::::::::::::::::::::::::::::::::::::::,::::::::::::::::::::::::::::::::::„„.::::::,::71,: ''' , v ,„, ....::F,,,,„ , ,,,„:::poimins...,:::::::::::::::::::::::::::::::::::::,::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Plan Review $ • . 0 VAC Name i et d .4...A 412 11 Wis. Permit Seal $ 30 0 Electrical . Other $ P1 Date rosion Mr ' Total $ 70 itsE 2_07 Cert. No. -V3 - SBD-5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent • ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 15' 4 e it - C,'e /i ZONING PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) GPI 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 -e-0.1221 7 4e_c_ 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: I r DATE: t// `7//i1-4— c075 \ ,••0' a°... 0 � �� Zw ,7117 -p C-0 i(6c7) o in O 1/4U co AE. . 5e CA CO CO CA • Ipia/11 8 c 2 ,0 A Q t cD 1411:11i: 2 i• §a.a'I. 0 0 . s= 4- . q $s °ii N 0 o r Q 0 to II al ; , m p Tr G7 P. i 14 ' g Q % -` M 8 0 � i §Q.� f- o -P 3 NAME il CATE - 7/13 qS (.41 AOORESS LOT (21. BLOCK W / i y, WARD Z d U801 1 j . ( �til a „Ujl1� ,, ZONE STREET NO. 3/01 604..i.4 , LO Di,. � LOT 0 I MENS I Gr�S SIOEWALK EXISTING YES 0 NO E] BUILDING GRADE ELEVATIONS STAKES SET AT SITE / CI- , 19 I'S BY Kt" FEE; $15.00 . A Z , Aplef -- 240:ea--/,,) DEPARTMENT OFGPUELIC WORK_ I, the undersigned, owner or agent of the above described property agree ro have the grade established before excavation has commenced. I 7, , 3 �a f �r. 04 --41. City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address f -y . el(Oe(/ Owner's Name 219 &J4 Name of Subdivision deVG C;- 0 - -ee y Lot # CP J Bldg. Permit # 1/1„6 No. of Units Fee Required /0° Fee Paid /00 Owner's signcture ' Date 7 /7 r -----el Inspector's signature D ate 7 ? Parks Subdivision Improvement Accts. Rec.: 362 -041