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HomeMy WebLinkAbout0033122-Building / r a c7 /� CITY OF OSHKOSH N2 33122 '`' PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ie- Z FLOOD PLAIN HEIGHT I4Ogi4 ADDRESS / 4 O 9 ByIJ0.C. PLAN NO. El 3S o393,2... OWNER At...a.! DESIGNER nn /�� USE /NATURE OF WORK »1(4) Dli, a�'. ,t - BUILDING CONTRACTOR Ab ll-1 Size Sq. Ft. g70 # Rooms — V4Y # Stori Height Z 0 " Founda iTon ie e sl Class of Const. a Occupancy Permit 1 . HEATING CONTRACTOR fk�G0C `6.. li1✓ Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 0640 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 $ 6, D OOD . Op Permit Fee Paid $ /10. ea Park Dedication $ ISSUED BY il �►". .. vr, Date 3 / 2 - 3 /5 1 3 Final /O.P. In the perfor .nce of this rk I a r . .erform all work pursuant to rules governing the described construction. /. SIGNATUR' AGENT /OWNER DATE ADDRESS TELEPHONE # Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: / 1 O 9 %' p q if ZONING: 1 L.-- PROPERTY OWNER /CONTRACTOR: Lt jiad CONSTRUCTION DATA: ,AEW CONSTRUCTI{N ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) °.., /� 10: .. .Z �2 ' Awe COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS _ Use • Lot Width _ Lot Area _ Floodplain _ Front Yard _ Side Street (front yard) _ Rear Yard • _ Side Yard (R) _ Side Yard (L) _ Parking Spaces _ Building Area _ Lot Area Per Family _ Corner Lot _ Landscaping _ Transitional Yard _ Off- Street Loading Vision Clearance Height REVIEW AUTHORITY: The Director of Community Development, or designee, must approve 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. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Director of Community Development, or designee. L ' APPROVED DENIED Plan Commission Action Required Variance(s) Require. REVIEWED BY: i__' ' DATE: ,y 6 3s 0-59 g-- Wisconsin Departmentof Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 3312-2- 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) PERMIT REQUESTED „„,...... .. ...,. , ....:. „: . ......,....,..: :ii: • 1 ;:i:ijkfc t 0 HVAC 0 Elec 0 Plbg A 0 Other: Owner's Name Mailing Address Telephone No. (include area code) Contractor's Na e Mailing Address Telephone No. (include area code) ■.A G zo, 3,4d drAttiesok ::::::;•:;::::::::iii:::;:ii:::::ii::i Lot Area MPROJECULOCATIOIrii ::::::::::::::::;:;:::::::::::::::::::::::::::::::WM:::::::::gi;:::::::::::::;:::::::::!:::::::::::::::::::::::::•; Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Addres _ Subdivision Name Lot No. Block No. 1 P Zoning District(s) Zoning Permit No. Front 1 Rear Left ( Right ,,, ee--2-- Setbacks .2 5 ft. j 52-- ft . 41' ft. 7 7 2, ft 1 PR141E..: , iii:Mi::ii:::::M:M:•::t . ::: . i::.:I::iil:ii. iiia:::: : .1: ' ' ' :i:::::: :::12REH'i ''' ' ...CiAL:::::::a9ii.ii:11VACIE ' IPMEtiti:::::::142NOVER . 16 ,' :, It :'..'• ew 0 Repair 0 Single Family Entrance Panel ' 0 Forced Air Furnace F Nat. L. P. Oil Elec. Solid Solar 0 • Iteration 0 Raze )20 Family Size:21 amp 0 Radiant Baseboard or Panel uel Gas fl Addition 0 Move (D Garage Service: 0 Heat Pump Space Htg 0 0 0 0 0 0 Other (print): )6Underground oiler Overhead entral Air Conditioning Water Htg 0 0 0 0 0 0 Other MICONSIIITYPE::::: :...i.::::::i:FOUNDATION f=1 °ther * 0 Dwelling unit will have 3 kilowatt or more installed electric space heating equip .......„.....,.... . .. ............„....„..........................._. . KW Constructed •:4 Concrete MP Infiltration control option is: 0 Full sealing M anufactured • of joints. 0 Blower door test. 0 Exterior i2Z4/.4REAINVOINEV::;:;:::::::::::::::::::::::::::::: 0 P T r a e rt e r d Y Wood Sewer ttitIEV::: air infiltration barrier. 0 other Municipal Unfinished Basement 0 Sq i . ft ''' ''' . 4 " ::::• • • ' :::"%%%:'''''''''''''::::''' f$ ''''''''''''''''''''''''''''''''''''''''''' . ................ Septic 0 1- Story iSigUSEMi:ii::i:i:i:iii:i:i:i:i:i:i:]Ii:i:i1i:i p N Envelope 2-4 BTU/HR Living Area 0( Sq. ft- 0 2-Story 0 Seasonal ' . ''''''''' ''''' ..... -,.. ' . ....................................................... A:iiii:WIRtt•ii,:i:::.:iiiiniiii:i.:WiRii::i:::::::::::::: Infiltration 2 - citqo BTU/HR Garage evz-ii- Sq. ft, .d Other _ . t' ermanent • _ AM!'" 0 Other XIN•lunicipal Utility 14 0.0.t 0410000Stagni$1 9P , s Basement 0 Private On-Site Well $ 7 S; 000 . 0 0 The applicant agrees to comply with al a r.dicable c i ' es. st,,, ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, ex • •-ss or im/d, • 4 / , .epartment • - . icipality; and certifies that all the above information is accurate. ,% APPLICANT'S SIGNATURE " • DATE SIGNED 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. c h■ffil ite. i • / Allf-i "A . 1‘ 7.7 fiy. , ght/ - .. , ig•Ne. ' / _-... -." . .......x _ - . ...- . ff---, ,f . / eZ 1(,,,,k befe014.- .3 h4 440.v., efrx.A..a /6. et4 , ce/1,i- - itioii40 1 0 Town 0 Village Aeity 0 County 0 State of: Municipality Number of Dwelling Location: .JURISINCTION i: ' 2_ 0 - 0E ., : :: : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :: : : : : : : : : : ,: : : : : : : : : : : : : : : :: : 0: : : : : : : : : : : : : : : : : ip::::::::::::papintsviii:.gi:::::Vilni::UNIPORNI.PERMI iiitigiiiiiiigiiimisi::::::::::::::::::::!::::::::::•::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: SSIJED::::::::':',:::1:::::::::::::::Semai00:::::::11::::::::::::::::::::::::::::::::::.ii::::::::::::::::::::&:::::::::::::::::::::::::::::,:::::::::::::::::::::::::::::::::;:::::::::::::::::::::::::i::::ii::1:;:;:iiili:::::::::::::i.1:::i:::!:::i;:ei:::::::::::::01:i:1:i:::::1:::::1,'Iiig:::i:i::: Plan Review $ Q. 00 . onstruction I. Inspection $ a VAC Name iiirior•VS•4424.4/14....,-- Wis. Permit Seal $ 30,6 /0 0 Electrical ( zifis7 5c Other $ 0 Plumbing Date 43/9'3 ?f rosion Total $ 7D 0 . O Cert. No. 6 SBD-5823 (R.07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent DATE 3/Z 3/93 NAME /)giU ADDRESS LOT BLOCK WARD dfiD SU8OIV• ZONE STREET NO. / �0 9 � /V09I 174 - LOT DIMENSIONS SIDEWALK EXISTING YES 0 NO 0 BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,I9 BY FEE; $15.00 /?// DEPARTMENT OF PUBLIC 'WCRKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 001:70S Uv ..__ 7°7--. / I 1 x I 4 x ix, I K I I 100' I IX IX I 1 1 W licxxxxxxamcmoccomoca / . STREET. LcG7- 0 STRAW BALES XOC FILTER FENCE _ _ PROPERTY LINE