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HomeMy WebLinkAbout0037464-Building / ® CITY OF OSHKOSH N° 37464 PERMIT - APPLICATION AND RECORD TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 928 Monheoe Gaffer PLAN NO. — 4`OO 473 OWNER SibW C CSTb/f h rnE5 /M . DESIGNER USE /NATURE OF WORK WEIR- S AJ&. 6 Tm, ;%WYI 1,(3/ X }/ f 642A BUILDING CONTRACTOR ShbuLt/ 1.S E ausTbfil Abine5 Size Sq. Ft. 9:6 # Rooms S Rk' # Stories / Height ! 7 Foundation 6)/VeRer&-- Class of Const. O Occupancy Permit HEATING CONTRACTOR VIO 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 H - S 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 $ a 7 co Permit Fee Paid $ //? • so Park Dedication $ ISSUED BY Date 4 Final /O.P. In the performance of is work I agree o perfor all work pursuant to rules governing the described construction. �' 2-/7- / SIGNATURE AGEN /O WNER b� DATE /1 ADDRESS A 7 � 3/14 , 235 56j `V TELEPHONE # /Or 6 fact 7 Y RQs /4 0/116- 2PL l l ZONING /LAND USE COMPLIANCE CHECKLIST /4 JOB LOCATION: ` /lcuR©E 57 . ZONING PROPERTY OWNER/CONTRACTOR: S O (4 r.,),---2-70,,) i �5 A CONSTRUCTION DATA: Ne w Construction Addition Alteration TYP OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) /i EU) (i/ORE fi(ng--/ — a779 oefte 6i0R/CZ COMPLIANCE CHECKLIST osE - 70 P 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 y 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: /4 R; &OE A 2 / V g Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. • Labor and Human Relations BUILDING PERMIT g' '- f 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) <PERN 1T EQUE TE > >:: >::,,,,: :. : : :.: ,::< ::;;:: Constr HVAC Elec PIb Erosion Other: Owrer's Name + Mailing Address Telephone No. (include area code) SV ow i se LUC r1 {+alf -t ° I.nc - -) :1s� — A( c s t io ei kid s St to Contractor's Name y � / � Mailing Address Telephone No. (include area code) ` { i!! : .'. Vi e . . <;: Lot Area R'OJ LOCA'TI'ON: "' . Sq. ft. 1 /4, 1 /4, Section T N, R E (or) W Bu l i . ddress Su ision Name Lot No. ‘ Block No. ..:...:.......:.. ) Mon roec4- T c - ?,klb )404v Zoning District(s) 1 Zoning Permit No Front Rear Left f/ Right (/ Setbacks ZS ft. I - 77 ft. IL( ,... Z.. ft. 7 !eft. � '� �')' . .... ......... .ter �R.lI1tCY:.:_ . .: ..�.E: : . >:.: Elf# Mll�N #':::: >:: >::: tl0 fiC: E.:. ; :.:.:< :: . :::,.:. J�New ❑ Repair piingle Family Entrance �Pa�nel orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar �� Iteration ❑ Raze �❑ Two Family Size: --( J(J amp Radiant Baseboard or Panel Gas x ❑ Addition ❑ Move ❑ Garage Service: ❑Heat Pump ❑ Other (print): ❑ Underground ❑ Boiler Space Htg ❑ ❑ ❑ ❑ ❑ l t verhead ❑ Central Air Conditioning Water Htg p ❑ ❑ ❑ ❑ ❑ Other f 1 ❑ Other ❑Dwelling ■ unit will have 3 kilowatt or more installed electric space ace heatin equip. ite Constructed Infiltration control option is: P g . q P 7�l1 »p1 n4 < `'> - '> > ;:;;. .'❑ IVlanufadured nry •• P ❑ Full sealing >: >:AR41�; is »: >: >: > ? ><'.:<: ❑Treat Wood of joints. ❑ Blower door test. ❑ Exterior Sewer : : : : : • air infiltration barrier. p1� 5 «:<:R(EES >: » >: >: ><• ❑ Otherp�►unicipal :... :.,.... •.:::::::- . :......: .....:......:........ Unfinished Basement - 1 J . ft. > :III RT> ;:[ :) ,_ : :.:: <3s;; 1- Story ;.� -- ❑ Sept c ..:::�.::::.�:� �� :�£(:� :..:::: Q Y Envelope BTU /HR Living Area 1 S Sq. ft. 0 2 -Story ❑ Seasonal I a [ t 6 `:€ 1: : :WA: 5ifti•`. : :::: : :;:: Infiltration f,9 7 BTU /HR ❑ Other Garage Sq. ft. ni i I ' u c sit a Utility /� ,,� ,gyp Other Y �...E�.f� $ILDIN g', rr�:::: .,.; : : :.::::.:: .: (j era ct i ) CAps Basement ❑ Private On -Site Well $ 140100 0 The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or implied, on the De rtment or municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE DATE SIGNED fc) --- . 02- 3'q5 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. l • _varrr 7 s,s — Z,ai„s -- R2/OR 7 64 rROCrDA). 57•) //V_S fACL. . YL 6 s-Cy‘.) ✓4 4S'o/le5 //.//f mil.I.:53 Town Village Count ❑ ❑ State of: Municipality Number f 9 ❑ Y ❑ o Dwelling 33�i.�. P Y 9 Location: U1N� r�� JURISDIC N D '0 d- a 6 6 ?lK• JI:•Kji:; v: • isvLiL: 4:: • •• sti : ••• i::iii ?:iivC< : ?:<:: ^i ::. :i� ' ' :iiJ::iiiii: ti i' .. . :..,: �' ::: �':'ii:i ^istitii<S!? iii:::: i : i•? i: .:. i? i: v::• is •::•i:•i:•iiiiiiii:.:i::.iiiii: iiiiiiii:. ii: L:: i:: iiiiijii? ii} ii: L:: vi:?i:• :: ' i:• :• i :•}i } i iii:tiii 4:• :•i :: ;i:i': ?:•ii:!: �:::::::i::::i :::::: ::•::::iii:J::ii:•iiii:i:iiji:: iii:• :::::::::i::i ::::::::::::i::i ::ii �^�, ■�y�, ..... ......:...:� :::::::::.�::::::::: .:: v::::::;•:::::::::::::::: w:::.�:. ::::::•::: i:i::4i::::.�::::: :: v): v:: v: vi i i i? ii:•;: t{;• i:::::::: :::::: }: }::•i:::v:.�::::.:�:::: ' r::•: Plan Review $ [ 4? instruction _6144 Inspection $ ❑ HVAC Name Wis. Permit Seal $ 3,p. ❑ Electrical Other $ ❑ Plumbing Date / Q) o9 9/ �1 rosion 1 3q o 7(0F �� ❑ f� ` Cert. No. Total $ SBD -5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent 1/®c CATE /aP 1g9 / 9 . 3 NAME „a 4, S7D/71 / on7es ADDRESS_ ' LOT 6 BLOCK j RD S U80 I V. ( ' 7S fl " A61465 ZONE STREET NO. Q4 .-.- LOT DIMENSIONS SIDEWALK EXISTING YES E: NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: $15,00 DEPARTMENT OF rP A L I WORK_ I, the undersigned, owner or agent of the above described propert agree to have the grade established before excavation has commenced./ 101. 406/ 0/ .4 1 OO'aso 7 0) 0 .• 60 1 60 • O) 0 E. CU STER A V E . w /3(. /3Gzs-. 620 606 U_ , I ` ,rf r` • o W ■ • N 10 P. • t 4, -, :- 01 3 I, N C w 3 • + 1 _ J ' v ,� Z.2> fy _ ti 0 LA 1 N 00 w 0 1 619 l 3U.z 5 136.25' (P rO E. 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