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HomeMy WebLinkAbout0002395-Building * CITY OF OSHKOSH No 02395 • `' PERMIT — APPLICATION AND RECORD TYPE: BLDG)HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING r I ' J FLOOD PLAIN HEIGHT t" / - ADDRESS e9 6! S f' `'O N ( C LA (R- PAC-E. PLAN NO. M — 7 - 3 o F' OWNER _ _4_ A ,pe t I C5 C. A. a i ti - Z33-4isCO DESIGNER S (__z_ l a i f 7 C T t-r ' la tVfE. 2.33 5 USE /NATURE OF WORK l iV C-C- A. u 1 .. t St 6 fZAJC ,L . 0 S E ► _ ,t-'' ' ' - /,r Z4 ( !a t'i -c — LO c .A tc/l. /fe_c-. O' (M 1 ti i9 tilts '� 17' C V b24- Wei iic-r r 4 v� /e T �7v �� ¢�21�� -4 i u LT/3 ,_ 6c7' , Z2 J /2 Zvi BUILDING CONTRACTOR 111 c �t- -Z1 tr-OKA---" - " .-- „f,. Size 7 5 1) C - 4 4 47 -.--14 f & i S Ft. # Rooms ZW # Stor'es(B'�- e4 Height T t �fr Foundation f � � U 7 ti civr./ e C aicc c Class of Const. Occupancy Permit V 1 Gam- V�!!!.tJUKi1.- 7 70/. S! aO I Nc... HEATING CONTRACTOR ' Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR CC M t N L. Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR C41 BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuatio 1 f i roll Permit Fee Paid $ f/ i 1 3a Park Dedication $ j 0 0 ISSUED BY . rol C � .&}-r Date / - (7 Final /O.P. - /0 /f17 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE _` S "_ � � A GENT , / DATE ADDRESS /2/ C 4 4f 144/ b,- 2.3 Vma TELEPHONE # ZONING /LAND USE COMPLIANCE CHECKLIST I. CORAL • Building Permit #5 e/ Zoning /4 Conforming Non- Conforming Job Lccatior2/o/C 11144 ].Ay )4 Lot Dimension Property Owner 67947 , f/f ,u 414 Lot Area C; ,!0 II. COTVS'I'RIJC'I'ICN DA TA 1 . Describe Work: 6 v NEW CONSTRUCTION ADDITION ALTERATION Accessory Building _ Pool ✓Single Family _ Fence _ Deck/Patio _ Tao- Family _ Boathouse _ Sign _ Multi - Family _ Utility Structure _ Porch _ CaRmercial • Cther (specify) _ Manufacturing III. COMPLIANCE E Q D KS Complies Deficient Deficiency/Comments Use Lot Width Lot Area C/ Floodplain Front Yard Rear Yard t_/ Side Yard (R) Side Yard (L) Parking _ Building Area Lot Area per Family • Corner Lot Other (specify) IV. REVIEW AUTHORITY The Planning Director, or appropriate designee, must approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change of use is proposed. (2) Maintenance items, e.g., siding, windows, etc., when the use is conforming and when no change Of use is proposed. Instances where work ocRplies with the above criteria, the permit can be reviewed by the Building Inspecttor without referral to the Planning Director. ec APPROVED NOT APPROVED Plan Commission Action Required Variance(s) Required REVIEWED / 4 / BY: / ` --r DATE: /4/06 �6 State of Wisconsin Department of Industry, WISCONSIN UNIFORM O c i C Labor & Human Relations BUILDING PERMIT APPLICATION NO Division of Safety & Buildings Box 7969 APPLICATION Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. IRUCTURE ❑HVAC ❑ELEC ❑PLUMBING O is Name Mailing Address Telephone L.:7... F-p — rl t O c.�PT 12. C4 4) 232_ 48 So Coctor' Mai Address Tel h � rE-o� 7 {. Ham ��r� v+� �4 (4) e 3 — 48 -.' '/a ' /s, SECTION , T N, R, E(or)W Building Addres A ,� Subdivision Name A Block 240 S lY`C'.IC'C l tR � k No. �sI criLitJhi 4/Ct, koor� < Lot No. o D Zoning District L Area Fron Rear t Left Right Sq. ft. Setbacks 2.,5'"- ft. fl # ft. 7 Z ft. S f t. . � �, ee , i~ L 9 , ) " t , R , ` ew ❑Addition ❑Raze mgle Fa ntran� P e f Air orced A Furnace Fuel Space Htg. Water Htg. ❑Alteration ❑Repair ❑Move Two Family Size: amp p ❑ Radiant Baseboard or Panel LP Gas 0 ❑Other ❑Other Service: ❑ Heat Pump Nat. Gas )s< nderground ❑ Boiler Fuel Oil ❑ ❑ Overhead ❑Central Air Conditioning Electric ❑ ❑ � � -` r :. s '�' s T ❑Other Wood ❑ ❑ ' ttached ❑ Detached e constructed - ncrete �6 m € ° :pit Solar ❑ ❑ ❑Manufactured ❑Masonry $ - " Coal ❑ ❑ .'.::::°.;.;-,..,',:::-,,,,:::,..„....-, ^ , ❑Treated Wood • nicipal ` Other t- ( v - ❑Other ❑Septic "" la� o Basements Sq. ft, �� Permit No. * " "`" 0 ? Y ° q �� �� Envelope BTU /HR 01-Stor Living Area /ilk k Sq. ft. 02 -Story ❑ asonal ; Infiltration ©0 BTU /HR her W ��,., Garage 5--- w Sq. ft. 1i�ir4- !'=u�L ❑Other .. ',r, 1 O'rermanent ❑Private -on -site Well �� �� � a " nicipal Utility $ = __- v Sg /OC�v The applicant agrees to comply with the Wisconsin Uniform •welling Code and other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability •ress or implie. n the Department or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT _ `_', _ _ ! ' ( /i DATE e CONDITIONS OF APPROVAL This s -rmit is issued pursuant to the following conditions. Failure to comply ay resul suspension or revoca- tion of this rmit or other penalty. t • t>� (( ur_s' n (h ♦ 13 a -ria- ST 4 pic.s. CA 4 0' ,. le- r rl► I t • s 1 LJ _ Su /3,%l' 7 y ' � • `� 4. _ L C A J .LS T (- ( N SvLArt LJ r 714 - G I tifu t o L-4,114,-) ( et t g „mot_ ..772 (cs v 0,4 a+JL A..tTOL 10•441"(-4"---- ea 1.:11111. / —.iat �_�n� II 2 _., FOZr ❑TOWN DV ILLAGE .LTY ❑COUNTY Municipality Number Municipality Number of Dwelling ❑S TA�,� ❑�I,NDEPE ^� / Location, if d ifferent II OF: %-r�3 S r�' © L �c �p i �� { °i1 WIS. Ci l PEER I ` — — — — — FEES: a ✓ rf/V * ISSUED , SEAL NO. PERMIT I Y Plan Review .. $ " T 0 struction w Inspection $ ❑HVAC NAME Fb (,1,�'�Z� ['Electrical r Wis. Permit Seal(s) ... $ " ❑Plumbing DATE ^ 11 ( _a J i , Other $ ❑Other 4-7 -3 3 CERT. NO. bg TOTAL $ -_(: DI LHRSBD 5823 (R. 11/84) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent . DATE r_ t v1 S Inc 8 :- NAME Oa al SA ( ADDRESS 1-71.0 3T64V/A MO—% LOT ( S - D BLOCK WARD 1 3 S U8O I V . 1 - f- Q ( c W STG(AW. J ZONE C- STREET NO. ,„,?,./5" /''7, / / LOT DIMENSIONS tR/ U SIDEWALK EXISTING YES El NO EJ BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,I9 BY FEE: $10.0 11 Ic DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. &,/- co: T o . ...... co: .. . WESTHAVE • • . • re). .. Go- - • - - - . . to: It aclo I ' 1 3 t ,. r 06 ‘.. / 6 -up 2 . ,3 . p3 7 _2 �V . 'Ro m ti .0 eo a S � �0 bp • a0. 79.55 f _ P E 0 tr9: tv • S- - Off d• R ECO 1 7 0. 0 (0 00 2 1 i s ( 3%. °.1z1. a' CO 1 or (11 c Q; N. a & -. Nap (0 2z, . • - 0 zs,_ O - 0 C} vs _ 'ea 0‘ A' N57s.„\c„ if) •1 t a? \IX') ' -tr.) N t\1 c-- O va ' _ • • • X414) p ' ?,,1 o z -30 G. 1 t - 1 t6 e - 3 . 9 _ m UU LDi t PLANS t :vii. LL) City of Oshkosh 1 /1 /85 PARKLAND DEDICATION FEE COLLECTTION RECORD Address 0(c, f! /t ©v,,! rC'LA c /t_, (2A-c- Owner's Name A-�-Zt t Name of Subdivision { ■ AtID1 - rA. t o I,tiP,r}411 Lot # 6,C0 Bldg. Permit # OZ. 3RS No. of Units CDA)E. Fee Required /i Fee Paid E� . Owner's signcture �,� Date Inspector's signature `,� I — Date /- S Parks Subdivision Improvement Accts. Rec.: 362 -041