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HomeMy WebLinkAbout0007519-Building ® . CITY OF OSHKOSH N2 07519 PERMIT - APPLICATION AND RECORD TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING7 FLOOD PLAIN HEIGHT /L ADDRESS 2- -1 o ( 6, o i- o `4 tf 0` PY; e. v._ PLAN N .7 t.„ OWNER G-41"--)t- p___()_______ DESIGNER q USE /NATURE OF WORK / �J w � BUILDING CONTRACTOR < L°- r °g t� ids / Height Siz Sq. Ft. �� # Rooms #Stories Z Foundation � Class of Const. 6 Occupancy Permit f HEATING CONTRACTOR 4_e v- << a" I% Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 0-o- p. - -- t‘ C.c .s Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR (A).- - `T 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 $ . 1 / P;, ,� ee Paid $ (7� Park Dedication $ /00 ISSUED BY 4�� /, ,�L / %� Date —? / '- 2S O Final /O.P. & -1- (1 4 9 In the performance of this work ee to perform all work pursuant to rules governing the described construction. SIGNATURE a., 40.../ �� AG T /OWN DATE ADDRESS TELEPHONE # City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address . Z c"�'�l / c� c r P/a_ P Owner's Name G r ( 72_,Ls-n Name of Subdivision Lot # Bldg. Permit # '73 No. of Units Fee Required (COQ Fee Paid ( oO , Owner's signcture / %��. . // / J his Date Inspector's signature - =3' W j� Date T— 2) ) 7 Parks Subdivision Improvement Accts. Rec.: 362 -041 DATE Z - NAME LT- .is- ADDRESS 7A0 GL- ‘/ LOT CP -- BLOCK WARD /3 S UBD I V . I l_ 7C 1I,.re l° ZONE STREET NO. 1 2 1 '0 i / - C 0 r.,'`f Cla i W LOT DIMENSIONS SIDEWALK EXISTING YES NO Q BUILDING GRADE ELEVATIONS STAKES SET AT SITE 3/6 ,19 the BY J FEE: $10.00 f ,i-i7 ,„ , „,,, r ,/;?;11,71 A4- i DEPARTMENT OF PUBLIC 'WORKS I, the undersigned, owner or agent of the above d == -. -•ree to have the grade established before excavation has comment Ailie . i A c, ""8 3 9J 53 8 6-3 -Z ? - 3 Tr___ State Wisconsin y WISCONSIN UNIFORM Cy Department of Industry, of Industr Labor & Human Relations & Buildings of Safety Buildings BUILDING PERMIT APPLICATION NO� �/ Box 7969 APPLICATION Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. ° RE ST D , YP 2al<JCTURE OHVAC ❑ELEC ❑PLUMBING Owner's N me Mailing Address Telephone V- s tk X76' © 4-)e f-i.a -- 'a3 i - 8z)e) .. Contracto s Name�p,� Mailing Address Telephone OXATiC44 ., triVI*Ct ° % %, SECTION , T N, R, E(or)W Building Address Subdivision Name Lot No. Block No. �� ®t ® €(4_ v-- r,,, a_Sl_ Zoning District Lot Area Front Rear Left y --� r Right z Sq. ft. Setbacks ft. l ft. G+� ft. ft. ° l 1. �. T ; , 'ENERGY SOURCE.. ° elv ew ❑Addition ❑Raze Family le e P nel ��' 9 Y Entrap � �� 1rorced Air Furnace Fuel Space Htg. Water Htg. . ❑Alteration ❑Repair ❑Move ❑Two Family Size: amp ❑ Radiant Baseboard or Panel LP Gas 0 ❑Other Z❑Other ❑ Heat Pump Nat. Gas 'g]1 '?Undrground ❑Boiler Fuel Oil ❑ ❑ ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ ; 'Ib. , G /WAGE AL TOT. TYPE 7 . F ❑Other Wood ❑ ❑ t ' rte constructed , oncrete '1C ( °' ° ar ❑ ❑ ttached ❑Detached �����° Sol • Manufactured ❑Masonry Sewer Coal ❑ ❑ Z° - ':. • ,... �; OTreated Wood taiffunicipal Other ❑Other Basements `e ❑Septic , : Sq. ft. 7t..'+ - 1i ° LOSS (Ct l laN4) � Or IQ� Permit No. / ZOD BTU /HR 01- ory . ° Envelope Living Area / Sq. ft. kit Story ❑S asonal I *AT EA ° ? Infiltration /1��E1 BTU /HR c-/ e Garage 4--1.°1 Other rmanent i 1 Sq. ft. ❑ ivate -on -site Well , tOtMA " D' `"; . LJOther lunicipal Utility The applicant agrees to comply with the Wisconsin Uniform D i • Cod- -nd other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability e •r:: or im. -d • • se Depar ent or Municipality; and certifies that all -- abov• information is accurate. .4— / i SIGNATURE OF APPLICANT /rte _ . _ _ • , DATE CONDITIONS OF APPROVAL This permit is issued •ursuant to the following conditions. Failure to comply may result in suspension or revoca- ` tion of this permit •rot r natty. t17w., c r % �a- -v 5S lirCt_ak_ S cc o n Cfrettf4 (4 fc'GC- H d -Taa, �}� �, « ��.. / ' � �( A. rt Y 4-c, Ll / Il to -1 I b - / .S /= /1 % -' 1 if O Ian, .j 0 CA S , �f _ %/ h_ i r ,S S , � c..... i' Y cs e - C 41 c S. e o G.-- c_ hl-c` M-v S •e C.c c-. f C on r-' •— . ❑TOWN ❑VILLAGE ITY ❑C OUNTY Municipality Number Municipality Number of Dwelling ❑STATE ❑ I PENDE Location, if different I CTUON 0F ___ : .< OS © ' FEES: 'PERMIT° `4111. *" R IT ['S UED B I: — — — Plan Review $ onstruction / ❑HVAC NAME / . r ...A . � S 1. Inspection $ DElectrical p� Wis. Permit Seal(s) ... $ ❑Plumbing DATE D '- / ( ` U e Other $ ❑Other --�r� ` ( f/ TOTAL $ / V / CERT. NO. ' � 1 3 T C DILHRSBD 5823 (R. 11/84) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent 7oclo 0 ZONING/LAND USE COVPLIANCE CHECKLIST I. GENERAL _ Building Permit # Zoning/ Conforming Non-Conforming r Job Location > F0( / . Lot Distension Property Oteler- re_ Lot Area - . • • II. CCNSTRUCTION DMA - Describe Work: c„_ 64_ ADDITION— ALTERATION Accessory Building ••■•■ Pool Family aNi■ Fence Deck/ratio Two-gamily Boathouse . Sign Ii-gamily — Utility Structure — Porch . -- ccarie;cial Other (specify) Minufacturing I/I. COMPLIANCE CHECKS ' Complies Deficient Deficiency/Comments Use It Width bat Area Floodplain. LV Front Yard Rear Yard Side Yard (R) Side Yard (L) • Parking Building Area It Area per Family • Corner it — Other (specify) . &- % d) .../aff - IV. REVIEW AUMORITY • 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 ime is proposed.. Instances where work complies with the above criteria, the,petmlt b reviewed by the Building Inspector without referral to the Planning Directot: - APPROVED NoTAPPPOVED Plan Commission Action Required Variance (s) Reauired REVEniED BY / 40°P,1441:0K . 1 I 1 11 11 1 I1;1 , ;� ; Ij ;� ( IM i! i i 1 1 ; 1` (I 1 ; I 1 3 • '� 1 o a; ill ! li,. il! I 1 + ��i � + 1 4 �, u � 1 i 1'. l I 1 p pt , 1 ! I N F { I t h I i ' 1 O N { 1 F— ` 1 N I ' O ( Zi i 1 1 ! I ' r l 'i M I N I ,1 I+ i i l ` w ! Z ;' � 1 •, � as , Q I A �'N I I 1! + I 1. R: O ' >t w Q! J W x w I, i ! + 1 I ce • I r A 0 1 133a1S N j � t �i i a n A w :t9 o N i i i i o DI ¢ t " I i I j 1 I ! : ' I I I HI 11 . , 1 I 1 ' I " I i i i w I i• :• i w I w i w • I i f l I t w ++ I I l I I,'� +' i I ; 1 t I i� ! ; ;; . i i i I I 1 W 1 tf ' I ' i. I 1 1 1 lI ' i i I i 1 I I i $ l mil ';j 1 ` 1 I 1 i f I i I I j i! 1 i 1 i 1 ; i i t! 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