HomeMy WebLinkAbout0010896-Building CITY OF OSHKOSH N2 10896
L PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PL BG ❑ SI GN ❑ ZO NING Z" \ FLOOD PLAIN HEIGHT ' i
.c/ ADDRESS L n ..--g-- C' �Q (‘ / C� e - PLA NC � " / /o861
OWNER C7P.hP0+ c.9 -..'- �I'��vG���c
. DESIGNER
USE /NATURE OF WORK /F? c.c> Yr Imo- w AV --- fr"
BUILDING CONTRACTOR �CA-}` fit. t f
Sizp - t` 4 ?-, Sq. Ft. ` 57C7 # Rooms 0 I 4 # Stories ( Height
Foundation Class of Const. 8 Occupancy Permit r? -e
HEATING CONTRACTOR 4-14 -r-
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
1
ELECTRIC CONTRACTOR ' A■. i
Electric Serv. New ❑ Change ❑ Te ihp ❑L Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR vl P -(_,
BT WH Disp WSoft CBasin
Lam Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ L��.lr 1�� 1 Per '' Fee Paid $ r ( 0 Park Dedication $ (0-0 ISSUED BY /� / /.. i »��L /_ l% Date l - 1 -(5 Final /O.P. "7 / - )?
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU �� - .• � __Orli Di
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
-� " 3 - t 21 -low
State of Departme Ind WISCONSIN UNIFORM
Department of Industry,
Labors Human Relations BUILDING PERMIT APPLICATION NO. /0 VC pp cp
Division of Safety 8 Buildings
Box 79
Madison, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO.
PERMIT R EQUESTED STRUCTURE El HVAC El ELEC 111 PLUMBING
Owner 'sN :.::::::::.........: Mailing Address Telephone
er to 5 0,1-. 7 Go r' .,Q
Contractor's Name Mailing Address Telephone
e t L fi _e-('
................................................................................ ...............................
RO I*CT C N '' /a, %, SECTION , T N, R E (or)W
Building Address diivision Name ` /� Lot Block No.
2 ` s r
/Q e r Gras i4 It �-(.(t SC / ,1 I
Zoning District Lot Area Fron Rear t Left — Right
1 ( [ Z 0 v. ' Sq. ft. Setbacks ft. ft i Z -S ft. / 7 �� ft.
1: PROJECT ; 3 ; 1' t'PE :; B : ELECTR. AL Sx: FIVAC EQL lPlietif 12 : ENERGY SOURCE
.ew ❑ Addition ❑ Raze fN4ingle Family Entrancs,Panel rced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar
❑Alteration ❑ Repair ❑ Move CI Two family Size: � amp Radiant Baseboard or Panel G s *
CI Other Service: CI Heat Pump Space Htg. f=1 ❑ ❑ ❑ ❑
❑Other underground ❑ Boiler WaterHtg. ❑ ❑ ❑ ❑ ❑
❑ O verhead ❑ Central Air Conditioning
b GARAGE : ;TYPE. , FOUNDA ON : ❑ Other * ❑ Dwellin unit will have 3 kilowatt or
more installed electric space heating equip.
,,��.,// ❑ Site constructed ❑ Concrete 1 ❑ Manufactured PLUMBIING ;; ;; Infiltration control option tion is: ❑ Full sealing
J�SAttached ❑Detached CI Masonry M Sw er of joints. Blower door test. ❑ Exterior
;:2 AREA is
CI Wood �.Municipal is air infiltration barrier.
Basements q
r S : : ❑ Other L7'Septic 13 .;<REAT LOSS ( Calculated#
. ft. _,S_,/S�ORIES. 5 U
gQ g1 -Story SE Permit No. Envelope <. 5 CO J BTU /HR
Living Area t� Sq. ft. 2 -Story ❑ Seasonal 11 ;:WATER : Infiltration 5'S BTU /HR
Garage 7(0 Sq. ft. ❑ Other Permanent Municipal Utility 14 _ESTIMATED COST
❑ Other Private on -site Well
The applicant agrees to comply with the Wisconsin Uniform Dwelling Co -- .ther Municipal Ordinances and with the conditions of this permit; understands
b'
that the issuance of the permit creates no Ie.al 'a - .r�. or i •.r . the P - pa .. - nt or Municipality; and certifies that all the above information is it ' accurate. 1���
SIGNATURE OF APPLICAN I _ r� - DATE
CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this rmit or other penalty. �` r
V �• 1 w Tt# W /r, of .. 0`-t 1- - rYS 1D 1-YLe_1144
lob
..................... ...............................
CI TOWN CI VILLAGE CITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling
SS I I=1 STATE g Inspection Authority Location, if di
STA IN E h PEND EN spection A thority n, different
i '
URI CT N _ :: OF: !.-0 70 _ k. � G - - - - - -
S . PE fS : YIt.1 i.. ilr. R m PE
„, .. R M Pt El t'( ISS1 BY 40 �onstruction
Plan Review . $ L� HVAC NAME fi4 i'l- Dit 4 — Pt— Inspection . . . . $ ❑ Electrical /
Wis.PermitSeal(s) $ Q / ❑ Plumbing DATE 0 —Ai —S
Other $ ^ ❑ Other / ' j..f. (/ti
TOTAL . . . $ 70 6 6 7 9 Z CERT. NO. ll cc..//
SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK — Owner/Agent
At 0000
ZONIM /LAND USE COr'PLZArIE =LIST
LIST
I. CEIi11AL
Building Permit # Zoning 7- ° C:onfoanirg Non - Conforming
mil✓ cb Location i 0_5 e Lot Dimension
Ply Owner 6 Lot Area
a. orrrIa DATA
Describe : AJe r' 2-1)c �1
NEW xzION _ ADDITION ALTERAI7CH
Accessory 13uilding — Pool .(Si gle Family
Fence Deck/Patio — Ttaa- Family
Boathouse _ Sign — Ms1.ti.amily
'Utility Structure Pore Ocenercia.1
Other (specify) — Manufacturing
III. 03MPLIANCE CBE=
ConoLies Deficient Deficienc.v /Oddments
Use
Lot Width
— Lot Area
Floodplain
• Front Yard
Rear Yard
z — Side Yard (R)
Side Yard (L)
- Parking
Building Area
- Zest Area Per Family
Corner Lot
Other ( 5t) 1 OC) _ �
i f •
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. wind,
• etc., when the use is conforming and when no change of use is proposed.
Instances where work applies with the above criteria, the perm t can tia reviewed
by the wilding Inspector without referral to the Planning DIrector.
APPROVED NOT APPROVED
Plan Commission Action Required
Variance (s) Raaui.r=
REVIENIE D BY: OAT= .
. /
:ATE f r --1- S E
NAME l7 ,,,_ ADDRESS
, LO Z ( BLOCK WARD ��
/, /#
SUBDIV. t-o ( ZONE
STREET NO. °2 rt A v 4- s r LOT DIMENSIONS
SIDEWALK EXISTING YES [1 NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE (: ,19 &Cr BY
FEE: $10.01.
/7; 4
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commen -d.
Al A dilib i
k vir .A/AA
03889 .
6
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address ?87R" -?- " C*
Owner's Name C;64
I
Name of Subdivision 7-r : ( P /el"
Lot # c... Bldg. Permit #
No. of Units
Fee Required / 0 0
Fee Paid
„-
AP Air _
Owner' s signature , Date
Inspector's signature Date /-'(_-; (3 -
Parks Subdivision
Improvement
Accts. Rec.: 362-041
1111 i 1 , 1 , ,{ tii ;•_ -
, - _. _ ...__.., _ - - - --',-,-,----- - „„-------- 11'11- Hi i
't Iii 1 ' 'pi I I!. IL --- --- -"''' — ' a'' .1 —
„ 77
, I , •
it1` it,,,I 1 I I I
-;+ •,,,,• 7 1 - I 7 1 •••-- ------"-- - .
l
I
i f 11
I 17 sl I; 1 1 I 1 1 1 1
;' 1. I 11111
11. ,
; I
1 t . 7 • I 1 1 1 '' i 1 1 ' ' -1 ;-; - - ;;; ;;;- ';' - - g 1 a 1 ;II I Ill"
• 1 7 1 1 1
II ' it!: 141 '1 1 ' ' -' ' --- ,-;.' ''' '"'" ()' t t • 41 /
7 I 17
-'111
.. 1 1 1 1 I I Itil t 1 li
I ; 1 1 11
I i 1 11 1' 1 '1' 1 1
11
,_ .
1 8 .7. , -- - i' , .
. , • „ , ,
, • 1 ' 1 - -- — .- <TY — 1
, . 1 z it 1 i i . ____. _ . _ , 111 . 1
141 - 1 t.; 8 t•
11 .- . -- , - . . --
1 1 , , •I i . i ; . ,
. ,
t ! 1 1 ,.,■ (4; ---.2_ 1 __________ ,.._.._ _,._ _
' I
, .
, i 1
• '; ',. ' ani ' < 0
IP:1 !,...i I 1 ._ ...— . __ ___
• ;: .•: • i - t ' —-----------
I I 1.1 I 1 I 1 I I 1
i till
' i rl'i It i I li ' ll . li 1 •1''
' LU • I 4 1 1 i 1 1 1 i
1; . —J 1 i ,; , . , . 4 • ._
.4 'till;
L.U1' :#1 I4J
1 I L' ,,_ _ .
it '1111,it 1
tl it 1 1 li 1
1 l11 i 1 -'.- 6 1 Hi i 1 1, !11 i , .:
, i
1 i 1 417 ti: 1,11
''
: iti lit 11144
11 ,- "N ' 1 i III it i
il I lff 4.- Lifillifil i 111 f 1
1-- i el 111 -4" 14-11 ‘4.) 11:i i
- : • II . ; 1-. 1 ; 11 , '- . 1 - I I 1 1 i ; t ; ',. ;.
t ; : ; • : • t : ; : 1111 i I I , I
II 1 1 1 111,11 11111 ; 1 1 l i ; I I 1 7 1 7 , i t i I 1 i
. . _ 1 . ... . .1
; i ■ 1 / i : 0 1 t 1 1 , 1 ' I - I 1 i
I I I 1 l ii i f 1 1 1 i I 1 1 I 1 I 1 l''' I ',
, . . , : ' i , I , 1 : i 1 , ■ 1 , I
4 , i < . , , , ; • . ' ' '. , , \ ' , i i i 1 ,, ' i ' i l , ' ` , N , ,■ '.‹ ', I , , i ,, >
1,7— Li Fs II II 0,,
,, ; ;.,•. „....: , ; ;,
, 1
, I . , , ; 7 •
1 1 • 7 I ;' 7 1711
' i 1 7 7 ' ' I1{ '11 I
i; , 7. Iiili litt 11 I t • J IIIIIII 1
L.I.I
' ! i , • . ' 1 •
• 1 . 1 i : , , : . : , , , . : i , ', 1 , 1 I 1. 1 , ' ' ' "
' i 1 1 , , , : '', ' , I ! ! ' j ' 1 1 ! ! ■ i ' I 1 1 1 1\ i i ' 1 1 ! t 1 - '
. : 1 ; ■ ! ; ! ; , , l', n , i i 7 , I H, 1 I , i ± ' i ,, • 1 ■ t ', i 1 1 . , .
' I , ' 1 ; ; :. 1 t , i ! ; ■ I ■ I I i : ! I , ; i i , 1 1 I 1, r i 1
1
I i I i ii 1
• ; ;1, 1 I 71, 7 7,711;111117 I III 11111;1 / 1 • 1 ' '
' ; ' 1' , • ' 7 1 1' 1 1 71 1 1 7 7 ,; III 111111711 !;, I , ,
'7., ; ' ; ' ' ' • ' '1' ','' ' 711111 / 7 ''.1,11‘41 1 I 1 11 II 11:1; ,
. ,>. . , 1 :. 1; ' ' ; : 1'1;1 >1111 /1171111 , 7 , > , 7'1' •
U- ' ' ; ' ' ' ', : ; 1" • ; . " " "; ' iii
-^l i ...., ' II" l i 1 i i 1 1 I 1 1 I
i ' I ' i WI 1 1 1
-;ii ,1..:iiiill I ,..I I i_illii, 1 1 I 11 il'••
:! ..
, iii:: T 1 3 ,si` il I I I i 1 11111 `-- 11.1 1 I i I i i H ' '
1 7
; 1 I , 1 ,, I i i ' 1 1 { , , 1 . 1 1 I I i i - ;11 11111 1 1 7 11 _ — 1 .1 _1 ! ;1;1
III 1 1 '
1 . 1 .11 1 1' 111 1 1 I 1 III 1.1
1.1 '111: 1 . 1 I ;1.'7111 1 11711 III 111
7 1 • j; ; ' • ' ' - ; 1 1 11
".77 111 / " '1'1 1111:H1 l il ill 1 11 11.111!