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HomeMy WebLinkAbout0006466-Building CITY OF OSHKOSH N° 06466 PERMIT — APPLICATION AND RECORD TYPE: BLDG TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ` tZ t FLOOD PLAIN HEIGHT Al* ADDRESS G g Z A Y �O l e �a f' w P4 e r PLAN NO.? Z - - 5 7 9 "7.arr et R OWNER v- 'St 4 c li`ak DESIGNER r !! USE /NATURE OF WORK 4.)e w 3 � / if' '`( i - •(14. C= r BUILDING CONTRACTOR Q CO t4-ye Size r Sq. Ft. / Y < # Rooms 'F # Stories Height e5 Foundation rave-- Class of Const. 9' Occupancy Permit l�ti7 HEATING CONTRACTOR.___44¢,�� Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR j.4..,4 � Electric Serv. New ❑ Change ❑ 'temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 4.1c1.- c1.- 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 $ 4 •.r d i I Permi Fee Paid $ / .J ). °° Park Dedication $ /0 0 /! ISSUED BY /, / Date A — 7 - 87 Final /O.P. Z -- 8 "88 In the /0 . ". performance - / :/ 1 a. -. -: • all work pursuant to rules governing the described construction. SIGNATURE ._/ 1 . ■■ f 'INT/ DA E ADDRESS, ) �-C/ 1 ' CY' '/, },, TELEPHONE # City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address 2 J � -5/ / ,4 F y-- t- ; l, r f. Owner's Name — c . ... fi. , 1 L ; ,,, 1` • e . Name of Subdivision / 4 -''°' 7 { 1 ,r ' F s , / f'i ! 4 Lot # Bldg. Permit # ` � �& No. of Units Fee Requi red / (2 0 Fee Paid ` -` C Owner's signcture C t / Date �'/. Inspector's signature t ,. f k, , -r-lk_, t f .. l I/ t Date ` `` • Parks Subdivision Improvement Accts. Rec.: 362-041 ;732....- ∎Ici / 7 W;P. re._ State of Wisconsin Department of Industry, WISCONSIN UNIFORM G� Labor Human Relations Division n of Safety 8 Buildings BUILDING PERMIT APPLICATION NO. Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101.63, 101.73 See Instructions on back of pink copy) PARCEL NO. PERMIT REQUESTED 11—STRUCTURE ❑ HVAC ❑ ELEC Li PLUMBING Owner's Name Mailing Address Telephone c - 6 & e.-`E- v. 3 CA "z-7G. f9 4) S am I- P.?/ Z f -- 4 3 �3 Contractor's Name Mailing Address Telephone D c-C..) tn. Vr OC '' /a, '' /a, SECTION T N, R E (or)W Building y dre s /it( / t Subdivi f Lot NU Block No. Go o [4 r c- 4c� - - (` i - :,,3 — y "� Zoning Distric Lot Area Front Rear Left Right -17- \ i Z % Se Sq. ft. Setbacks `S ft. 7 7 ft. ( ft. ` 7 ft. is ROJECT 3 S ELECTRICAL : _99 HVAC EQUIPMEN 12 ENE RGY SOURCE ew ❑ Addition ❑ Raze �7`6i� Family Entrance Pa9cI Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar Cf ❑Alteration ❑ Repair El Move ❑ Two family Size: d Ori amp ❑ Radiant Baseboard or Panel as ❑ Other •ice: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑Other underground ❑ Boiler WaterHtg. ❑ ❑ ❑ ❑ ❑ El Overhead ❑ Central Air Conditioning I13 GARAGE 4. t�T TYPE 7 FOUNDATION; CI Other Dwelling unit will have 3 kilowatt or more installed electric space heating equip biellached ❑ Detached Site constructed'oncrete 10 PLUMBING Infiltration control option is: El Full sealing ❑ Manufactured ❑ Masonry wer of joints. ❑Blower door test. El Exterior . AREA ❑ Treated Wood k\ • nicipal air infiltration barrier. 5: STORIES: ❑ Other ■Septic 1$ < #EATLLOSS Catculatec Basements r/ �y�jSq. Sq. ft. Permit No. { ` $ V �1- ry USE Envelope �! 12 � BTU /HR Living Area -Ai i.2 -Story ❑ sasonal 11 'WATER; Infiltration 2 2- --- BTU /HR Garage T O -7 Sq. ft. El Other $ Permanent i unicipal Utility 14 : ESTIMATED .E OST :: ❑ Other ❑ Private on -site Well $ l'e The applicant agrees to comply with the Wisconsin Uniform ' ' Code and other , unicipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liabi • ss • mpli -d on the 1 partment or Municipality; and certifies that all the • •ove ' • mation is accurate. _ 7 SIGNATURE OF APPLICANT ..- - = - DATE al / CONDITIONS OF APPROVAL This permit is issu d pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit other penalty. ` ��' -M1_,-(___ Q t, < < - 4- — 7 r......, SS r itKot� y /"L blr �o JI ?I c'Ca)`t- ASSLPN ❑TOWN El VILLAGE ❑ COUNTY Municipality Number of Municipality Number of Dwelling ❑ STATE PEND NT Inspection Authority Location, if different J URISDICTION OF 1 D kos 14 7� - -- - -- $ ... PERM ($ _ WIS UN�ORM PERMIT pE ; :... : ISSUE ': Sf L NQ . .; : iMIT tSSUEtt BY Plan Review . . , $ ` Construction I �' y� Inspection $ [3 HVAC NAME iffy K ( eeLL✓l. /�• 0 ❑ Electrical l _ � S? Wis. Permit Seal(s) $ '5 a ❑ Plumbing DATE t. .. J ^ 8 Other TOTAL $ 0 Other s 8 �� O CERT. NO. . SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent DATE 77- Z"c!/_ P7 NAME ADDRESS 7 6_ l4 '7.(2,- -o LOT 2a_ BLOCK !dr1&D / SUBOIV. l S v n Pe) x C !fin T ZONE STREET NO. ''6-f12(1/ LOT DIMENSIONS SIDEWALK EXISTING YES {1 NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE Dec / ,19 S - 7 BY 067.6.- FEE: $10.0 ry 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. A WA , 1 is 9 0 (7,2 `"x'4 F r 373A ZONErTLAND USE COMPLIANCE CHECIG IST I. GENERAL 62 1 0 -- Building ermit � -' 1 d J Zoning , ( Conforming Non - Conforming Job Location 3"e r ••.r /mil ce Lot Dimension Property Cwrter U Gv( AO w Lot Area . 11. • CCNSriwrICN DATA dig-ti Describe Work: G�C/ L°c�c) � / � �� • . C1m6TT TCN ITICN- ALTERATICN Accessory Building Pool • g Family- Fence Deck,/Patio nxr- Family- Boathouse • Sign 1�i1t -Pamil y Utility Structure Porch: •,. a 1 Other (specify) Minufacturiw III. COMPLIANZE CHECKS Como1jes Deficient Deficiency /Carats L/ Use • • It Width Lot Area Flcodplain • Front Yard Rear Yard S� Side Yard (R) _ Side Yard (L) Parking Building Area 'J Lot Area per Family /" Corner Lot Other (specify) IV. REVIEW AUIL'ORtTY The Planning Director, or appropriate designee, mist 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, wirdcwer etc., when the use is conforming and when ro change o1~ vse is proposed.. 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'Q � ,i /7, 4 /ssp. // n o F . y • m a MONILL %. A/R, to — — — PLACE .^ I N At: It — - — ? \ (1• ! . •,,,, ' 4 '' I M e 3 \ +d / • 1 4. .• '' M .. 1 , $ 1 l - 1 r D ` • $ yi "161. 0• • - J I 1 j o 2. \ ` t► _ vi — — — \ 27 1 v N 28 N a ` 4 70,1/3 4p./1. 1 ,' 2 /,818 sq. ft I 2 1 la 1---- --9-- -/93.82'-- \` — /40.00 N89! /5'- 40 f N.89• -/d = 40 "W. 533.It' T 38./� l/NPLATTED LANDS ' o ° o 4 /vi ' f A tl e ' SCALE IN FEET ° 1.WA 1/4 Co,, o. SKI WI 29, t rig*, 9. l8f. 50' D 100' 950 ZSD' T 1.99-/5 -40' 249•.87' /189' Seu/I ll.• S2//4 S.rl /oo 29, 71sN,/ Thls Instrument Dratted by STEVEN T. CNRONIS AMIwMMINw. FIRST ADDITION TO FOX CHASE SUBDIVISION