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HomeMy WebLinkAbout0018687-Building CITY OF OSHKOSH N° 18687 PERMIT — APPLICATION AND RECORD TYPE: BLDG5 ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ( FLOOD PLAIN HEIGHT $ ADDRESS 3O 14O GtJC'4.? I— /`l r. 'e PLAN NO. r . ?s `" OWNER �a ( DESIGNER r USE /NATURE OF WORK ill°. (-//, r)' ' BUILDING CONTRACTOR / k v f5 ' Siz e Sq. Ft. / � Rooms `) l 4 (`' � m S q -� � r # oo s � # Stories ( Height Foundation Prs-r c.c_¢rf Class of Const. <6 Occupancy Permit -� HEATING CONTRACTOR 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 44s.o �-�� -_ 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 .�'1s_ivv ` 41561-4'' Pe it Fee Paid $ Park Dedication $ / 00 ISSUED BY L /.�0, i 1 �. _ / L /9 Date Final /O.P. iii In the performance of this w. .gree to perform all wor iursuan:.0 rules governing the described construction. SIGNATUR -.1111111, f , �, `7e AGE T /OWNER DATE ADDRESS TELEPHONE # Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 30 . 0 ZONING: PROPERTY OWNER /CONTRACTOR: CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) /1jec 2 S � a� i COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area Floodplain Front Yard Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per Family de/a6( Corner Lot Landscaping Transitional Yard Off- Street Loading Vision Clearance Height REVIEW AUTHORITY: v, �� �, , Zez9 The Director of Community Development, or designee, must approve all p ans, 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. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Director of Community Development, or 47 DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: / // , = / ". DATE: 57 qlIl / Q3 - - g© -ego 12- State of Wisconsin Departmentoflndustry, WISCONSIN UNIFORM / � Labor 8 Human Relations BUILDING PERMIT APPLICATION NO. `,F6 O 7 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 RE E TE < <>< < > ' < <' < > STRUCTURE ❑ HVAC ❑ ELEC ❑ PLUMBING Owner's Name Mailing Address Telephone 72 4-1 A sit �o,-� /6` ? 7Y / rt (? 0 ��` 70 3 Contractor's/Name Mailing Address l �\� elephane ' <,: , � > ?> '> > > > < >< i s ::<:::::: . EC' ` . L . D C ... ................ . T NR E SECTION ( ) �4 4 S C Building Address r // Subdivi ion Name Lot No Block No. .. 8~ /�c „,ieLa — —4 le.,...i. � 3 Zoning Lot Area Front Rear Left 4 Right f T 2 r-S � ft sq. ft. Setbacks J . J ( r ft. 7 ft. 4 ' ft. : : : V:: :::: ; ' .... i�RO. IECT: .: �:.. T'it....:.I�..:.. : :...E�. ::.;:::.. :;::.;: :::: ;.::.:::.;.;:.;;;: Nl ew ❑ Addition ❑ Raze Single Family Entrance Panel Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar ❑Alteration ❑ Repair ❑ Move Two family Size: o eit amp Radiant Baseboard or Panel s * ❑ Other Service: ❑ Heat Pump ce 9.1 ❑ ❑ ❑ ❑ ❑ ❑Other ,C nderground ❑ :•iler Water F$9- op ❑ ❑ ❑ ❑ ❑ • Overhead V entral Air Conditioning - : < : : - : - ::; :;: Ir e ther * ❑ Dwelling' unit will have 3 kilowatt or Ali: >; €iI�AGE> « ::< € :< >««<<'< >�<�s�`� ;� «F!d1tII$�I �1� .:::::::::..: :.....::::................... more installed electric space heating equip. I►_ . ncrete : : f ; $110 ` Infiltration control option is: ❑ Full sealing ttached ❑Detached Site constructed e :.. . ;::.:; . :.... :: : : : ::�^^s' CI Manufactured MI asonry Sewer of joints. El Blower door test. ❑Exterior :::::::;::: ❑ Treated Wood unlc i pa I air infiltration barrier. 1 o O� ❑ Other ::::: ........ E : . . : ..... : ... ;� : >S T+iIF<< >[ :[ Septic 7:$ t::: I }�'�':L Basements Sq . ft. Perm No. : . ... ......: . . ... ” "' Z,S 17 BTU /HR /�.p�,� 1 -Sto �: � ._ :> ..:::::::::::.......:......:..::::: ::::::.:::.:::: Envelope Living Area ( 07 1 Sq. ft. ry 3/7 'Q BTU /HR -Story Seasonal 1�1 ><�`��`:;<;::«< ::::::: >: >:> Infiltration ry ❑ L ❑ Other • er manent " ` 7 6 unici al Utility 74'?TBIL481''':':zz> Garage Sq ft P tY • Other rivate on -site Well $ The applicant agrees to comply with the Wisconsin if• Dwelling Code a • •ther Municj- Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no lega • I' "b . express or imp o the Dep- 'rent or Municipality; and certifies that all t e above information is accurate. /l'a2 SIGNATURE OF APPLICA .—� - - ,' . DATE CONDITIONS OF APPROVAL This permi is issue. p. -want to he following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. ..=4,11•1-% s r -d ?tatr.A...oc•-. _ f '6 4 ..../ ...,L, ..7 ›,,,_,g _.., ..................... ............................... :: ❑ TOWN ❑ VILLAGE CITY ❑ : : COUNTY Municipality Number of Municipality Number of Dwelling ::: : ❑ STATE ❑ EPEN Inspection Authority Location, if different J RI :: =PEN N _ «::::PEnit :: s' >' W S. UN !RM PERMR : :; >::<:> : »<> ::: € €:;::::::<: €: >: ::<!; i<: ::;::; >:<: >:<:<: >::::<:,:: >>:<> :: ::::;;;;;<:;;€ ;: <::<:: <: € € : ::;;:; Plan Review . . . $ onstruction g / Inspection . $ ❑ HVAC NAME I A v w ❑ Electrical Wis. Permit Seal(s) $ V V 11 Plumbing DATE .... O Other $ ❑ Other TOTAL . . $ '7' ) 'S Z 4. Z- CERT. NO. SAO SBD5823(R.4/89) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN, Inspector PINK — Owner /Agent 7 DATE ' NAME rU`'.e40 (`' v /`C- • ADDRESS LOT 2 . BLOCK WARD SUBDIV. V ®K O tt) l I. ZONE STREET NO. As✓ , `i oai4 0 P' ' AG'� LOT DIMENSIONS SIDEWALK EXISTING YES NON BUILDING GRADE ELEVATIONS STAKES SET AT SITE c .5\ 2 4- ,I99() BY N1 FEE: $15.00 r ...-- 6.-e.z../..//,,..e'...../57.,e ~' ` M DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above descr' +ed property a.ree t• have the grade established before excavation has commenced .411! iff 4z3/ 6 162 // City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address ®ro06`- /,t'� r-'" Owner Name ar k - Name of Subdivision RSC ekt Lot # ? 'S Bldg. Permit # /� Y -7. No. of Units Fee Required /o,f, Fee Paid ,/vim Owner's signature ����, / Date Inspector's signature Date .Y t 4 f Parks Subdivision Improvement Accts. Rec.: 362 -041 :ATE NAME I ADDRESS LOT - e-- - 3 BLOCK WARD S UBD 1 V. ' c- c elLi,t ZONE STREET N O . � , v, f LOT DIMENSIONS SIDEWALK EXISTING YES 1 NO 1 BUILDING GRADE ELEVATIONS STAKES SET AT SITE gS , 19 gg' BY FEE: $10.0 (9 -Aii- DEPARTM NT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation -ha . : .ced. , r 71 39'� /\ N k -- \ii V, ie Ltr , J , , { I 1 . 1 p ... -... r , 1 , ______] 1 i j i \ i s N. i , i 1 , r w Q c+ ti C H ( a -- -- � �t C w. o