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HomeMy WebLinkAbout0007518-Building 4 CITY OF OSHKOSH N2 07518 PERMIT - APPLICATION AND RECORD TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ZONING FLOOD PLAIN SL HEIGHTw� ADDRESS %, - '-/ " o I Q-A, ( r" / ct C--e- PLAN NO.. 4 ,-: eFk OWNER - r-A—L` e -p."4— (.J Z 0 I, DESIGNER r USE /NATURE OF WORK_ r� (� #-%. C t r' BUILDING CONTRACTOR 004-) „ / I ' ' !, / Siz X Sq. Ft. �`ir # Rooms G4 ' - pa # Stories / Height n D Foundatio m - .i-P. O Class of Const. Occupancy Permit HEATING CONTRACTOR �. Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 0 Lt #A.”- I J Electric Serv. New ❑ Change ❑mp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 4 r,rJCT BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ 'S � �ys � /Per r ; y� V J '.'ee Paid $ � Park Dedication $ (9 ISSUED BY 14 <<..�7!!,-.1. ✓/ Date - ? f " -2 ? -2.-- Final /O.P. 9` 30 -2S/ In the performance of this work I .. - - t. perform all work pursuant to rules governing the described construction. SIGNATURE r ./akete /O - //p ^ ' A GENT /OWN ,A ADDRESS TELEPHONE # G3— r State of Wisconsin Department of Industry, WISCONSIN UNIFORM APPLICATION NO. Labor & Human Relations BUILDING PERMIT 7.'6 Division of Safety & Buildings Box 7969 APPLICATION Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. >` b "�` � RUCTURE ❑HVAC ❑ELEC ❑PLUMBING Owner's Name Mai 'ng Address Telephone Z O �?.� ,- X3 — 8'z.o Contractor's Name Mailing Address Telephone ° t '/4 '/4, SECTION , T N, R, E(or)W Building Addr Subdivision Name Lot No. Block No. � � frtypi - a. 6 e-- / jC L S� ! g� Q Zoning District Lot Area Front Re Left Right i a- t S q. ft. S 2 ft. w a ft . /� ft. ..s ft. 81 „,- . ° �. s ° Fs 01 a' 1 a a s ew ❑Addition ❑Raze ingle Family Entrance Panel .t;-. orced Air Furnace Fuel Space Ht� Water Htg. Iteration ❑Repair ❑Move ❑Two Family Size: `49 amp ❑Radiant Baseboard or Panel LPa Gas q 0 ❑Other ❑Other Ser 'ce: ❑ Heat Pump Nat. Gas p� �• nderground ❑ Boiler Fuel Oil ❑ ❑ ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ ' F�� ,- ° - e o ' , ❑Other Wood ❑ ❑ ' ttached ❑Detached �� ite constructed �'=� oncrete 1 I a Solar ❑ ❑ ❑Manufactured ❑Masonry Se er Coal ❑ ❑ t .. ° ° ❑Treated Wood ':., unicipal Other /= y ' J ❑Other ❑Septic "ens. Basements feZ, 9 Sq, ft. � a -1• °'. i Permit No .. 1 ❑1 -Story -. LJ$ Envelope 1 BTU /HR Living Area Moo Sq. ft. 92-Story z „ > Infiltration SDGO BTU /HR (,, Q 1► her ❑ •asonal Garage 0 S q. ft. ' 1 eowl �� ❑private on -site Well � i „tut � ❑Other � unicipal Utility $ 6 7coo The applicant agrees to comply with the Wisconsin Uniform Dwel ' . Code an. other Muncipal Ordinances and with the conditions of this .ermit; understands that the issuance of the permit creates no legal liability, ex. implie. o the Department .r Municipality; and certifies that all t above ' formation is accu rate. , SIGNATURE OF APPLICANT /--2 _ - DATE CONDITIONS OF APPROVAL This permit is issued purs .nt to the following conditions. Failure to comply may result in suspens or revoca- .�+ r ( tion of this permit or other penalty. � J cabOtti , `— i--s —ls-,'C S Ol $ ,i- 1 ti , d - ` . _. • . . r _ / -, s P V...- P ' • • • / ' . e ` sit - — . _ er- 1 e _ r 1- , J'1 .r ��% ' /AFILICi'� . r � [ / di'J� IC v p- a Cry tt 4 t o r J l (l” •.!� f `"t9 - P • G n V r �c yl f. O f/ 1°Q j; • tl •I - lsz. d I 0- . i la-.- i .1 -a i . ice h — .'� ' ❑TOWN ❑VILLAGE ITV ❑C OUNT Y M unicip al it y Number Municipality Number of Dwelling ❑STATE I PENDE T Location, if different OF: ��� CPS 7 © — — — — — FEES: Q .. € T ` Plan Review I $ t5 i onstruction ■HVAC NAME / 1 ff - A a s Inspection $ El Electrical Wis. Permit Sealls) ... $' ❑Plumbing DATE 1 • Other $ ❑Other �f TOTAL $ --pp 6 O l 2.-?....... CERT. NO. -Rlf7 DILHRSBD 5823 (R. 11/84) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent .S 7O ©o ZONING/LAND USE COMPLIANCE CHECKLIST I. GENERAL Building Permit # Zoning 1' f Conforming Non--Conforming Job location ) "(0,0r r- It Dimension Property Owner...X: i Iot Area - II. C1ONSTRUCTION DATA c ? ' Describe work: C° c,_) S X NEW OONST IO�i __ ADDITION- ALTERAT/ON _.._ Accessory Building Pool -25: Family Fence _ Deck/Patio 70x)--Fishily Boathouse Sign _ l�iiti- Faatily Utility S _ Porch Other (specify) Manufacturing III. COMPLIANCE CHECKS Complies Deficient Deficiency /comments Use lot Width Lot Area Floodplain Front Yard Rear Yard Side Yard (R) Side Yard (L) Parking Building Area Lot Area per Family _ ,% _ Corner lot -- .- Other (y) WSZVO 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 siidirag, windows etc., when the use is conforming and when no change of use is proposed -;, Instances where work complies with the above criteria, thy. prat q ba reviewed by the Building Inspector without referral to the P fanning Director _ . APPROVED NOT APPROVED Plan Commission Action Required Variance(s) Required REVIEW BY: ; A f DATE: �70, DATE `Z ft - g r NAME w �v - pu n (J . ADDRESS - 2- , I 4 4,! .L. ,rii it" LOT C) BLOCK WARD S UBD I V .. pc ` F K e-. °ZONE ( STREET NO. ‘ 3 f 4 i,71 lG t r P4 T OI MENS IONS SIDEWALK EXISTING YES NO E BUILDING GRADE ELEVATIONS STAKES SET AT SITE 1 , 19 8a BY ei,i FEE: $10..0 0 (3 • j DEPARTMEN OF PUBLIC 'WORKS `/ I, the undersigned, owner or agent of the above -escr'•-r.perty agree to have the grade established before excavation has comme 'ed. 7/17 r 3789 8 City Of Oshkosh 1/1/85 • PARKLAND DEDICATION FEE LLECTION RECORD Addres J i / , ,f),.` Ct r-'_ Q. e -4' Owner's Name �f , -e.rj., ,.�,1...,: . { Name of Subdivision �� -.t .� '�,, - ' � / --r .- Lot # Bldg. Permit 1 `' No. of Units .... Fee Required ( 0 0 Fee Paid /0 Owner' s signcture ,//' / '/� '•¢' t /' f /Date i / " � ` �( °, !� :,:.1'' _ , Inspector 's signature A( Date "" r , 1 � t . 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