HomeMy WebLinkAbout0025817-Building T _
/� CITY OF OSHKOSH N9 25817
♦' PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ('/ FLOOD PLAIN HEIGHT
ADDRESS 2 0 T q ( 7 # C C 69. PLAN NO.- 1/0 / O f / ( -
OWNER ‘7-0-1?-11-4 4 rC R eel-
DESIGNER �!
USE /NATURE OF WORK fz,c-c,L) ,6P/1 (C✓ '' ,'
BUILDING CONTRACTOR &ee - 721A.
p c/ f
Size . 94 9- Sq. Ft. a/ T ° # Rooms 3 a , # Stories 7 "' Height Z �
Foundation Class of Const. Q Occupancy Permit
HEATING CONTRACTOR 4(...e.,( A)-(.4
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR e61/1,2b972 Ch an a Te m
Electric Serv. New Type Volts Am
❑ 9 ❑ Temp ❑ YP Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 4 a
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 A 60, 000.00 Permit Fee Paid $ /M 0 0 Park Dedication $ 60.0 0
ISSUED BY �.�C.�G �'t- Date /0/0/9/ Final /O.P. / /a 3
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / / IQ - /6 //
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: �k�� _
e,
vi ZONING: ___LI_______--
PROPERTY OWNER /CONTRACTOR: -�0,
L
CONSTRUCTION OATH: l/NE CONSTRUCTI{N ADDITION ALTERATION PARKING LOT
TYPE OF P!'POSED CONSTRUCTION: (i.e. fence, pool, 3Z, deck, i S� , O PD ,..,,
COMPLIANCE CHECKLIST (Check only those applicable)
DEFICIENCY /COMMENTS
COMPLIES DEFICIENT
______Iii Use
Lot Width
Lot Area
Floodplain
_ Front Yard
Side Street (from yard)
Rear Yard
Side Yard (R)
Side Yard (L)
_ Parking Spaces
_ Building Area
Lot Area Per Family
_
Corner Lot
Landscaping
Transitional Yard
_ Off-Street Loading
_ Vision Clearance
Height
REVIEW AUTHORITY: Cam.-_! /dp // /
,
The Director of Community Development, or des ' nee, must approve pt the
all plans, , ex except no change
following: (1) Alterations or interior work hen the use wisd ri ng when t now chin ange
use is proposed. (2) Maintenance items, e.g. siding, is
conforming and when no change is proposed.
Instances where work complies with the above
ir criteria, the
empermit 0 bemre reviewed d , or
Building Inspector withou / t referral to the
APPROVED _ DENIED
Plan Commission Action Required
Variance(s) Required
4 �A� �- DATE : ei
1 /10 /'D9 //
State of Departme Ind WISCONSIN UNIFORM
Department of Industry,
Labor & Human Relations BUILDING PERMIT APPLICATION NO. 2SP7
Division of Safety & Buildings
Box Madison, Mad n, WI 53707 APPLICATION
Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO.
................. ..............................
.................. ..............................
................. ..............................
CONSTRUCTION ❑ HVAC El ELEC 111 PLUMBING C OTHER: Tele hone
...
Owner's Name Y Mailing Address p
Contractor's Name Mailing Address Telephone
.e a u 2 '74'0 /111 I& { r(
Lot Area
tIr OCL1T #
Sq. ft. /.. /., SECTION T (or)W
Building Addrss ........ % �,4 Subdivision ame Lot NNoo.. ( Block No.
Zoning Distr t(s) Zoning Permit No Front Rear Left Right
Setbacks ft. ft. ft. ft.
' .PRO:INI °:...... : ,. .::' .3: Oc lncy ::6::.EL T Jc 9.: )4VAC RIP EN 1.2. ENERGY SOURCE !!
New ❑ Repair Single Family Entrance Panel 'Forced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar
*
Alteration ❑ Raze ❑ Two family Size: /O' amp '❑ Baseboard or Panel as
❑ Addition ❑ Move ❑ Garage l S er ervice: ❑ Heat Pump Se m9• ❑ ❑ ❑ ❑ ❑
❑ Other tlJnderground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑
❑ Overhead ❑ Central Air Conditioning
❑ Ot her * ❑ Dwelling unit will have 3 kilowatt or
< 'T'YPIE; F,O P DATIOIII heating equip
.
❑Other P more i nstalled electric space eat g
�r
Ite cons KConcrete 10 LUMBIN u control option is: ❑ Full sealing
. LJ Manufactured ❑ M er of d oor test. Exterior
lion contro
�: #NEA>�VEI#; .::. : is ❑B lower d
8 Wood M unicipal air infiltration barrier.
1l( /o '.' ❑ Other ❑ Septic 3 ::IMAM LOSS Calculates
T
Unfinished Basement q, ft :":..SXORIES :':: '
Permit No.
❑ 1-Story ;> Envelope 318/'7 *1 0 BTU /HR
Livin Area �� 0 S . ft. ry
9 q
t
° '7C�
2 -Story ❑Seasonal 1:.:11�tA7EI : ; Infiltration BTU /HR 3
/� O er Permanent Garage kkk��� Sq. ft ❑ether Municipal Utility 44
_,,, -, ILD1� COST
❑ Private on -site Well
❑ Plus basement $ 70 a00,0
The applicant agrees to comply with all applicable codes, statutes and ordinances and with the conditions of this permit; understands that the issuance of the
permit creates no legal liability, express or implied, on the Department or Municipality; and certifies that all the above information is accurate.
SIGNATURE OF APPLICANT Thi DATE /d -4 S'' 9/
. CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
.' / /
x W- SIUd % / ie. -
i via-a_.7.( ic, 'a ,i.-i-ty,- . ,1A0f - .aer /"..e&10
��� . ,ate
7 /
w ` 0
................ . ..............................
i ❑ TOWN ❑ VILLAGE :I CITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling
.._::.:::.: :: ❑ STATE ❑ D PEND' Inspection Authority Location, if different
JMRISDIC N z_ fJ
PERMITe) a11St..UNJFORAlt PI?I wIIT
Plan Review , . , $ d a Construction
HVAC NAME 2
Inspection . . . . $ ❑ Electrical 97 b Z?i
Wis. Permit Seal , , $ 3" 0 ❑ Plumbing DATE /0 7 , l/q /
Other $ ❑ Other
TOTAL . . . $ 70 . O ° CERT. NO.
31313 582. r3L90) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent
DATE
NAME 4,34E-6,6i,(-X,A,ae,(1, ADDRESS
LOT 9 WARD /--)
SUBDIV. ZONE
STREET NO. ; )-7 7A7eAeZetf--A -6 t - "OI" DIMENSIONS
SIDEWALK EXISTING YES 0 NO 5E1
BUILDING GRADE ELEVATIONS STAKES SET AT SITE CC* ,I9 9( BY_6;g
FEE:ft6700
1/51,ce
/1
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.
001431 cmx.,1
City of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address c2S /
Owner's N a m e k o . 1( , ,4 4 - ram`
Name of Subdivision ,1-(
Lot #/ Bldg. Permit #
No. of Units
Fee Required /
Fee Paid
Oo.Ov
Owner's signature / // Date /D~
Inspector's signature Zu,(juritrt Date /C)/
Parks Subdivision
Improvement
Accts. Rec.: 362 -041
H d'
o
I)
O
ul V W ,
1 p Z J , ,
IA' 0 Q
N r N N • U
V . • ( D 0
St h
O to
N p 1 0 Z 0
c,
0 to
PG (1) 1 O U 0 1
o
to v) 1
. t +► o v) `' "
14 ko v) Pd 3 W
W r w 2: 'c Cl �� .. 4' z J
Q
C7 N A N cn a-
W J W c W
Q= p < 1 13 2i1 S (9 o v) •
o U < v) ..J
T IW > W
J W J
W
w 1 W
. ^
W ` .
0 1 O
v
i
F-
Z-1, ul ILI
t r • ) L- 1 ce
ry
I W
.I .
W
> 1 Cr- w
w _1 w
E7 ( r I9 /) V
lis