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Home My WebLink About0033740-Building 41) CITY OF OSHKOSH 0 N2 11740 0 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ( FLOOD PLAIN HEIGHT ADDRESS c2a C / )770727 /.L PLAN NO. 6710 tF 0 S q 3 iZ OWNER DESIGNER �A �; ,� USE /NATURE OF WORK $ ,I *( �,(� V i s 44 . BUILDING CONTRACTOR 64 t ,144 Size /1� Sq. Ft. /ZS V # Rooms to —3 # Stories Height /l Foundation 65 Class of Const. Occupancy Permit _AV_ HEATING CONTRACTOR 06 l w.d` / Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR L.Ui !ter Electric Serv. New ❑ Change ❑ emp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR N 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 $ at DOD, be Permit Fee Paid $ / D .S Park Dedication $ /000 'O ISSUED BY 2#4 441/.�'' - Date 4 /(o Q Final /O.P. // "4 /3 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE )E.. P-...." — I AGENT /OWNER DA ADDRESS TELEPHONE # Revised: 8/P9 • ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: ?J (0/ Gc. ZONING: PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: ANEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) -&- ) JP/C boo 4. �• COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS _ Use Lot Width Lot Area Floodplain Front Yard Side Street (frtnt 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: L� CA The Director of Community Development, or design , must approve all plans, 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 designee. / l./APPROVED DENIED Plan Commission Action Required Variance(s) Requi -• REVIEWED BY: / 4 GATE: r V?, )91 ezi-t-rii.idi x e 1 6 ( .0 Y 3 X Wisconsin Department of Industry, WISCONSIN UNIFORM Application No. a uman Revision Lbor and Hlations BUILDING PERMIT 337q0 Safety and Buildings Di P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) PERMIT gEtiutstaciiii X PI bg Erosion El Other: ....................................................................... .....................................................—........................................................—............ ............... ...................................................... ......................—.........................••••............. Owner's Name Mailing Address Telephone No. (include area code) Contractor's Name Mailing Address Telephone No. (include area code) iift ie‘i■' 1 7 4 a ‘4Aca - fef 404.4.0/G oitoitOttiltilAttoriigl- Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address Subdivis Name Lot No. Block No. r-,16 / el#.1.:‘ al,e.A.-- "Ole (1 0 ZoningXrict(s) Zoning Permit No. Front Rear Left , Right — I Setbacks l r r. 30 ft_ 7 S --- ft. 7 4 ft. 7 0 /f ft. iiIiiii ... '''' '' iiiiiiiiiiiiiiiiiigiiiiniiiinalliiiiiiniiirqi•;.::'.7.:7;7:17621E ..:: i:=::.;.' ''''''''''''''''''''' ' ::::.:1041C:::;ti:::: ... x New 0 Repair ■7 ingle Family Entrance Panel * .,: orced Air Furnace Fuel Nat. L. P. Oil Elec. Solid Solar 0 Alteration 0 Raze • Two Family Size:/t9G amp • Radiant Baseboard or Panel Gas * 0 Addition fl Move D Garage *Vi e: 0 Heat Pump Space Htg 0 0 0 0 0 0 Other (print): Underground 0 Boiler Overhead 0 Central Air Conditioning Water Htg 0 0 0 0 0 0 Other ccossuriPE::::: 7.0. FOUNDATION :i * 0 Dwelling unit will have 3 kilowatt or ......„,.....,........... more installed electric space heating equip. / 15Zite Constructed XConcrete 13 1.E1 0ii .( ; :t 0.;. 7 0 r- M ..... BOW:::i::::Mein Infiltration control option is: 0 Full sealing ii.AREkitivotveccomion 0 Manufactured D B_ T 0 0 d of joints. 0 Blower door . Sewer air infiltration barrier test 0 Exterior 72 . Unfinished Basement,05q. ft. ;:4°:1:":51-O-41-E3 ?Kl'sv1unticipal : :iii11:0341iifitatOWItattiiiAtititiiiiiiii!iii!i 0 1- Story i llk i iI 3 SEMMini i i l i ' Mi l i i i El Perm No. Envelope 3/ 8 i (4 • I BTU/HR Living Area / atfIc Sq. ft. 9 2-Story 0 Seasonal AliEW Infiltration / (070 g • ..‘ 3 BTU/HR Garage 600 s ft Pl XPermanent xunicipa Uti m-... ......... ... 1 ....lity ......--------- wittatitibiligto§f D Other , 000.0a , Plus Basement 0 Private On-Site Well $ 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 im • , on the De m nt or municipality; and certifies that all the above informat n is Jcurate. APPLICANT'S SIGNATURE 4-- DATE SIGNED r) APPROVAL CONDITIONS This permit is issuld pursuant to the following conditions. Failure to comply may resu in s pension or revocation of this permit or other penalty. • JURISDICTION t...$0.71.71?&16:1:::!::10!:::fiiill El Town D Village Aity fl County 0 State of: Municipality Number of Dwelling Location: ............. . ... ............................ 0,4404-1.- . _a - igliUNIFoRMVERMir ::::iiiiiiifiiiiiiiiiiiii:::::::::i:::::::::::::::::::::::::::::::::::::::::1::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::0 ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::„:::::::::::::::::::::::,::::::::::::::::: • : • .:::::::::::::::::::::::::::•:::. •• . :.:: • .•::::::::::::::::.:::::•::::::::::::::::::::::::::::::::::*::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::,:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::,:::::::: Plan Review $ 4 140% 00 tr.c H k)instruction iti,elaAML- Inspection $ AC Name ieLt.- Wis. Permit Seal $ .O. 0 0 0 Electrical Other $ Plumbing / 2 ‘ fg ' l ? Date S A .3 rosion Total $ 70 . on fl Cert. No. 2 • S SBD-5823 (R. 07/92) ... WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent ...,0 X.- / � CATE S,S/F3 N NAME , /,�d t 9' ADDRESS LOT V 3 BLOCK --- - --- - -_ W D /? SUBOIV. i ZONE STREET NO. .2n 7 / LOT DIMENSIONS SIDEWALK EXISTING YES [I] NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE "' ? ,19 9 3 ByC K FEE: $15.00 DEPARTMENT OF PUBLIC 'WORK_ I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. tn /jr City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address :284)/ 0 7 v.t to Owner's Name A?. eA /', z rd- '. Name of Subdivision Lot # "13 Bldg. Permit # 33 7‘Fo No. of Units / Fee Required /pogo() Fee Paid /00 . c `7Z---- Owner's signature Date f/ q Inspector's signature /14V6v.0..4, Date d6/9 Parks Subdivision Improvement Accts. 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