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Home My WebLink About0033750-Building . //', CITY OF OSHKOSH N9 33750 PERMIT — APPLICATION AND RECORD TYPE: BLDGX HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING fe'/ FLOOD PLAIN HEIGHT ADDRESS 4 g1 6P / 07V elQ.GL &[ PLAN NO. 04 --4-3 OWNER DESIGNER � Q USE /NATURE OF WORK / zw ,0yc are -4.,1_ BUILDING CONTRACTOR ,440- it K4.40 - ( Size Sq. Ft. / # Rooms 6" # Stories / Height /7 Foundation ev't • Class of Const. Occupancy Permit HEATING CONTRACTOR /c7.v. — Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Cti'` Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR „AA/ 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 $ 30, 000. . c1 O Permit Fee Paid $ f 0 5 ^ . 0 0 Park Dedication $ /Oa r a d I SSUED BY f Date 5r /‘/ Final /O.P. Li /15l9'7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 72.17/2/4 S / A AGENT /OWNER DATE ADDRESS TELEPHONE # 4r" y C / o 6 Revised: 8/P3 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: 7 '( .,/l, eetite ,Gc ZONING: ile / PROPERTY OWNER /CONTRACTOR: ,4 (,,1_ ci1 ici5 - CONSTRUCTION DATA: CONSTRUCflU4 ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) /7-_ /f/ea,457/ - 676 COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS _ Use Lot Width _ Lot Area _ Floodplain Front Yard Side Street (frost yard) • Rear Yard Side Yard (R) :::i-::: Side Yard (L) Parting Spaces Building Area Lot Area Per Family _ Corner Lot _ Landscaping Transitional Yard Off- Street Loading _ Vision Clearance Height REV AUTHORITY: (- /f) The Director of Community Development, or desighee, 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. tPPROVED DENIED . ___ Plan Commission Action Required Variance(s) Required c REVIEWED BY: DATE: 7 1 E / ( ? 0 5 ....... Wisconsin De p rtment of Industry, WISCONSIN UNIFORM Application No. Labor and Human Relations BUILDING PERMIT 30;r5q---337S Safety and Buildings Division P.O. Box 7969 APPLICATION Parcel No. Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See instructions on back of pink copy) ::... :r: • PeitritititgOetitri:JK :::::::.:::::::...::::::::.:.:::::::.:1.,M::::: Constr 0 HVAC 0 Elec 0 Plbg / t.rosion 0 Other: Owner's Name Mailing Address Telephone No. (include area code) Contractor's Name Mailing Address Telephone No. (include area code) LotArea Aflitith deckareA /PA61.4.1 .a74 o al.0.4"difrf_ la ,,a/c16.41- PROJECT VOCATIOttilii Sq. ft. 1/4, 1/4, Section , T N, R E (or) W Building Address Subdijg Name Lot No. Block No. to PP )774 ,- Zoning District(s) Zoning Permit No. Front Rear Left Right t Setbacks e 140-1 ., t, i i 3 ft. j 75 ft. ( ( -. ft. 7 4 ft. 1 ::i:::::It.r*,,._: P t1:i:ittiE:4,1,;=:1Y:ii::::.!:::!::::::.:::1:11VA ' .:.;:" '.if:i . NT gi:1 Wed c• .. Y::::•L;&:.. ' 'ti..:::::::::::;::::::::iiii•:::::::::Ii:::::::::::i:::::: ,.-.; New D Repair i:". ingle Family Entrance Panel . 7 Forced Air Furnace F l Nat. L. P. Oil Elec. Solid Solar • Alteration 0 Raze 0 Two Family Size: ( O'0 amp • - adiant Baseboard or Panel ue Gas 0 Addition 0 Move 0 Garage Service: 0 Heat Pump Space Htg 4 0 0 0 0 0 0 Other (print): ,vice: 0 Boiler Overhead D Central Air Conditioning Water Htg 0 0 0 0 0 0 Other Ag.00141SAYPEI:::ii :X.:::fOUNDATIO: 0 Other * 0 Dwelling unit will have 3 kilowatt or , mm . ii . ::: ,. : . : . :*i . i ., i*: more installed electric space heating equip. 0 Site Constructed Concrete :110 ,ii:iptiomompog Infiltration control option is 0 Full sealing 2 ARIA:Iiiitil0EVED:::::i:Ii::::::::::::::::::M: 0 Manufactured 0 Tr Sewer of joints. D Blower ra door test. 0 Exterior air infilttirbarrie ,..,. .. .... : .... Unfinished Basement/A ft. i;W::$1001.0Siiiii;:;:: 0 Other unicipa I ,:...,....::...... klEATIASS.:::ttalcuiated):::::::::::::::: X,- Story • AiSt*:::::::::*:::::::::*:::::::::::::::::: e ptic Enve;) ...- 7. ,R, LBTU/HR Living Area /38e Sq. ft. 0 2-Story 0 S easona lope ,,„ 99 l IT Infiltration '77. tY ZOTU/HR 0 Othes Garage 5 74 Sq. ft. /3 0 0 Other unicipal Utility ilVeStii0kMAINGX0StMeni!N k PIus Basement Private On-Site Well $ --:° 0 o t) , 00 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 lie D ent or municipality; and certifies that all the above information i ccurate. ..-- APPLICANT'S SIGNATURE I— DATE SIGNED APPROVAL CONDITIONS Trehvisocpaetrimooitoisf this perm it o ua r n o t t t h o e t r h p e e f o o a l l I t o y wing conditions. Failure to comply may re ult in suspension or ...................................... tiiiiiNt 0 Town 0 Village Xity 0 County D State of: Municipality Number of Dwelling Location: NRISPICTION:i::::::: 0.,aotad-At 7 0 _ z„ 6 4 iiiiiimiiiiiiii::::::::::::::::::Nommogii:::::::::::::::::::::iiii::::::.:::::::::::::::::::::::::::::::iiipoovoust::::::::::::::WMUNIFOROPERWOr :iiiiiiiiiiiitititiiiiAgionamimminnianiamiii",1"i. i.i : Plan Review $ V10/0 0 instruction nspection $ 0 HVAC Name Wis. Permit Seal $ .50 .0 Z 0 Electrical /2.4 --97 Date ---V4 /93 f. Other $ 0 Plumbing rosion Total $ 70-120 ) 1T Cert. No. SBD-5823 (R. 07/92) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner/Agent '() g— CATE S / — 19 3 NAME "Erate-4 ADDRESS LOT Y 1 BLOCK WARD / SUBOIV. i t 0 ZONE STREET NO. .0-<ID il LOT DIMENSIONS Ei SIDEWALK EXISTING /)10 c ' '`am ' YES NO BUILDING GRADE ELEVATIONS STAKES SET AT SITE /"' Vic^'' ' BY FEE; J X15.00 "'MOB DEPARTMENT OF PUBLIC WORKS 1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 04'743 City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address vASIP/ ) p./'.�64! Owner's Name ,, ,« , • Name of Subdivision . e�,,e-c -- Lot # Bldg. Permit # 33; No. of Units / Fee Required /00.00 Fee Paid • • • Owner's signature 6.11(4 Date 5-it Inspector's signature %Lz - Date 5) Parks Subdivision Improvement ',cats. Rec.: 362-041 6 ; : ; • , ' ' I I I . . 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