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HomeMy WebLinkAbout0003350-Building 7 CITY OF OSHKOSH No 03350 PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING l". 12 FLOOD PLAIN HEIGHT__ e4 ADDRESS /3 30 /11 r t° �Gc a, 1- PLAN NO.RF 3 -415 OWNER t Lc F -S h e P- / 7 ✓® DESIGNER `' J('Cx (- a - ec_tf USE /NATURE OF WORK % - _ W x / BUILDING CONTRACTOR P•t --S C -" AD L.,4 -# Size -12 X Y Sq. Ft. / # Rooms ` # Stories / Height /141. /141. Foundation S 614 ( re 1 on � Class of Cony. 7 a Occupancy Permit IS Q- .cr � >°�� ; �( hp," HEATING CONTRACTOR e Gl1l�l/lP r Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 0 l/ et,. S Electric Serv. New ❑ Change ❑ Temp] Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR IT k BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuations • o> e)f • epaid $ V • Park Dedication $ ISSUED BY . ii I` - Date - 7 Final /O.P. 7- 9 g7 In the performance of this work I a re : g e f all work pursuant to rules governing the described construction. SIGNATURE �i� /� C .ee/k 4--17 7 AGENT /OWNER DATE ADDRESS /7■ (b:a Ati 4 . 233 TELEPHONE # P48 ` 37 '$7 State of Wisconsin � Department of Industry, WISCONSIN UNIFORM Labor & Human Relations BUILDING PERMIT • APPLICATION NO. J Division of Safety & Buildings Box 7969 APPLICATION Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. - . RUCTURE ❑HVAC ❑ELEC ❑PLUMBING Owner's Na e Mailing Address Telephone ,i _4 e +T' et— , 2 YitiefI Contractor's .me _ / Mailing Address Telephone " Y< Ya, SECTION , T N, R, E(or)W Building Address ` Su d isio Name Lot No. Block No. 1 33© il0 r e( / /�J K i , , �.J �'[ CJ L c e r Zoning District Lot Area Front Rear Left Right Sq. ft. Setbacks 4S ft. ft, f� ft. ft. :' d *CT ?JOE x E ;` " -6. E!1.EC1 R1 L EQIIIiPMENT` ,'1Y. °ENERGY SOURCE . . ew ❑Addition ❑Raze Ingle Family Entrance P el ► orced Air Furnace Fuel Space Htg. Water Htg. • • Iteration ❑Repair ❑Move ❑Two Family Size: amp ■ 'adiant Baseboard or Panel LP Gas ❑ ❑Other ❑Othererve: 0 Heat Pump Nat. Gas �- ..:§s-- .itSlJnderground ❑ Boiler Fuel Oil ❑ ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ -1bi.' o RAE 4.x * ' ° TYPE 7. P s> 1404 g '' < ❑ Other Wood ❑ ❑ w. :i ❑Detached Niteconstructed = concrete ,,a of Solar ❑ ❑ 4• - ❑Manufactured ❑Masonry a Coal ❑ ❑ - �. OTreated Wood Municipal Other ❑ a tic r Basements /©61 Sq. ft. STORIES p 9 , A'# , LOSS t a Jtat Permit No. /0 . ory 8, USE Envelope 7 2OOBTU /HR Living Area Sq. ft. 02 E Infiltration /><7 BTU /HR ❑Other ❑Seasonal �' T Garage Sq, ft. manent ❑private on -site Well LJOther u � nicipal Utility $ ‘/6 0 The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liabi • y, express or implied, on the Department or Municipality; and certifies that all the above information is accurate. SIGNATURE OF APPLICANT a DATE l —,,I— 2'7 CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca- p ,/ tion of this permit or other penalty. C g. r ec`. . .04-(.= .1 _dlp [ c fr . r.'" 4 07 r it " ..." 'y s ' 0 1'1 4k ` - !" Pea lam- '� f'r4 / - 2c 111 V r C / I / _ /, 1 - y � � y 1 tc / r' fir' /// ,4 ( r h -'1 Zr"? , _ , Imola ❑TOWN ❑VILLAGE ITV ❑COUNTY Municipality Number Municipality Number of Dwelling t ❑STAT PEN Location, if different SCT� OF: FEES: PEF { D ' Wit VI IA M . C ' PERMIT D = Plan Review $ 01/0 onstruction neiN ■'VAC Its Inspection $ NAME /A �: hR Z O ❑ Electrical 3 Wis. Permit Seal(s) ... $ ,0 ❑Plumbing DATE — ' Other TOTAL $ 7f) ❑Other -S�.? CERT. NO. 17 , DI LHRSBD 5823 (R. 11/84) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent ZONING/LAND USE COIVLIANCE CHEMIST I. GENEIRAL y Building Permit # 61L /n� Conforming Non—Conforming Job Location / r30 / rre S� It Dimension ) 7 / 0 Property Owner _, ,0 (t' y " ; . -N l' v ---- It Area II. CasISTRI TICiq DATA / , Describe Work: �r' r� c.J 3 r7 W � � i C G c, �c.c. 4 NEW CONSTRUCTION ADDITION ALTERATION — Accessory Building _ Pool ingle Family Fence _ Deck/Patio _ Two- Family Boathouse Sign _ Multi-Family Utility Structure _ Porch _ Commercial Other (spay) — Manufacturing III. COMPLIANCE CHECKS • Carplies Deficient Deficiency /Comments I Use ✓ _ Iot Width l/ Lot Area `/ _ Floodplai.n ...../ Front Yard - `/ Rear Yard k.Z — Side Yard (R) ✓/ Side Yard (L) V / Parking V Building Area _ — " Lot Area per Family r/ Corner Lot Other (specify) 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., siding, windows, etc., when the use is conforming and when no change of use is proposed. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Planning Director. L� APPROVED NOT APPROVED Plan Carmission Action Required Variance(s) Required REVIEWED BY: 1'—_ DATE: City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address / 0 /f f `�� Owners Name .�C1a n l ; r- Name of Subdivision ,' #- Lot # Bldg. Permit # No. of Units / Fee Required J©• Fee Paid /00 Owner's signature � , Date * Inspector's signature `11,,1'Wf� Date CY1r.1. �� ( ( � Parks Subdivision �G"` Improvement Accts. Rec.: 362 - 041 DATE /``r7 NAME‹ cc.✓t fey = �� ! ADDRESS Q.a. (7 > 7 c,- 1 S� LOT 2-, BLOCK WARD .I�kD S U8O1 V . K c _ L -v }jG, ZONE STREET NO f /art /cut LOT DIMENS IONS SIDEWALK EXISTING YES [::: NO IR BUILDING GRADE ELEVATIONS STAKES SET AT SITE Cl_ ,19 8 " 1 BY gip.: FEE: $10.00 � 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. ,k 7