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Home My WebLink About0017583-Building CITY OF OSHKOSH N° 17583 PERMIT — APPLICATION AND RECORD TYPE: BLDG w' HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAINS HEIGHY'" ADDRESS / l ro Co G- Ze PLAN NO. I r ` ` 3 0 k ff Q. OWNER &6-11 �PG. KE"IP DESIGNER +J j � USE /NATURE OF WORK �i .c] E r le-- 41 ''re r` BUILDING CONTRACTOR f? l! S Sq. Et # Rooms Z ' # Stories f c` Height Foundation /1 Class of Const. Occ upancy Permit HEATING CONTRACTOR l 9+-‘, Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR ti .p r`ee Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ��2 _ 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 : 101) / Pe ' ee Paid $ Park Dedication $ /0° i ISSUED BY � .� % � ` // ..i Date Q Final /O.P. 7/02 5 /PO In the performance of this work I agre- to perform all work pursuant to rules governing the described construction. / q SIGNATUR: • - a .�JN / v a AGENT /OWNER DAT / ADDRESS < // 3 3 [d as TELEPHONE # 121 - 3 ?e State Of Wisconsin WISCONSIN UNIFORM Department of Industry, 7 .°- Labor & Human Relations BUILDING PERMIT APPLICATION NO. ( --Cal. Division of Safety 8 Buildings Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO. PERMIT: R EQESTE ' �y .�SLSTRUCTURE Li HVAC ELEC 1 PLUMBING Owner's Name : . :;;: Mailing Address - � Teelep � hoone c c - y t< e — 1 3r© o r a e, Cam ti- ?..--1 " 3 /0 Contractor's Name �: Mailing Addres Telephone C' IDi o w.ex-- .............................................................................. ............................... ................................................................................. ............................... .............................................................................. ............................... ................................................................................. ............................... ............. ................................................................. ............................... .. ............................... PRO < Ya, I A, SECTION , T N, R E (or)W Building Address Subdivi on Nanpa Lot No. Block No. 3f0 r- r .�. C eti - . b --,fie Zoning District Area �-qq Front / Rear Left , Right �j ( /0v [ ( Sq. ft. Setbacks ' _S — t ft. 7 L' ft 2_?- ft. 1 a.::PROJECT <; 3. TYPE 6. ; ELECTRICAL ! S. 'HVAC: EOL.IIPMENT :12.:: ENERGY SOURCE ❑ Addition ❑ Raze_ �I -l-o ngle Family Entrancq Par I rced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar teration ❑ Repair ❑ Move ❑ Two family Size: amp ❑ Radiant Baseboard or Panel s '` ❑ Other Service: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑ Other _Underground 0 Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ verhead ❑ Central Air Conditioning :::. :.. .:::...:...:. :.:. ::..::.:.. . * ❑ Dwelling nit will have 3 kilowatt or 113 GARAGE is 4 :TYPE 7 : .:FOUNDATION ❑ Other g • more installed electric space heating equip. Attached . p Detached ite constructed oncrete 10 ; PLUMBING Infiltration control option is: ['Full sealing ❑ Masonry Sewer of joints. ❑ Blower door test. ❑ Exterior . AIrIA Manufactured ❑ Treated Wood ...,--municipal air infiltration barner. k ❑ Other Septic 743.1:: H#EAT:LOSSS {Calculated} Basements v Sq. ft. S 5 "TORIES Permlt No ❑ 1-StoryE Envelopes .3649 BTU /HR Living Area til.___sL Sq. ft. I-1 2 -Story ❑ Seasonal 11 WATER : Infiltration ` a BTU /HR Garage Sq, ft, Other .ermanent unicipal Utility I4 ;:ESTIMATED COST 5t I PuP Other Private on -site Well $ The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, express or im lied, on the Department or Municipality; and certifies that all the above information is accurate. / � SIGNATURE OF APPLICA L 2 1 ( — DATE CONDITIONS OF APPROVAL This permit i issued pursuant to the following conditions. Failure to comply may r-sult in suspension or revocation of this permit or other penalty. ,----e... s 7 7 6 :)''C..t.A..1,--f---: 4-4 ISSI ID TOWN ❑ VILLAGE ITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling ID STATE �p IN�pDEPENgqE� Inspection Authority Location, if different L RISDICT N OF J'kc l _Z C- -_ PERM.fl S). W : J ORM:PERMIT BB 3PI CISSN8 �S' Plan Review . . . $ .. Construction L� HVAC NAME A /4(> Yl i _ Inspection . . . . $ ❑ Electrical G Wis. Permit Seal(s) $ C .-7 ❑ Plumbing 7 DATE `%C/ c e 0 Other $ El Other F f 7 ?S / TOTAL . . . $ 7� CERT. NO. '0 SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK —Owner /Agent Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: /3/o detto ZONING: ?�/ PROPERTY OWNER /CONTRACTOR: c CONSTRUCTION DATA: 'NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) /7itom) COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area Floodplain Front Yard Side Street (front 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: C- g"-&--7 I CJ The Director of Community Development, or designee, must approve ill 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. APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: //! _� ✓i DATE:_ �� 6 City of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address A 3fo / v - a,1 Owner's Name 4 e r Name of Subdivision a t 1/4- µ e/ Lot # _.„,.. Bldg. Permit # / No. of Units Fee Required /e-DO Fee Paid / Q Q .. _ �� Owner's signature . AZ ' ' / . e 2, Inspector's signature �f��., r� /Date O yn / i Parks Subdivision Improvement Accts. Rec.: 362 -041 I DATE l�b NAME r- � e r ADDRESS (// / LOT ,� C� %/.c /;u -u�/ BLOCK WARD /2.."/ U ZONE STREET NO. (3/0 , 4 oN - at"' LOT DIMENSIONS SIDEWALK EXISTING YES Q NO t BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,19 BY 6\ FEE: $15?. : 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. I� 0 401 //' / , 1 a ......... I 1 ....0 I . 3 1 ! 1 il 0 i *4*( 1 / / ' 6 , 1Z0 i . , • , ! 1 - •,,g1 , 1 1 1 0 -- ) ...--... ' 1 0 f-.7 s ts:-')i r- • ; ,--- ., ---- 7 !'Z ,..,,.. 11 zi /.::, a - -- -- 7 9 4, 4:: i ---- N . , ) k.- 1 4 0 t 3. 1 /0 - 7 1 I 0- ....) __