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Home My WebLink About0043529-BuildingI �O CITY OF OSHKOSH N°_ 43529 n PERMIT - APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ' L FLOOD PLAIN HEIGHT - - - -% ' -- - -- � ------------------ - - - - -- ADDRESS OWNER �_-C.N DESIGN USE /NATURE OF WORK Size 1 RE(— Sq. Ft. ► `"t JV # Rooms T M 'M + # tories '^tom Height. Foundation �0NUIETe— Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR CyAmN6s Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts__ Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR A — BT — WH Disp WSoft — CBasin — Lav _ Sh — DW DF San. Sewer_ — WC _ FDr _ SP — Ur — Storm Sewer Sink — LTub — Eject __SS Other Water. Q D7 ii 8Q• Park Dedication $ «` FEES: Valuation Permit Fee Paid $ l ISSUED BY Date — C1 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE-771, IGNATURE � AGENT/OWNER DATE ADDRESS TELEPHONE # JOB LOCATION: L-(57 1 r�Q - � olASc PROPERTY OWNE CONSTRUCTION DATA: TYPE OF CONSTRUCTION COMPLIANCE CHECKLIST DEFICIENT ew Construction Addition Alteration (i.e. fence, pool, parking lot, sign, etc.) Use Lot Width Lot Area Lot Area Per Family Floodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off - Street Loading Standards Vision Clearance Transitional Yard Standards Landscape Standards Height Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Plan 7-7-�qGl, &-b 2:5- 1931-;, 2 REVIEW AUTHORITY As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval 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. APPROVED DENIED Plan Commission Action Required Variance(s) Requi REVIEWED BY: DATE: 9- S� GATE q NAME V �C1� c��T2�C -� 1 ADDRESS LOT 8 LOCK ZONE STREET NO. LOT OIMENSIONS EPw t}71 IN1 ST YES F-1 NO SIDEWALK EXISTING 0-'" BUILDING GRADE ELEVATIONS STAKES SET AT SITE ///9 , 19�5._9Y r/1! FEE: $15.00 DEPART'• "E`:T OF PU6 L I C WC-RKS I, the undersigned, owner or agent of the above described proper -,y agree To have the grade estw iished before excavation has commenced. City Of Oshkosh 1/1/85 �� illl�C�sl Si PARKLAND DEDICATION FEE COLLECTION RECORD Address Owner's Name N\D,- 1k � S'iRlX f1C Name of Subdivision Lot # 01a Bldg. Permit # No. of Units 1 Fee Required ( 00 Fee Paid L C)j Owner's signature Cate Inspector's signature Date % lip) q Parks Subdivision iTDrovement ;Cots. Rec.. ,62 _ rJ ;. �'T , J V L � I 0c)6 t $ "/0 Wisconsin Department ofIndustry, LaborandHumanRelations Safety and Buildings Division P.O. Box 7969 Madison, WI 53707 Wisconsin Statutes 101.63 101 73 WISCONSIN UNIFORM BUILDING PERMIT APPLICATION (See instructions on back of pink copy) The information you provide may be used by other government agency pro rams [Privacy Law, s. 15 04 (l) (m)) ApplicationNo - y3J Parcel No. Inspection pRjj�' REQUESTED EdConstr ❑ HVAC ❑ Elec ❑ Plbg [rosion Other: Owne ' Name Mailing Address / �yN 2760 W � Telephone No. z $ 3fl Con actor's Name: ❑ Con ler ❑ HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. Other Contractor's Nam je 0 Con Elec DaolIVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. C) Co ra tor's Name: E] lec E] HVAC 9Kbg ° v Lic/Cert # Mailing Address Telephone No. Contractor's Name: ETCon ❑ Elec ❑ HVAC ❑ Plbg Lic /Cert # Mailing Address Telephone No. P� �ci+►TI►N Loth r ��^ Sq. ft Building Address _�,� Q 114, 1/4, Section T N, R E (or) W Subdivision Name Lot No. � Block No. Zoning Districts Zoning Permit No. Setbacks Front ft . Rear 4c, ft. Left ft. Right �f ft. CCE11��1�CY �i �( � �> �:: �: '::. ._`.' Qi.��t�: 12 My"$�I»��I�� . ...... ... .:::.:::. ew ❑ Repair ❑ Alteration ❑ Raze ❑ Addition ❑ Move ❑ Other g5ingle Family E] Two Family ❑ Garage ❑ Other (print): Entrance Panel Size: roo amp Sery ce: nderground ❑ Overhead rgororced Air Furnace ❑ Radiant Baseboard or Panel ❑ Heat Pump ❑ Boiler ❑ Central Air Conditioning E] Other Fuel Nat Gas L. P Oil Elec Solid Solar Space Htg ❑ ❑ ❑ ❑ ❑ Water Htg 19 ❑ I ❑ I ❑ ❑ I ❑ * ❑ Dwelling unit will have 3 kilowatt or more installed electric space heating equip. itrol option is: ❑ Full sealing of points ❑ Blower door test ❑ Exterior air infiltration barrier. k $T E - � 0AT Q [?Site Constructed ❑ Manufactured Rtoncrete ❑ Masonry ❑ Treated Wood h AtIir�.A Sewer [�M unicipal S is Unfinished Basement 'f/ Sq ft S __ .T :. RfE...;:;: ❑ Ot er E] Septic '1 HEAT E i i s3 E'[ ,; . �j E] Story $ Permit No. Envelope e // BTU /HR Living Area C 30 Sq. ft ❑ 2_ tory ❑ Seasonal Infiltration 6Q9 BTU /HR Other [ermanent WATM. Garage Sq ft. E] Other unicipal Utility I�PIusBasement ❑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 implied, on the rtme tor municipality; and certifies that all the above information is accurate. APPLICANT'S SIGNATURE 6"; s _ DATE SIGNED / APPROVAL CONDITIONS This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty I.) ► t�s: CzC7tL ET �o/ MEty� � l.�':Z `Z.\ . 1'�, a -Tl2QSS ❑ Town ❑ Village Q�City ❑ County ❑ State of: Municipality Number of Dwelling Location: JURttrCTiN'°— ;5L 6 Plan Review $ "/0 nstruction_ nHVAC Inspection $ Name Wis. Permit Seal $ 3fl ❑ Electrical , i C�ca Other $ nPlumbing osion Date Cert. No. C) � Total $ 1 SBD -5823 (R. 06/94) WHITE - Issuing Jurisdiction YELLOW - DILHR GREEN - Inspector PINK - Owner /Agent Ut O 6� ss 0 Lo 7- /o-Z Its- 0 I"::: Arc) ADDRESS OWNERS NAME AND ADDRESS: NOTICE DELIVERED /EXPLAINED TO: 1.) 21.08 F'irestop as required at boxed out area in basement which encloses B -vent and plumbing pipes. 2.) 21.03 Lower level on original plan submitted shows edrooms. The rooms in question shall not be approved for use as bedrooms due to the fact that the windows installed do not meet egress requirements. Either change the window units to code compliant egress windows, or submit a revised plan showing the intended room usage. Please be aware that the certificate of occupancy wil ect tie er of bedrooms which are proved for use in the ko�elling. ZS� I r _ Deficiencies must be corrected and approved before concealment. Call 236 -5051 to arrange for a final inspection. COMPLIANCE DATE: 5 -18 -1995 INSPECTOR: Ken Staehler