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HomeMy WebLinkAbout0014218-BuildingCITY OF PERMIT - &DPLICATION AND RECORD Add;ss,/,- to Lot tl �Z l3 lock— � - Ward Type of Permit: Building Electrical El Heating ❑ Plumbing El Nature of Work —_ -73� ( PLUMBING CONTRA OR Bu. San. Sewer Curb to Bu. Bu. St. Sewer Curb to Bu Water Service Bath Tub Floor Drain — Wash Basin Garbage Disp. Water Closet Dish Washer - Kit. Sink Laundry Mach Water Heater Water Soft Urinal S. Sink Catch Basin S. Pump B P. S Waste Main to Curb: Main to Curb CITY OF OSHK SHJ r , A Owner Subdivision Sign ❑ Wrecking ❑ Occupancy Permit Sewer Fees t Shower Bath Bubbler Conductors Plumbing Fees Total Fees HEATING CONTRACTOR Fuel: Gas ❑ Oil ❑ Elec. ❑ Solar ❑ Solid ❑ Conditioning Forced Air ❑ H.W. ❑ Elec. Base ❑ Steam ❑ Radiant ❑ System High Eff. ❑ Supplementary ❑ Air Cond. ❑ Ventilation ❑ Chimney: "A" ❑ "B" ❑ Direct Vent ❑ Con. Burner ❑ Flue Damper & E.I. ❑ Calculated Heat Loss System BTU Rating ELECTRIC CONTRACTOR Electric Service: New Changes Temp. Description -Type Volts Amps Fixtures Switches Recep's Circ's Appliances Electrical Signs BUILDING Use General Cont. Roof . = ' Foundation Size: feet wide X Ce, !9 feet long Height: Stories am6 Ba9emsmnt f Width of Lot __ V 410 r + N r A i -7 ft. N_ 14218 Id. No. Zoning Flood aln Ins < '" Perm. 77 ,Y3 .e-" Siding —Type of Constructio �s- Square feet area �S 04- feet above Grade No. of I Mason Carpen Architect Inspections - Footing Foundation Electric Service R.I. 0 a Sewer Water Service 0 Final J Estimated Cos Fees Paid `� Date 9- �— TO THE BUILDING INSPEC R: In accordance with Section 7 -18 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be discontinued for a period of 30 days at any time for any cause after excavation work is commenced, a solid barrier, wall, or wire fence not less than five feet in height shall be erected all around such excavation. Such barrier, wall or wire fence will remain in position until removal is approved by the Building Inspector. X In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances, codes, and rules governing the described construction. (Signed) Owner Address 2 a 2 Phone By Y 1-- Agent (Authorized Signature) A,4,4 ,tee. Dhnno �o$ 3J � ,� NAME _M,, , V ,, J, O f �:'Z L -�,7 DATE_ ADDRESS �— LOT SUBDI V. 0JS BLOCK WARD C�� 1��4� ZONE lG, Lcj �,, C%� �,�- STREET NO. �1 c7 /��„�� j S�' LOT DIMENSIONS c� C1 SIDEWALK EXISTING YES BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: $2.00 NO 19 4' BY rJ DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. fay rr v /Z'11� STATE Of WISCONSIN DEPARTMENT Of INDUSTRY, LABOR AND HUMAN RELATIONS WISCONSIN UNIFORM DIVISION HSGTON AND BUILDINGS 201 E. WASHINGTON AVE. BUILDING PERMIT PERMIT NO. aox 7eee MADISON, S WISCONSIN STATUE 0.7 S 101. APPLICATION PARCEL NO. PERMIT REQUESTED XCOONST ELEC Owner's N me Mailing Add s Telephone Contractor's Name / T Mailing Address (� Telephone �� !`�J 4Gv i Z l L t_,v►7 es� 'Z 3:;--0 i 33 PROJECT LOCATION v< v<, SECTION T N, R E(or)W Building Ad ess Subdivision Name Lot No. lZi3 Block No. c'- UMA�J �T. -osi L/-viD P.a.,r S ri,47- Zoniln$ >Distri�ct2 Lot Area Front Rear Left, Right 1� t-� 7 Z. ;� Sq.ft. Setbacks i ft. ^ ,�� ft. -7 �Z ft. -73 �, ft. 1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES ew ❑Addition Iteration ingle family ❑Two family Entrance P nel Size: Z:X0 AMP orced Air Furnace ❑Radiant Baseboardor Panel space water Fuel Htg. Htg. AG❑ ar a _�79 ttached Other Service ❑ Underground ❑ Overhead ❑ Heat um pump E] Boiler LP Gas >K Nat. Gas %mil ❑ Detached ❑ Central Air Cond. Fuel Oil ❑ ❑ 6. CONST. TYPE 7. FOUNDATION El Other ❑Other Elec. ❑ ❑ ❑Master plan no. Wood ❑ El applicable) ite const. ❑Manufactured oncrete ❑Masonry Treated Wood ❑ Other. 8. PLUMBING Solar ❑ El Coal ❑ ❑ Other Outside 9. AREA Dimension 10. STORIES Sewer �unicipal ❑Septic ❑Basement sq.ft. ❑1 -Story 11. USE 12. WATER >dLiving Area _Z sq.ft. -Story ❑ Other ❑ Perm it No. ❑/?easonal ❑ Garagesq.ft. 0rees 0 ermanent 1:1 Other Private ,Municipal he applicant ag to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands [,.hat the issuance of the permit creates no legal liability, express or implied, Department on the or Municipality; and certifies that all the above information s accurate. SIGNATURE OF APPLICANT - 2% VV DATE CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of this permit or other penalty. 4L_.Vcd� R-fco- . O APO _P _P '_I4 _1L JeLA_Af -C Q:10E�1> J_6 4L_ 2 ".M Ti4?�rOc ©F1 /r►� ry_ tAc,� �Vks �,L4� �►i . l`2�� _h IS S# �"�� u tl!r c t CS rLL��_�/tt ittl3` e/H �►nwut Un�27C !P1?!` 13. ISSUING JURISDICTION ❑VILLAGE NZC_1 DTOWN ESTATE / '''7❑C�O-U-NTY NAME —)s�{ 'C��C4 MUNIC. NO. ! FEES PERMIT(S) WIS. UNIFORM PERMIT SEAL NO.(S) PERMIT ISSUED BY 'ISSUED PLAN REVIEW $� CONST. P� NAME - INSPECTION -'-� - WIS. PERMITSEAL(S) --� ---^ LEC _ 3�8�j C� -7 DATE ` �� `��, OTHER I. ) �[ J/ _ 's �J TOTAL $ CERT NO.- D I L H R -SB D -5823 ISSUING JURISDICTION /AGENCY