HomeMy WebLinkAbout18388 - Building (attach garage) CITY OF OSHKOSH N9 18388
■ ' PERMIT — APPLICATION AND RECORD
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TYPE: BLDGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIf4^" HEIGX�
ADDRESS l ?! (. 1 4 MC 11 PLAN NOPI-?. .'• >
OWNER tc.c fre)P' C�t/L°�
DESIGNER
/t .� - > 6
USE/NATURE OF WORK � �' � ,
BUILDING CONTRACTOR cam 41-- „/R
ooSi S . Ft.?"-lo IS ' # Rooms f I - # Stories - Height
rf'
Foundation 44rch Class of Const. Occupancy Permit_ _
HEATING CONTRACTOR '
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures — Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation ',,� `_..-- a J P. r•' t Fee Paid $ c �d Park Dedication $
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ISSUED BY 10.1/ / Dates Final/O.P. '' '' /-'
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In the performance of is work I ag -e to perform all work pursuant to rules governing the described construction.
SIGNATURE �y'-c -- C ),.vim )_ l°
AGENT/OWNER DATE
ADDRESS /eb_, i /"''7 A/ A S'.i ; :-.?s7=-- 6 ?f y
TELEPHONE#
pI- 7?- - e) (_
State of Wisconsin
Department of Industry, WISCONSIN UNIFORM
Labor 8 Human Relations
Division of Safety 8 Buildings BUILDING PERMIT APPLICATION NO. ` 63
Box 7
Mad s9on,WI 53707 APPLICATION
Wisconsin Statutes 101.63,101.73 See Instructions on back of pink copy) PARCEL NO.
PERMIT REQUESTED RUCTURE f I HVAC I ELEC ❑ PLUMBING
Ow er's Na a Mailing Address Telephone
Contractor's Name Mailing Address Telephone
' LA tti E N
PROJECT I~OCATION
Y4, 14,SECTION ,T N,R E(or)W
BuildinlMdress Subdivision Name Lot No. Block No.
7 /`e-f, (/ —ttccf.
Zoning District Lot Area Front Rearr7`� Left Right
R. 7e c Sq ft. Setbacks ft `��J V ft ft. `-� ft.
1a t ROJECT : S TYPE 6 :ELECTRICAL a.>HVAC EQUIPMENT 12.:ENERGY SOURCE
ew ❑Addition ❑ Raze Single Family Entrance ane Forced Air Furnace Fuel Nat. L.P. Oil Elec.SolidSolar
LJ
*
Alteration ❑Repair CI Move ❑Two family Size: amp Cl Radiant Baseboard or Panel s
❑Other Vce:
❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑❑Other derground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑erhead ❑ Central Air Conditioning
t1 GARAGE_ 1 OQNST BYRE FOUNDATION ❑ Other * ❑Dwelling unit will have 3 kilowatt or
more installed electric space heating equip.
1 ttached ❑ Detached — ite constructed'Concrete 10 PLUMBING _ Infiltration control option is ❑Full sealing
LJ Manufactured ❑ Masonry Sewer of joints. ❑Blower door test. CI Exterior
2 AREA ❑Treated Wood �INunicipal air infiltration barrier.
Basements Sq.ft. !STO IES ❑ Other `Septic 1;3, HEAT LOSS;(Calctilated;
Permit No.
�� ❑ 1-Story " 'E Envelope 0- �c?45 BTU/HR
Living Area �-J! Sq.ft. Story ❑ Seasonal 1't; 'WATE Infiltration_/3/C-10 BTU/HR
Garage '47140 Sq.ft. ❑Other ,Permanent unicipal Utility •14 EST.:BUILDING COST•
❑ Other private on-site Well
$ 60000
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 implied,on the Department or Municipality;and certifies that all the above information is
accurate. -4 SIGNATURE OF APPLICANT ,°✓O-tom' //I.ELn.- DATE ' (` 2 c
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.
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'SS'I.N TOWN ❑VILLAGE 'CITY ❑ COUNTY Mu pality Number of Municipality Number of Dwelling
❑STATE I D PENDEIQT Inspection Authority Location, if different
JURISDICTION OF: oS' '67 - ——- ——
•FEE$ PERMIT(S) WIS.UNIFORM PERMIT pk R'ISSE Y.
Construction
Plan Review $ l� HVAC ( —
NAME �� Z Gt Y
Inspection $ CI Electrical ll_ ��
Wis.Permit Seal(s) $ ❑ Plumbing DATE V
Other $ ,,,., El �G7
TOTAL . . . $ C� CERT.NO.
SBD 5823(R.4/89) Sam WHITE—Issuing Jurisdiction YELLOW—DILHR GREEN—Inspector PINK—Owner/Agent
Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: tie <ccM ZONING: /ZZ
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc.)
S ri
.23r
COMPLIANCE
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
Use
Lot Width
Lot Area
L' Front Yard
�/- Side Street (front yard)
e/ Rear Yard
Side Yard (R)
Side Yard (L)
t Parking Spaces
Building Area
Lot Area Per Family
-4 Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
"-� Height
REVIEW AUTHORITY:
The Director of Community Development, or designee, 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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
/12 )
REVIEWED BY: ��� � h , / , DATE: