HomeMy WebLinkAbout0033479-Building � •
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CITY OF OSHKOSH N°- 33479
` ` `' PERMIT - APPLICATION AND RECORD :
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4 TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �–Z FLOOD PLAIN HEIGHT
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ADDRESS�ON'3 � . ��t. (�GG�c PLAN NO.��S��O���
OWNER
DESIGNER
USE/NATURE OF WORK / /-�-� �� ��,�
BUILDING CONTRACTOR����� /�d.�B�23�%��
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Size Sq. Ft. �J Z # Rooms S�Z # Stories Height �7
Foundation �-��"� Class of Const.� Occupancy Permit ��—
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HEATING CONTRACTOR ��.G18.L��- °
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
FI FC'TRI(� C'nNTRAC�TnR�' ����C-
,. Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
_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 $ �3. DO O, f) � Permit Fee Paid $ 7•5 v Park Dedication $
ISSUED BY yy`� ,�c�(t�r-sc��--- Date 93 Final/O.P.
�—.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ZZ �
AGENT/OWNER DATE
ADDRESS � v �S �����
TELEPHONE N
C� �^�0 93�
Wisconsin Departmentof Industry, WISCONSIN UNIFORM �1PPhcation No. • '
Labo�andHuman9elations gVILDING PERMIT 33 �7
Safet and Buildin s Division
P.O.Box 7969 APPLICATION Parcel Na '
Madison,WI 53707
Wistonsin Statutes 101.63,to�.�3 (See instructions on back of pink copy)
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.Owner's Name Mailing Address Telephone No.(indude area code)
Con dor's Name Mailing Address Telephone No.(include area code)
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k : Lot Area
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Building Address Subdivision Name Lot No. Block No.
a 3 G�•-
Zoning Distri (^) � Zoning Permit No. FroM Rea Left � Right '
Setbacks .�-(� ft_ � ft. �� ft. � 1 ft.
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ew ❑Repair Single Family Entrance Panel � Forced Air Fumace Fuel Nat- L.P. Oil Elec. Solid $olar
Alteration ❑Raze ❑Two Family Size: 00 amp ❑ adiant Baseboard or Panel Gas =
❑Addition ❑Move ❑Garage Servite: ❑Heat Pump
❑Other(print): Underground ❑Boiler Spate Htg ❑ ❑ ❑ ❑ ❑
verhead ❑Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑
❑Other ❑Other *�Dwelling nit will have 3 kilowatt or
``�'`'����''����"�"'�'�������` ....:,more installed electric s ace heatin e ui .
Site Constructed oncrete p 9 q P :
'>'���::::�� ����::<:::*:z:»::>:�:>::::E<:>::::::::>Infiltration c n r I i
anufactured Masonry .........�"�:.::.:::.:.:: :::.:::::::::•:..::.:.:.
:°' •::::.: :: ..... . ' .. :.. ... . . ofjoints. ❑Blowe�doortest�pE teriog
:::��::::��4�����`��>':::;>:::;::::>:::«:`'::<': . ❑Treated Wood Sewer
� :;:�•••• � • ••• air infiltration barrier.
,. :<::�����' ;::>:>::<:;::::>::::< ❑Other Pa�
�« ' ' Mumci ::::«:>::>::: r::::>::.......:..:....:..;...,....:>:::::..;:�;.;:.:> :>:.;::;;:.; <::>:::>:>:
Unfinished Basement J�.ft.:< :'.'' :> . . se tic »..>;::::>:'�3'.:::::H�`AT::�!(�SaS::>::����i�s�#�d.>::>:::�:: ,
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i 1-Story ;�K:>:���:::::«<:::::;:;`:::?:::;�:>::::>:>'.: PermitNo.
Living Area 5 Z' Sq.ft. �2_Story ❑Seasonal Envelope . BTU/HR
:<'�:::>?#��.� .:»::::<.:.>:::'s:':::'•»:`>::';::;:;:;Infiltration �D 7 7Z-- BTU/HR
�Other ermanent �.�.:..::#�:::�.:::::::.�.:::::::::::.::::.
Gara e �7b S .ft. �
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❑Other � .......... .
..............................................
❑Plus Basement ❑Private On-Site Wefl $ �O
The applicant agrees to comply with all applicable codes,statutes and ordinances and with t nditions ot this permit;understands that the issuance of
the permit creates no legal liability,express or implied,on t e ment or mun ity;and certifies that all the above information is accurate.
APPLICANT'S SIGNATURE DATE SIGNED �(ZZ�r'J 3
APPROVAL CONDITIONS This permit is issu'Ld pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
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PlanReview $ �De�� Construction �
Inspedion $ �1-IVAC Name G1�-
Wis.Permit Seal $ .U c'�. ❑Eledrical C
Other $ ❑Plumbing /��"'� �/ Date ��! 3
�Erosion
: Total $ O.O c�7 � Cert.No. �� y �
SBD-5823(R.07/92) WHITE-Issuing Jurisdiction YELLOW-DILHR GREEN-Inspector PINK-Owner/Agent
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GATE �l/S'�S3
NAME �(,���-a-`-- AOORESS
LOT � BIOCK 7" '•I�FiD
SUBOIV. ZGNE
STREET tv0. I� `� � �• 7� G�� LOT �I MENS i Gr�S
S I OE1rALK EX I ST!NG YES � �0
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8U I LO i�G G�AOE ELEVaT I ONS STAKES SET AT 51 TE ,�,, __,, ! , i 9�Y
FEE: ��5.00
�
oE�a�rr�tr:T OF �U3LIC ��vc�K�
I , the undersigned, owner or agent oT the aocve dascri�ed pr�per`y agree ro have the '
grade estaniished befor+� excavation has commenced.
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r ZONING/LANO USE COMPl.IANCE C;iECKLIST
'�`JOB LOCATION: �� �� �(,, '7� ��t,� . ZONING: - �'
PROPERTY OWNER/CONTRACTOR: ,�Z��-�.�e. Lti�d� ���,��
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CONSTRUCTION DATA: ✓I�E3�1 CONSTRUCTI{1V ADOITION ALTERATION PARKING LOT '
TYPE OF PROPOSED CDNSTRUCTION: (i.e. fence, paol , sign, de�k, etc.)
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CDMPtIANCE CHE�KLIST (Chetk only those a�plicable) � �
C MPl.IES OEFICIE`17 OEFICIE�'!CY/COMME�ITS
Use
- Lot Width
Lot Area
Floodplain
� Z '
Front Yard
5 i de 5 tre�t (fr�o�t yard)
� r Yard
Side (R�
Side Yard
Paricing Spaces
Building Area c l/ � , �`
Lot Area Per Fami.ly � � � -
Carner Lot 2� � � :
,\
Landscaping
Transitional Yard
Offi-Street Loading
Vision Clearance
Height
R I E�J AUTHdR ITY:
The Oirector of CaRmunity Oevelopment, or designe�, must a�prvve all plans, exce�t the :
following: (1 ) Alterations or interior woric when tf�e use is conforming and when no change '
in use is proposed. (2) ��laintenance items,� e.g. siding, windows, etc. , when the use is
conforming and when ne cfiange is praposed.
Instances where werlc camplies with the above criteria, tt►e permit can be reviewed by the
8uilding Inspettor withaut referrai to tf�e Director of CortQnunity Development, or designe�.
APPROVED ��OENIED
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Plan CortQnission Action Re�uired
Variance(s) Required
REYIE',�ED 8Y: OATE: �
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