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� CITY OF OSHKOSH N°- 44155 ;
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`' PERMIT - APPLICATION AND RECORD `
TYPE: BLDG.� HTG ❑ ELEC ❑ PLBG ❑ SIGN [� ZONING FLOOD PLAIN HEIGHT
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ADDRESS -�"" I �AI�I.I-� G�L��� ��V� pLAN NO. ��`�� � qS��
OWNER � " �• �_�`��L\\ _
DESIGNER
USE/NATURE OF WORK ���3 ���� ��M�L.�I , A�TT�AC,��� �}1��
C���� l`�ilo. �
BUILDING CON7RACTOR _ �9. t-t c����
--�/ �
Size �a� Sq. Ft. ��31 # Rooms ^3e� # Stories Height_ vrp
Foundation ����� 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 Vv�
_BT _WH _Disp _WSoft —CBasin
_Lav _Sh _DW _DF _San. Sewer
—WC _FDr _SP _Ur _Storm Sewer
_Sink _LTub _Eject —SS —Water
Other
FEES: Valuatio � � Permit Fee Paid $ ���•� Park Dedication $ �����
ISSUED BY Date �1 adl�� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE � � � �''/
AGENT/OWNER DATE
ADDRESS— t < <3 " `n°^ � �- 3 S- �''U 3�
TEIEPHpWE*
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WisconsinDepartmentoflndustry, WISCONSIN UNIFORM AppiicationNo. ,.
Laborand Human Relations BUILDING PERMIT ��, � J�
Safety and Buildings Division '
PA.Box 7969 APPLICATION Parcel No.
Madison,WI 53707
Wisconsin Statutes 101.63,ioi.�3 (See instructions on back of pink copy)
'������������'T�� onstr ❑HVAC ❑Elec ❑Plbg �Erosion ❑Other:
Owner's Name Mailing Address Tele hone No.(indude area code) +:
. �Ec �fL �J E �,�' , 5��f��-3 s -�a �
Contractor's Name� Mailing Address Telephone No.(indude area code)
' < ` Lot Area ;
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Building Address Subdivision Name Lot No. Block No.
�1 � L� C �� �C S' D
Zoning District(s) Zoning Permit No. Front Rear eft Right
�3 i �i � ��
' I Setbacks °2� ft. �-� ft. V ft. � � ft-
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New ❑Repair ingle Family Entrance Panel Forced Air Fumace Fuel Nat. L P. Oil Elec. Solid Solar ;
❑Alteration ❑Raze ❑Two Family Size: �� amp ❑Radiant Baseboard or Panel Gas "
❑Additfon ❑Move ❑Garage Service: ❑Heat Pump Space Htg � ❑ ❑ ❑ ❑ ❑
❑Other(print): Underground ❑Boiler
❑Overhead Central Air Conditioni Water Htg ❑ ❑ ❑ ❑ ❑ �
❑Other ❑Other 1 *�Dwelling unit will have 3 kflowatt or `
�'�;�������� � ���������' more installed electric space heating equip
ite Construded Concrete 'Z: Infiltravon control o tion is: Full sealin
'::'��:;'::P������::':>:::zz>`::>»:»!.... P ❑ 9
,::.:..:...:..:::..:....:....,:::...:..;::::;;;:;::;;;:::::;;;:: ❑ManufaCtured ❑Masonry . ` T of joints ❑Blower door test. ❑Exterior
........ s.
�::>:J���::�������::>:<:::::»::::>::>:::»< Treated Wood Sewer � / / � �
.;.::.::.::..:::::..,.:;::::..;;;;;;;;::;;;:;. � air intikration barrier.
p '.�. �����. :: ❑Other u�iupa s
UnfinishedBasement/�Sq ft.' ::
1-Stor ❑Sept�c ' .. .'��;H�JhT;E,�SS`:�C�fCLl1c?#ed� �
l ❑ Y �::���:::::.;: ':;:.::: Permit No. velope BTU/NR
Living Area / �� Sq.ft. -Story ❑Seasonal —
�:�r�^:�i���«:s>`r;;:<;:;;«':r?:;;s::si;:::>::. filtraUOn ' BTU/HR
❑Other ermanent ^ f
.
Garage Sq.ft. �Other uniupal Utility ;�1�, �$'� ����(z�Q��' i
; ::...... . '. �
lus Basement ❑Private On-Site Well $ � �
The applicant agrees to comply with all applicab�e codes,statutes and ordinances and with the conditions of this permit;u�derstands that the issuance of
the permit creates no legal liability,express or implied, th epartment or municipality;and certifies that all the above inform tion is accurate.
APPLICANT'S SIGNATURE,,�� DATE SIGNED ,� Z p
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.
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Plan Review $ C� onstrudion
InspeCtlon $ [�HVAC Name Q�
Wis.Permit Seal $�.�� ❑Electrical ��M,as
Other $ Plumbing � � Date ooJ
rosion 1� t�/ ��p
7otal $� ]� • � � � Cert.No. 'lbVa
SBD-5823(R.07/92) WHITE-Issuing Jurisdlction YELLOW-DILHR GREEN-Inspector PINK-Owner/Agent � E
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' ZONING/LAND USE COMPLIANCE CHECKLIST ,
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J�� L�CATI�N. \I.� • ING
PROPERTY OWNER/CONTRACTOR: �� �-� -- C �\
CONSTRUCTION DATA: � New Construction Addition Alteratior ;
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
�vJ �� ��. �rn«, }��-�--�oc.�� ��2.-��
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COMPLIANCE CHECKLIST �}�`�� = 1�31 -�L
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DEFICIENT COMMENTS
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
B7A Conditions of Approval
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, o �
designee, must approval all ptans, except the following: (1) Alterations or interior wo�lc 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 confomning and when no change is proposed.
��APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
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REVIEWED BY: DATE: ✓ li �l
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SUBDIV. Ir\���pF«,�- SHc.�;�t� ;� C�'F/y ZCNE
STREET NO. �� �� w..� � L�T �i MENS i Gr�S
SI�E'nALK EXISTlNG ��
YES � �p
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8U I LD I VG GRAOE ELE`/AT I OVS STAKES SET AT S I TE �yy/�,„ ,,� � / , �g q�' �Y
FEE: �15.00 .
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OE?ArZTi'•"•E`:T OF ���c L(C '�VGriK_
I , the undersigned, owner or agent oi the aocve dascribed pr�pert•� agree ro nave `he
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grade es`aa� ished befora excavation has commenced. �
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Cit,y Of Oshkosh 1�1/�5
PARKLAND DEDICATION FEE COLLECTION RECOP.D
Address �� � `��V�
Owner's Name G• �}, �—C-1C�
Name of Subdi vi si on �}� r1/��J�`�.�5
Lot � 1� Bldg. Fermit # —t� � � �
No. of Units �
Fee Requ�red � ���
Fee Paid � ��
' �Owner s signature� �`^-� ���–�, Gate
Inspector's signature Date � �� ��
Parks Subdivision
impravement
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R
CITY HALL
215 Church Avenue
P. 0. Box 1130
Oshkos 54902-�1130 City of Oshkosh
�
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���� Approved: October 22, 1996
Issued: October 28, 1996
G.H. DECKER
1113 OREGON ST `
�
OSHKOSH WI 54901
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the New Single Family
: Residence, with an attached garage, located at 3001 Sawyer Creek Dr,
Oshkosh, WI 54901 as described in Building Permit Application
number (s) 44155 .
This building is to be used as a Single Family Dwelling only and
is located in the R-1 Single Family District.
LIMITATIONS:
Maximum Floor Loading: 40 lbs. per square foot live load �
Maximum persons and/or living units: One living unit
s
CONDITIONS:
1) Per ILHR 21.125, soil erosion measures shall remain in place
until the disturbed area is stabilized.
2) Install nuts on anchor bolts in garage.
3) Pack tightly with fiberglass insulation or caulk top plate electrical
penetrations in garage.
A new Certificate of Occupancy shall be required prior to occupancy,
should additional building (s) be erected, or should any buildings
mentioned above be altered or moved. The use of land, or buildings,
shall not be changed until a Certificate of Occupancy is issued for that
occupancy. All conditions noted above must be complied with in order for
this certificate to be valid.
UI I INSPECTOR
�
CITY HALL
215 Church Avenue
P. 0. Box 1130
Oshkosh, Wisconsin
saso2->>so City of Oshkosh
�
�
Approved: October 22, 1996
�,�}�KQ�H Issued: November 18, 1996
G H DECKER
1113 OREGON ST
OSHKOSH WI 54901
�'FRTIFICATE OF OCCIIPANCv
An Occupancy Permit is hereby issued for the New Single Family
Residence with attached garage located at 3001 Sawyer Creek Dr,
Oshkosh, WI 54904 as described in Building Permit Application
number (s) 44155.
This building is to be used as a Single Family Dwelling only and
is located in the R-1 Single Family Residence District.
LIMITATIONS:
Maximum Floor Loading: 40 lbs. per square foot live load
Maximum persons and/or living units: One living unit
CONDITIONS:
1) Per ILHR 21. 125, soil erosion measures shall remain in place
until the disturbed area is stabilized.
NOTE:
A new Certificate of Occupancy shall be required prior to occupancy,
should additional building(s) be erected, or should any buildings
mentioned above be altered or moved. The use of land, or buildings,
shall not be changed until a Certificate o� Occupancy is issued for
that occupancy. All conditions noted above must be complied with in
order for this certificate to be valid.
BUILDING INSPECTOR