HomeMy WebLinkAbout0011054-Building � 1
/� CITY OF OSHKOSH No 11054
�' PERMIT — APPLICATION AND RECORD
TYPE: BLDC�HTG ❑ ELEC ❑ PIBG ❑ SIGN ❑ ZONING � FLOOD PLAI�9�-�-�GHT��
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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ADDRESS �-- � � � � `� � F' - �-� PLAN NO. - J�
OWNER v� � 'F /� f� C' �f�LcJ f<. �o� �1�.
DESIGNER
1 �
USE/NATURE OF WORK ��-=� - � L�'-t"
BUILDING CONTRACTOR '�_
Size � `~S�� Sq. Ft. � n 1�# Rooms � � # Stories Height �
Foundation�ir�e��o� Class of Const.�� Occupancy Permit -
HEATING CONTRACTOR - ,
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR -�'� L -- ��- '
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR �i°- � �C•�. ! � �
BT _WH —Disp —WSoft —CBasin
—Lav —Sh —DW —DF —San. Sewer
—WC FDr _SP Ur Storm Sewer
Sink _LTub —Eject —SS —Water
Other
�
�EES: Valuatio � �' .� ermi Paid $ � �� Park Dedication $ i�—
ISSUED BY ^- � Date 1� ` ������� Final/O.P. ��°���8�
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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� SIGNATURE_ � � l�' ' ��`��
AGENT/OWNER DATE
� ADDRESS_ .��—(- �> � ��'1.O � �,�-� �.>; - 1� !� J ��
TELEPHONE# �
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StateoflAlisconsin WISCONSIN UNIFORM
Department of Industry,
LaborB Human Relations BUILDING PERMIT APPLICATION NO.
Division of Safety&Buildings
Mad s�on,wi ��o� APPLICATION
Wisconsin Statutes 101.63,101.73 See/nst�uCtfons on baCk o/ InkCO PARCEL N0.
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P�����R������� �STRUCTURE ❑ HVAC ❑ ELEC ❑ PLUMBING
Owner's Name Mailing Address Telephone
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Contractor's Name Mailing Address Telephone
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'��ifl�#�G'�k�t3GA"f`�!� ;
'/a, '/a,SECTION ,T N,R E or W
Building Address Subdivision Name Lot No. Block No.
�� � � �� � . � �. 3
ZoningDistrict LotArea Front Rear Left Right
v � s .n. Setbacks � ft. J ft. ��� �V ft. ` � ft.
_....._...__....._ ___._ . __ __.._ ___ .._........._. . ......... ......__._.__.......... .._._. _. _._. _ .. _ _____.. _..__ _. ._ . ......._ .
1a�, P�OJ�Ct'.::: ; 8. 7Y`P� 6. �C.E��i�Jk�. : �. H1�`�tC�+C�tlll�M�N�' i�. �N�RGYSOl�RC� <
_ _. ______ ; __ ___..__..._____ _. __. _ _... __ ___ < ,
ew ❑Addition ❑ Raze ingle Family Entran ep,�l orced Air Furnace Fuel Nat. L.P. Oil Elec.Solid lar
❑Alteration ❑Repair ❑ Move ❑Two family Size: ���� amp ❑ Radiant Baseboard or Panel G s *
❑Other Service: ❑ Heat Pump �ce m9� ❑ ❑ ❑ ❑ ❑
❑Other nderground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑
❑Overhead ❑ Central Air Conditioning
��� �7A��(a� , � ��� � 7t � [����(��] ❑ Oth2r * ❑Dweiling nit will have 3 kilowatt or
': more installed electric space heating equip. �
Site constructed oncrete '!Ei R�.t�1kAB[NG < intiltration control option is:❑Full sealing
Attached ❑ Detached ❑ Masonry ewer of joints.
❑ManufHCtufed ❑Blower door test ❑Exterior
;.�, ��, ❑T�eated Wood uniCipal air infiltration barrier.
❑Other ❑ Septic ��, }��/I�'�'�,.Q�� �alculsted} ,
Basements �� Sq.ft. � ����N�� ' Permit No. �"'�"
1 Story �` �� Envelope �� �o� BTU/HR
Living Area�Sq.ft. �2_Story ❑Seasonal t. ����� ! Infiltratio BTU/HR
Garage �7/� Sq.ft. �Other ermanent unicipal Utility '�4.'�7����d C�$�
Other ❑ private on-site Well
$ �
The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipai Ordinances and with the conditions of this permit;understands
that the issuance of the permit creates no legal�iability,express or implied,on the Department or Municipality;and certifies that all the above information is
accurate.
SIGNATURE OF APPLICANT �ATE �� --� �-`�` � ��
CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit other penalty. �
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;������� ❑TOWN ❑VILLAGE C TY � COUNTY Municipality Number of Municipality Number of Dwelling
❑STATE IN ENDEN Insp�on Aut�ty � Location,if different
JURi��l�T��l oF: �- � -
�$: P�RM�Sj WFS iit���RM t�LRMIT PE�MF�'tSSt�BY
' ` <1S9�E S�IEL NO. ' ! :
, ,
.+�b onstruction f _ .
Plan Review . . . $ HVAC NAME � { H-�
Inspection . . . . $ ❑ Electrical
Wis.Permit Seal(s) $ � ❑ Plumbing DATE ��"��
Other . . . . . $ ❑ Other �n F�G
TOTAL . . . $ � "'4 �O CERT.NO. �� C �
SBD5823(R.04/87) WHITE—ISSUingJurisdiction YELLOW—DILHR GREEN—Inspector PINK—Owner/Agent
�S�oo
, ?�La7G/Z.AND U5E CQr'R�ZSATKx C��Q.IST �
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�,;�a;*+; Peaait � Zoning CorifaanuxJ Nort�foaainq
Job Location Z Z r � '�- Lot Di�re�io�
PrapertY Owner L�t Area
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IZ. OCNS'ITBJC'rICN L1ATA
Desaibe Wosk: ��� �.r-.� � �e`, �
F
Y
' � a� �� �jy� --�W�CLi�
A�sso�Y Buildi.n3 _ Pool �&tiiql�� Fataily
F�ce Deck/Patio Ztao�-F�aily
��e _ Si� _Milti-F"amily °
�y,',' ;
u�� S\i�A�L�LLC �,/Ly�y €
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.. V6iX.L �°Y�'�l� ����{��� §
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�iDl].eS �f].Cl�lt D@f1C1P1�C.y��1tS �
r USe
/ _ Lot Width
,
, _ Lot Area
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T — F]aociplaui _
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F�iont Yazd =
Rear Yard >
�- — :
� — Si,de Yard (F�
_ Side Yard (L)
� _ Parkim3 =
� _ BuiLcling Area
�� _ Ivt Area per F'ami,ly
�_L!_J.� Corner Iot
_ _ Other (specifY)
IV. REV�S9 AUl�FOFtITY
The Plannirig Director, or appropriat�e desi4nee► �t aPPi'o'� � P�, e�t
the boLlvwing: (1) Alteratians ar interior work whe� the use is eonfozming and
when no chang�e of use is pmposed. (2) Maintenaiice itsms. e:9-* siriir�g. wi�x�cws�,
• � etc., �en the use is oonfoaning arxi when m c��arxg� of vse is pt�o�osed�.
• Instar�ces whern work artplies with the abav� critezia, tive �t c�.� revie��ed
. bI' the Building Inspector without referral. to the Plar�niaig Direcbor.
_� APPRDVF� NOT APPRCR7ID
Plan C�mission Actio
Variance(s) ReQUired
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� DATE Z _Z`Z��� :
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NAME � �'- . ttite AOORE55 �( ��f Lv' � �
LOT � BLOCK 'dA&D
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5 UBO I V.�,►P i`r �o d( �� t��'LL�Z-, ZON E k'
STREET NO�S.iD�r �v�.�. et-� I.OT 01�IENS 1 GNS
S I DE1NA LK EX I ST I NG YES � NO �
BUILDIUG Gi�ADE ELEVATIONS STAKES SET AT SITE , 19 BY i
FEE: $10.0
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DE°ARTMENT OF PUBLIC 'nIGRKS
I , the undersigned, owner or agent of tfie aoove described property agr2e to have the
grade established before excavation has commenced.
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• � N � � I DOC. 546187 DOC- 546187�
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SECTION 7-32 CERTIFICATE OF O�CUPANCY TO BE ZSSUED � ,
� ;
(A) The Building Inspector, Heating Inspector, Plumbing Inspector,c�
and Electrical Inspector shall make a final inspection of all �
new buildings, additions, and alterations . If no violation of � — /
this Chapter or other laws or lawful orders be found, the Chiefl �;�{ .
Building Inspector shall issue a Certificate of Occupancy, � °�'�
stating the purpose for which the building is to be used, also
the maximum load and maximum number_ of persons that may acc— � „
omodate on each floor thereof and also that the building or - - l � !
premi ,e or part thereof and the purposed use thereof are in ` � � � ��
confoi-mity with the provision of Chapter 30 on Zoning and v �
City Planning, as required by Section 30-27 (C) of said Chapter. ��1� -
NO BUILDING OR PART THEREOF SHALL BE OCCUPIED UNTIL SUCH � ��' C��
CERTIFICATE HAS BEEN ISSUED. NOR SHALL AN� BUILDING BE OCCUPIED� �1 �
IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH `
IN THE CERTIFICATE OF OCCUPANCY.
P R E S E N T T Ffl S C A R D Code Enforcement Division
FOR OCCUPANCY pERMIT TO Room 205, City Hall ROUGH ELECT
Oshkosh, Wisconsin 54901 Ap p�
T H I S B U I L D I I� G S H ,� L� l� �,ty of
�l OT g E 0 C C U P I E D U �l T I L OSHKOSH
FI �IAL� I �ISPECTIONS
HAUE SEE �I MADE A (� D
THIS CARD SIGI� ED BY
TH E FO LLO W I �I G I I V - lNSPECTIONS MA`( 8E
S i� C C T� R S : ARRANGED 8Y CAI.LING
236 - 5050. .�
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� 1JILDING - DA�, 1' E �Ga-�
ELECTRICAL�%� � DATE �--a,�--�
�� .� �
,
HEATING .-��� �� � ��.�:�....� D � T° E � �� .�^ �
P L U M B I N G �--����- ;r -�, ' D A T E ; - �; . .,
* FIRE _ DATE _ _
�- NOT APPLICABL� TC 1 AI�ID 2 FA1�?IL �v�ELLINGS
�
-- - _-__� _ _
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�Tan. 30, 1989
�teve Lichtwald
218? t�. 9th Ave.
�shkosh. �?7 54�01
CERTTFTCATE QF_QCCjjPANCY
An �ccupancy PPrn�� � ?.s hereby grantec3 for �Y?e new szngle family
re.^..idence with attached garage ].ocated at 2?5 S. Sawyer Street
Oshkosh, >'iscons�r. a� �esc� ibed ;n �u� ldi.nq Permit AppJ. ication
number (s) 11054 .
Thi � buil. d�.r�g i. �o he us�d or��y a4 a sing� e f.amXly residence �inr? i.s in
th� R-Z �?ngle Family Fie�fdence Di�tra.ct.
I!?MIT�,mTnt�?S;
f'axam�.�r� f3.aor �oa�inq: �0 pounds �er sauare foot � zve 1oar�
Maximum number of persons and/or li.ving units: 1 1 iving unit
�
� rac���:
A new Certificate of Occupancy sha3. 1 be required prior to
occupancy, shoul� adc�3.ta.onal buildi_nc� (s} be erected, or should any
buildings mentaoned above }ae altered or moved. The use of 1and, or
bui ].dings �ha? 1 not be changec� unta. I a Certii.ficate of Qccupancy �s '
i ssuec� fc�r that occupancy.
______�_.__�LTTLr�I�+TG Sr'SPFCTOR------
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