HomeMy WebLinkAbout0043743-Building . . / 10 �
� CITY OF OSHKOSH
Na 43743
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN HEIGHT
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ADDRESS � ` �� �" ��� ���. PLAN N0�3 – �� �' `S� �
OWNER ����. �����C��ZO�1
DESIGNER
USE/NATURE OF WORK �Z� �`�� � �i��
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BUILDING CONTRACTOR �—Se�"�
Size ��-�� Sq. Ft. � # Rooms � ��� # Stories Height �
Foundation �-�� E- Class of Const. Occupancy Permit
HEATING CONTRACTOR ����-►--���=e�
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
�^�/�� + �
FI FC`TRI(` (`C)NTRAC'TnR �..Jf ��1��.�
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
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FEES: Valuation $ Permit Fee Paid $ ��• Park Dedication $ �� ``�
ISSUED BY Date Final/O.P.
In the performance of this wor ree to perform ali work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER DATE �
ADDRESS TELEPHONE N
1.�T � - �� c-i���
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ZONING/LAND USE COMPLIANCE CHECKLIST
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JOB LOCATION: J���� � , (�O �l�, ZONING �
PROPERTY OWNER/CONTRACTOR: ��J�`�� �.��—�� .
CONSTRUCTION DATA: �New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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CV�.J �N�� (1.�� /�� `� �a
COMPLIANCE CHECKUST `� � `���Z
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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 �`„ ;��� �- � =���!' ��'--��"���� - �
BZA Conditions of Approval �" �`�L ` l�
Signage Standards '
Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval 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.
��APPROVED DENIED
Plan Commission Action Required
Variance(s) Required ,
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REVIEWED BY: DATE: � �
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This map is neither a legally recorded map nor a
survey and is not intended to be us�.d as one.This
dra'�ing is a compilation of records infom�ation
�� L/f1 � ��1,r� and data locatecl in vazious city county and state
! t/ offices and ather sourc�s affe�ting the area shown
and is to be useci for reference purposes pnly,
,�/ y-�. „ ..— The City of Oshkosh is r..ot responsible for an
���"�Cr7 � �''`�} a�""��/ inaccuracies herein contained. If discre y
found please contact the City of Oshkos�cies are
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WisconsinDepartmentoflndustry, WISCONSIN UNIFORM BUILDING APP���ationNo. �
Labor and Human Relations pERMIT APPLICATION `—� ��-��
Safety and Buildings Division
P.O.Box 7969 (See instructions on back of pink copy) Parcel No.
Madison,WI 53707 The information you provide ma be used by other government agency
Wisc nsi Stat t 101.6 1 1.73 pro rams(Privacy Law,s. 15.04�)(m)].
PER��'�'���U��T��` ;;. ❑Constr ❑HVAC ❑Elec ❑Plbg ❑Erosion ❑Other:
Owne Name Mailing Address Telephone No.
- a� � >z3 -��
Con ador's Name: ❑Con lec HVAC ❑Pibg idCert� Mailing Address Telephone No.
( )
Cont ador's Na Con Elec VAC ❑Plbg idCert# Mailing Address Telephone No.
( )
Co ract r's Name• ❑�on ❑HVAC bg iUCert# Mailing Address Telephone No.
Contractor's Name: ❑Con ❑Elec ❑HVAC ❑Plbg LidCert# Mailing Address Telephone No.
( )
������.��.�.��� Lot AZr� Sq.ft. 1/4, 1/4,Section ,T N,R E(or)W
Building Address Subdivision N me Lot No. Block No.
a 9�o CU o� '�
Zoning District(s) Zoning Permit No. Front Rear Le Right
Setbacks �` ft. � + ft. � ft. � � ft.
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New ❑Repair ingle Family Entrance Panel orced Air furnace Nat L P Oil Elec Solid Solar
❑Alte�atian ❑Raze ❑Two Family Size: �O� ,amp ❑Radiant easeboard or Panel Fue) Gas •
❑Addition ❑Move ❑Garage Ser)ice: ❑Heat Pump
❑Other(print): [�'`Jnderground ❑Boiler Space Htg ❑ ❑ ❑ ❑ ❑
❑Overhead ❑Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑
�Other ❑Other ❑Dwelling unit wil�have 3 kilowatt or
A` ' �ST �� ��" � ������` more installed electric space heating equip.
ite Constructed oncrete » Infil r i n n r
'��:::>�!�U�UIHI��::<:<`?<:::<::?:;:;::::;:z:::.. t at o co t ol o tion is: Full sealin
❑Manufactured ❑Masonr 9
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P
of oints Blowerdoortest Ext ri r
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❑Treated Wood air infdtration barner. "
�:,.�.►����E��,>';:;::>:<::':>` ❑Other Municipal
Unfm�shed Basement��ZSq ft ;.;:>;>;:: . :;;;:::::...:..:...^^:::....:;.;..:.,.;...:,;:.;.;:::.:::; .< �
, ,.;...;;.;;.,:.: ...:::.;:.;;;:.::;:;.;:.:;>;;;;; Se tic :>::::>::::::>'��:s«��'�:�:���::::��C�l�e'��.�':<:;:;r>:::: _
❑ P .............................................�.....................}....... _.
3 Z S ft �Stor. ? Envelope BTU/HR
Y ��:��J�::::::::<:::>::::<::::::s::>::E:»:::E> Permit No.
Lfvinq Area I 9 q. �2-Story ❑5 asonal � � -
InfiltraUon , S/ _
�/ ':��:«�A�E�';::::<:::;::>:`::::»:':<:::::>::?>::::::::: � BTU/HR ;
Garae SZ`I S .ft. �Other �rmanent ..............::..................................:.
9 � 9
� unici al Utiht
P s��:?'::�'J�F�:::�::.�':...°`,::.';'"":;::>::::'::>::::::>::>::»::>:>i::::<::::
❑Other Y ..................�.�,��������J�.::::::::.::::::.::::::. ?
Plus Basement ❑Private On-Site Well $ O Oa�
The applicant agrees to comply with all applicable codes,statutes and ordinances and with the conditions of this permit;understands that the issuance of
the permit creates no legal liabilrty,express or implied,on the artment or munfcipality;and certifies that all the above Informati n is a wrate.
APPLI�ANT'S SIGNATURE p 1iyv� DATE SIGNED � /S
APPROVAL CONDITIONS This permit is issued pursuant tothe following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
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� INDiGT�' !� / `�
❑Town ❑Village ity ❑County ❑State of: Mu�icipality Number of Dwelling location:
���V���
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Plan Review $� onstrudion
Inspection $ �H /AC Name
Wis.Permit Seal $�� ❑Electrical
Other $ Plumbing Date � ��
Erosion C�,.,/) // � /'��
Total $�_ y ( Cert.No. �E�C�C\ '
SBD-5823(R.06/94) WHITE-Issuing JurisditUon YELLOW-DILHR GREEN-Insper[or PINK-Owner/Agent
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NAP4E �_S(iC� '`NSr�Z. AODRESS
LOT � 8 LCCK ,.;
SUB01 Y. �jC C f-�f�S� ZCNE
STREET N0. ��� (�V � q��� � -
� L�T ��MENS I GraS
SIOE1rALK EXISTING YES � NO
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8iJ I LD 1 uG G�A�E ELE�iaT I OVS STAKES SET AT 5 I TE �i,r�, q , i 9_Y ,�
FEE; ��5.00 .
��Z�1/pG��:r���
OE?aRT��E�,T OF ��,,o L(C �VGriK:
I , the undersigned, owner or agent of the aocve dascrioed property agree ro have `he
� grade estaa� istied befora excavation has commenced. �
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City Of Oshkosh �/�/85 �
PARKLAND DEDICATION FEE COLLECTION RECOP.D
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Address �iC�, ��llJ �.
Owner's Name USChI ��
�� �S�_
Name of Subdivision
Lot � B1 dg. F'armi t # `7 � T `� �
No. of Units l
Fee Requ�red `���
Fee Pai d `� �
Owner's signature � Gate
� �Inspector's signature Date
Parks Subdivision
Improvement
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CODE ENFORCEMENT DLVISION
DEc'ART*iEN? OF COMMUNI?Y DEVELOPMEVT
CITY OF OSIiKOSH , WISCONSIN
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VIOLATION / CORRECTION NOTtCE �
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DATE INSPECTED � �`" �� c�
� OCCUPANCY INSPECTED ''�j ��1�
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"` OWNERS NAME ',L�,,-h ;:;_�_
ADDRES&�--."------
NOTICE DELIVERED/EXPLAINED TO: �c�-�`,�c_ z, �-'` T ' ''�.. `
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ITEM # ORDER FINDINGS OF INSPEC?ION
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DEFICIENCT�S MUST �F CORRECTED AND APPROVED BEFORE
CONCEALMEN�' . C��LL i 4i/+) 236-5050 FOR INSPECTION.
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CUMPLIANCE DATE: -1- ,� <: ` 1� �
,�� ,,�' �,� INSPECTOR. J1I'.
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CODE ENFORCEMEN? DIVISION
DEPART*�ENT OF COMMUNITY DEVELOPMENT
CITY OF OSHKCSH , WISCONSIN
VIOLATION / CORRECTION NOTICE
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DATE INSPECTED I (� �
OCCUPANCY INSPECTED , � ,
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ADDRES S �- ��'` '` W� �
OWNERS NAME ��i�.�,,.-,
ADDRES�&'"�______.
NOTICE DEL IVERED/EXPLAINED TO: ��,��,P.1. �,�, �" � �� � ��� �
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ITEM � ORDER FINDINGS OF INSPECTION
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DEFICIENCI�S MUST 9F CORRECTED AND APPROVED BEFORE
CONCEAL:iENT . CALL (�+i4) 236-5050 FOR INSPECTION.
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COMPLIANCE DATE: ��_�,���-..Q,�.�-��� I:VSPECTOR: (J�j /�,,,
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CITY HALL
215 Church Avenue
P. O. Box 1130
Oshkos 5 902-�1130 City of Oshkosh
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O�KO� Approved: December 12, 1995
Issued: December 14, 1995
Rusch Construction
2760 Westmoor Road
Oshkosh, WI 54904
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the New Single Family
Residence with attached garage located at 2940 W. 20th Avenue,
Oshkosh, WI 54904 as described in Building Permit Application
number(s) 43743 .
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.
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 Occ pancy is issued for
that occupancy. All conditions noted above be complied with in
order for this certificate to be valid.
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UILDING INSPECTOR
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U.S� WcY consist of �
GENERAL CONTR�TOR �- �ti�� 13 2 �
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MASON.CONTRACTOR ' ZONE �
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