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WE4t SMItN AVENUE
�
L�� (`�, "_" '_ . ���� .
3� �.� . S. P'�--G-- �.��� _
CEA'I'Ir'ICATE OF uCCUF[�i�fCY �
.�
t�n occt�r���zcy permit is hereby Tra�_zted for < 4°e--f -'�.'-��
����-'?��� located at O c�.�. 23 r
� 1 __.__�.____�'�.
��G i�L �tS��5l� s��'
, Oshkosh, Wisconsin, as 1escribed in buildin��� ��er-
mit ��plication ��umber (s )_�G'� �� �f��4-
This_ �� _. is to be used onl as
.e .-.�.� Y
�'� Y __. � .p_ and i s in the
� -� �.�"'�'�.`""'��___,�� d 1 s t r i c t.
LIMITATIONS:
Nlaximum floor loading. ���� _ /� �
_�
Maximum number of persons and/or livin� units : ���
F
;
Other° '�
� ---- - ;
r10TE:
A new Certificate of Occupancy shall be required pricr to oc-
cupancy, should adaitional building(s ) be erected, or should any
buil�.in�s mentioned abovs ��e alterecl or moved. The use of land,
or buildiiz;s shall not be chan�ed t.�ntil 8 Certificate of ^ccupancy
is issued for t���t occulancy.
Buildin�; nspector
�
DEPARTMENT OF INDUSTRY,LABOR AND HUMAN RELATIONS
SAFETY&BUILDINGS DIVISION
P.O. BOX 7969
MADISON,WISCONSIN 53707
PERMISSION TO START CONSTRUCTION
FEE $60.00 Cper bldg.}IN ADDITION TO EXAMINATION/INSPECTION FEES
I.ocation of Project: ��'�� ��4COtt31ffi �i'�li.@t, Qlt�'lk��h, ��SC.
Owner: Ft�x C1ti�es +Ct'�s�t�u�tiot� E
Street: �$� �' ��`�� �$r� ���'n� Plan FIle Number
City: ��as�• ��s�` ��gQ�' Date Plans Rec'd
County: ������
Occupancy: RQBi't�RAZ'1�1 '" CClSdC�fl3�.iltR
We,the undersigned,request to begin footing and foundation work prior to approval of the plans.
Complete plans have been submitted to the Department of Industry, Labor & Human Relations,Division of Industrial Safety and
Buildings,and all information requested by Code Ind. 50.12 has been included with the submittal.
We have reviewed the specific code requirements for the building or structure including,but not limited to,Ind. 54.01,Ind. 55.02,
Ind. 56.02, Ind. 57.01 (construction, height and allowable area), Ind. 50.12, Ind. 51.03, Ind. 53,Ind. SS.OS.and Ind. 54.50,when
applicable,and have shown compliance vn the drawings.
We agree to make any changes required after the plans have been reviewed and to remove or replace noncode complying parts of
the foundation and/or footings.
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or structure
until approval has been received.
We understand that, prior to the start of construction, a Building Permit must be obtained from the local authorities having
jurisdiction in accor ce wit eir laws and ordinances. �� f� _� �,�-
��,..,�` ,� � ,f� � � �� .
- ��� ;.'� .,.. F r �,���.� ���� Y � I' ..
s "``' Accepted By Date
Owner's Signature Date
Name: ��11� fl�citp„�' Dept.of Tnd., Labar&Human Relations
Div, of Industrial Safety&Buildings
Address:.�Q� �, $p�� ��i'�C, �ri.
�S�Qt�� �SC�GAS'�� ��� Not Accepted Because
`��; ,
�.> �.�; '�. � ,�,_ �'` f 8�4/$2 Pians will be examined within the next
' Date da s
�e,s�gne�s S��t�•�C"�tiZ31 S�Z'��Ces y .
I�ame: �'retu'qt� P. I381h1. AIl�
P.4. H@X �6�8 NOTE: Complete building plans are needed for issuance
� A�dress: of this permission. Footing and foundation plans sub-
L81�3��t��, IN 4?9'tI3 mitted prior to final building plans will not be accepted
for issuance of this pernussion.
SR-398 {R.pgJ80)
BLDG. INSPECTOR'S COPY
i
4
� DATE ,�/�',/�� ,
NAME ADDRESS 1-�'OC� (' �.J - � . �.
, (/1/L-� Cc.P, liJ.s �' l.� Ss�.,;
LOT B LOC K — laAFiD ��
_ �� 3
SUBDIV. ZONE
STREET N0. -�-3oO �30.�-�3 o Sl�30� LOT D I MENS I ONS /�� ����
� ty
SIDEWALK EXISTING �� � YES � NO `� !
1_____�
BU I LD I NG GRADE E LEVAT I ONS STAKES SET AT S I TE �- � , I 9 �'- gY �1� }
�
� FEE: $2.00
DEPARTMENT OF PUBLfC WORKS
I , the undersigned, owner or agent of the above described property agree to have the
grade est�blished before excavation has commenced.
���
� �
�
� ���,C`� ��% � ����;�`a
NOTICE �
THIS BUILDING SHALL NOT �E
OCCUPIED UNTIL FINAL INSPECT� n �� �
INSULATION
HAVE BEEN MADE A �VE
pPR � �:
A . ,
SIGNED BY THE I ��ty of DATP � - � �,,,,,, � .
, OSHKOSH INS
�OUGH P L U M B I N G � N S P E C T O K �' L E C T R I C A L W�R�N G
�P P R V R O U G H E
0 ED
VED � �
� _ �_�� PRO _ ,
of DATE AP , , �.
)SH INSP � Cit of DATE Y�� �
� 4TIFICATE OF OCCUPANCY TO y �`^"1��J��``��
OSHKOSH INSP
(A) NO BUILDING OR PART THEREOF SH� _. .� „��,n
CERTIFICATE HA3 BEEN ISSUED. NOR SHALL ANY BUILDING BE OCCUPIED
IN ANY MANNER WHICH CONFLICTS WITH TNG �^•'^'�•"•`-
IN THE CERTIFICATE OF OCCUF 'NSULATION
OVED . ..
APPR _
�� ��
PRESENT THIS CARD City of DATE 2
� FOR OCCUPANCY PERMIT TO OSHKOSH INSP
- --... .,T�v �
INSPECTIONS MAY BE ARRANGED BY CALLING 236-5050.
8 L�- L �.A"ZG s'^ � ��/�j '
UILDING DAT N
?
ELECTBICAL � � � DATE �� ���5` �=� `
H E A T I N G �'z— -�� ��7�-�--- D A T E � z �� � �'
�
PLUMBING ����'� �z��--�- D�1TE � _1 S-- � Z �
, �
�
FIBE 238-5242 DA�E �
NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS
SANITAAIAN 236-503o Y _�DATE _ �
Only for Businesses that Require a Permit from the City Health Department. �
E
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OWNER�0� �� (1�--i� ADDtZESS Z3�t�.Z�02 23 oQ. �� � o-.,..,� I
� r,
y DATE �-/C'- � PERl�IIT # G��S�/ USE �
� ��-� �c�—� � Woz co ns is t s o f `���*-�-� �._
GENERAL CONTRACTOR
��--3
MASON .CONTRACTOR � ZONE _ j� Z7_ =- /Gl/
, --,----
Width of lot / � °¢ DATE �d� II3SPECTIONS
�� REIr1AtZKS
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Z5.33 25-z
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Front of lot MAILING ADDRESS