HomeMy WebLinkAbout0012843-Building n7
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DATE � o�() � � 3 �
NAME L� ADDRESS � yS�
LOT �S BLOCK -- �
wA�D �
S UBD I V. ���� Q� ZON E 1 �-� I �
STREET N0. ���� �, ,� � LOT D I MENS I ONS SOX /S Q
_ .�_
S I DEWALK EX I ST I NG YES � NO �_�y
BU I LD I NG GRADE ELEVAT I ONS STAKES SET AT S I TE `T-- �' ' , �9 �,"_:. gY �' � !
�
FEE: $2.00
G��L �i������ .
DEPARTMENT OF PUBLfC WORKS
I , the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced .
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STATEOFWISCONSIN WISCONSIN UNIFORM IaB�f 3
�uiuN qEU oo�owrnr,ueon�NO P ER M I T N O.
DIVIEIONOflAFTYANOBUILDINGS BUILDING PERMIT
Tol E.WAfMINGTON AVE. PARCE L NO.
eox�
""°"°"."".�"°' APPLICATION
WItCOMSINSTATUE!101.E3
PERMIT REDUESTED coNST v,ac ec ��+s-
Ow r's Name Mailin Address Telephone
��.2R �'a�s I Sr 3 S- 1 t3 t z.�
Contractor's Nam Mailing Address Telephone
�AM�- � �-- �A,1��—
PROJECT LOCATION v. ��<, sECr�on, , T n,, R Elor►W
Building Address Su division Name Lot No. Block No.
I Z 1 Z �,�,. �Z.z�l.�J�,. �.2��� �oM�s �1� --
Zo i�g District Lot Area Front Rear T Left Right
�-- ( g ���O Sq.ft. Setbacks '�°� ft. gJ ft. ft. � ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entrance Panel orced Air Furnace Fuel �° Wacer
�New ❑Addition Single family '�� AMP Htp. Htp.
SiZe' Radiant Baseboard or Panel
❑Alteration Two family Service LP Gas � .�❑_
❑Gara e ❑Other ❑Heat pump �
9 � nderground �goiler Nat.Gas
❑Attached Overhead Fuel Oil ❑ ❑
❑Detached ❑Central Air Cond. O ❑
6. CONST.TYPE 7. FOUNDATION ❑Other Elec.
❑Other 'A $3�O Wood ❑ ❑
❑Master plan no.�r� Site const. oncrete
(if applicable) 8. PLUMBING Solar ❑ ❑
❑Manufactured Masonry Coal ❑ ❑
outida ❑Treated Wood Sewer
9. AREA 10. STORIES Other
Dimension ❑Other ��llunicipal
u Septic
�Basement �sq.ft. 1-Story 11. USE ❑permit No. 12.WATER
,^� ❑2-Story
�Living Area �_�v sq.ft. ❑Other �Seasonal Private
�ermanent
�Other �Municipal
e applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit;understan s
that the issuance of the permit creates no legal Iiability,express or implied,on the Department or Municipality;and certifies that all the above information
is accurate.
SIGNATURE OF APRLICAIdT DATE 5��—°8 3
CONDITIONS OF APPROVAL Tn'S ermit is issued pursuant to the following conditions. Failure to comply m�y result in suspension or
revocation of this permit or other penalty.
' �. , n /��L.S �L 1/ /�
T TIF 6LS /l1JA�iE�t/'tAC, -r
�C.. « r�,'rKJL, �
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r i2C� C�b�-_
1S. ISSUING JURISDICTION ❑VILLAGE ITY ❑TOWN ❑COUNTY ❑STATE
NAME ����S� MUNIC. NO. � � — � � v
FEES PERMITIS) WIS.UNIFORM PERMIT
�� ISSUED SEAL No.ls1 PERMIT ISSUED BY
PLAN REVIEW � $ � ONST. � t NAME �
iNSPECTION HVAC �f'�e �� .� �_��
WIS.PERMIT SEAUS) K�ELEC 3 DATE
OTHER( ) � CERT NO. ��� (t�
TOTAL$
DILHR-SBD-5823 ISSUING JURISDICTION/AGENCY
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OWNER��C'�CE�'�./L,�-t�-�-15 �US�-- ADDRESS (�� L w� iZ`�—`' ���
DATE �-Z-4 - 8 3 PERMIT # � �t'� USE ��F/�-- #
��`�--t-�-'" Wor k c o�s i s t s o f/,��u.��
GENERAL CONTRACTOR � �
�� ;
MASON CONTRACTOR ZONE
Width of lot S�� DATE-�z.�3,c=��'��' INSP�CTIONS
REMARKS
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Front of lot
MAILItvG aDDRBSs
� Feb. 14, 1984
Jerome & Francis Faust
4180 Knapp St. Road
Oshkosh, WI 54901
CEETIFICATE OF OCCIIPANCY
9n Occvpancy Permit is hereby granted for tne new house
located at
1212 W. 12th Ave. OShk03h� Wisconsin as described
in 3vilding Permit application numbers(s) 12843
.
2'P11S building 1S t0 be used 0211� SS a single family
residence and is 1II the
R-1B Single Family Residence Dis�r2ct.
LI�ITATIONS:
�+Iaaimum floor ZOSd1IIg: 40 pounds per square foot live loading
:4aaimum number oP persons andi or Iiving uni�s: one 1i�ing unit
NOt�:
A new Certificat2 oF Occu�anc� shall be required prior to
occupa,ncy, should additional building(s ) be erected, or shvuld
any bulldings mentioned above be altered or oo�ed. The use of
land, or buildings shall not be changed unti7. a Cert�:'ic�te of
Occur�ancy is issued Por that occupar.cy.
CHTEF BUIiDING I1TSP�CT08