HomeMy WebLinkAbout0039485-Building 1C�
______
� CITY OF OSHKOSH N° 39485
n PERMIT - APPLI ATI �
C ON AND RECORD
TYPE: BLD�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ADDRESS q� 1�f��'�Jl�/ V� �
� PLAN NO.�—��� JJ���
OWNER `�'� C�j 1����
DESIGNER
�E/NATURE OF WORK �� S/MAL..� /C- � � ��� �
p C�� - �w ��s�2
BUILDING CONTRACTOR U �
Size � Sq. Ft � � # Rooms �' # Stories � Height �
Foundation ��� — Class of Const.� Occupancy Permit
HEATING CONTRACTOR -
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ���t7�
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
FEES: Valuatio � Permit Fee Paid $ �s' � Park Dedication $ ! �� �
ISSUED BY Date 5 Final/O.P.
In the performance of this work I a ree to perform all work pursuant to rules governing the described const�uction.
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SIGNATURE j�"�' 7 9
AGENT/OWNER DATE �
ADDRESS
TELEPHONE#
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WisconsinDepartmentoflndustry, WISCONSIN UNIFORM ApPlicationNo.
`db°`a"d"�"'a�Re�at'°"S BUILDING PERMIT �q�{�� � �
Safety and Buildings Division
P.O.Box 7969 APPLICATION Parcel No.
Madison,WI 53707
Wisconsin Statutes 101.63,ioi.�3 (See instructions on back of pink copy)
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;��������������� ; [�Constr Erosion ❑other. `
_ _
Own r's Name Mailing Address Telephone No.(indude area code)
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Co tractor's Name Mailing Ad ress Telephone No.(indude area code}
Lot Area
�����������..: �S� S .ft. 1/4, 1/4,Section T N,R E(or)W
Building Address Subdivision Name Lot No. Block No.
Qo N� � �� .
Zoning Distrid(s) Zoning Permit No. Front Rear Left Right
Setbacks a 5 ft. 7 ( � ft. ` �J ��y �yft, . �1� / � ft.
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New ❑Repair ingle family Entrance Panel orced Air Furnace Fuel Nat. L P. Oil Elec. Solid Solar
❑Alteration ❑Raze ❑Two Family Size: l06 amp ❑Radiant Baseboard or Panel Gas '
p Addition ❑Move ❑Garage Service: ❑Heat Pump Space Htg ❑ ❑ ❑ ❑
❑Other(print): Q'�Jnderground ❑Boiler '
❑Overhead ❑Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑
❑Other ❑Other "�Dwelling unit will have 3 kilowatt or
;
'��° ����� � � ������� more insta led electr e space ating e ui
I i he 4 P
ite Constructed � oncrete
;'��;;;P�.[Il$AS1N�'a: ; Inflltration control o tion is:p Full sealing
;, ...:. ❑Manufadured ❑Masonry of�omts ❑Blower door test ❑Extenor
�<.:J�����u��.�`�� : Treated Wood
: . . .... . � Sew air infiltration barner
�.���R�� <;:::`>::si: ❑Other unicipal
Unfinished Basement`i�Sq.ft. ❑Septic ��;:H��T:�.�'s'�.(���Gkl�c����� .::.
❑1-Story �r..�}��,`: :"`" `..::` Permrt No. Envelope • BTU/HR
Living Area � ��� Sq.ft. �2_ ory ❑Seasonal ;• ;Infiltration Z,`�� /g'3. / BTU/HR
ther [[]�ermanent '��`` ��� '
, ...........::.
Garage � Sq.ft. ❑Other uniupal UUlrty �� .��`�.������d'$�. ;;.... . . :.
lus Basement Q Private On-Site Well $
The applicant agrees to comply with all applicable codes,statutes and ordinances and with the conditions of this permrt; understands that the issuance of
the permit creates no legal liability,express or imp d,on e Depart ent or municipality;and certifies that all the above information is accurate.
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APPLICANT'S SIGNATURE � ���y DATE SIGNED J� IS� 4
APPROVAL CONDITIONS This permrt is issued pursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other pe�alty.
� (� S. S6�!�C i 3 � U SS .cI „
r �c S act.� �QSv� ct6 .
....................................... .
❑Town ❑Village ❑County �State of: Municipality Number of Dwelling Location:
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Plan Review $ ��� onstrudion
Inspectlon $ �I-tl�P�C Name
Wis.Permit Seal $_� ❑Eledrical �' D ��
Other $ ❑Plumbing Date
�� �osion /��1 ���`'�
Total $ .C/< ❑ v L� Cert.No. f���S
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SBD-5823(R.07/92) WHITE-Issuing Jurisdfction YELLOW-DILHR GREEN-Inspector PINK-Owner/Agent � .!
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ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION:��� �1� ��X� �� • ✓
ZONING
PROPERTY OWNER/CONTRACTOR: c�`�-��� �a"�-v�-`��J
. CONSTRUCTION DATA: � New Construction Addition Alteration
TYP OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) '
�U� �1�C�� ��� �,��C-1�� ����
COMPLIANCE CHECKLIST
1�'��� � '�'� �Z
C-�IZa�C'� �� -��"
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 �` � �/C� �' .
BZA Conditions of A roval ' ��,�'(.�-�. � ` ��� '�
Pp
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.
�PPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ��"r` �f' ='� DATE: � � �
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Cit,y Of Oshkosh 1�1/85
PARKLAND DEDICATION FEE COLLECTION RECOP.D
Address � 7 � �1.��� (0� :
Owne�'s Name U��
Name of Subdivision ��l��A� �% ��'�✓�[1rt�
Lot # � Bldg. Parmit # ��y��
No. of Units (
Fee Requ�red `���
Fee Paid �
Owner's signature Gate
,
Inspector's signature Date �
Parks Subdivision
imorovement
�,ccts . Rec. . 352-��;�
�aTE �I ��1 �
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NaME �7�'.� ���TTZ,�-��� ,�ooREss
�or � a�ccx — ,•f
. aFD
S U80 I V._�U..� �,�' � t{�-��'"� ZCNE
STREET rv0. �/�D ��` �y�(� ��j C� LOT �I MENS i Gr�S
SIOEWALK EXISTING YES � uo
�
6UILDiu� GRADE ELEVATtONS STAKES SET AT SITE � f�
. �9�`' _9Y �' t..l
FEE: ��5.00
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DEPART�'•"c`:T OF �t;o L(C 'NCRK;
I , the undersigned, ow�er or agent of the above dascribed pr�perty agree to ha��e `ne
grade estaDiished before excavation has commenced. '
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�► c�ty of Oshkosh
�.�KQ�H P'O. BOX 1130
OSHKOSH, WI 54902-1130
�� ON THE WATER
January 30, 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 2790 Newport Avenue,
Oshkosh, WI 54904 as described in Building Permit Application
number (s) 39485.
This building is to be used as a Single Family Dwelling only and
is located in the R-1 Sinqle 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.
2) Per ILHR 21.08, patch firewall where notched above stairway.
3) Per ILHR 21.08, Furnish verification that the wall open to the
basement is properly firestopped at the lower level ceiling level.
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.
BUILDING INSPECTOR
' ' O�"_'1ER �C��G� ADDRESS C.j" �:-w � (,��
� I�ATE � b' Y PERMIT # USE �S� - �� ��, �
��� WoYk consists of
GENERAL CONTRACTOR
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MASON .CONTRACZ�OR � ZONE •�x4.:� cu,�r��
wiath of lot D�'''?�`�`'c`- �L'''" -" y3yS�J
DATE INSPECTIONS
/ � REI�IARFCS
�yL�'t.�.` � ,�W>i`��'' - �c��� �y� -
(JN�1�C-C � cSt�7 T�l�� /G�
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O � t c.:bl �R.L���.l. ��, �- ,-Z�C:L
.0 •.t�J.;C <��t`t I�.,l.:h � i
p� - �� lfJ � 11�
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Q �Z SC�/1.1�
' Front of lot MAILZNG ADDRESS
. . .OWNER Y��r � �- G� ADDRESS Z 7`}l� /l�cw e>c�>_'�--
- ,
DATE PEW1IT # USE
Wo�ck consists of
GENERAL CONTRACTOR
MASON CONTRACTOR ZONE
Width of lot DATE INSP�CTIONS
REMARKS
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G.�f'�_ �1�,�0�( f—� •� o.�..-t..� �ie� �-cti
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Front of lot
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'. . . "' '^ . .. . � . . . � - INSULATION
STRUCTURAL �
APPROVE j�_ .
APPROVE . i ,t��.,
' �` DATE �
City of DATE � q'1 City of .
OSHKOSH INSP � : OSHKOSH INSP
_ - - - - -
� IGNED BY THE FOLLOWING
INSPECTORS
, � � . _.
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.._/
/.. � .
ROUGH ELECTRICAL WIRING CCUPANCY TO BE ISSUED
APPROVD iSUED ENOR SHALL ANY BUILD NGNBE OCCUPIED
Clt)/ Of DATE � g S� ONFIiC"fS WITH THE CONDITIONS PUT FORTH
OSHKOSH INSP �CCUPANCY.
' ROUGH ELECTRICAL WIRING .
APPROVE Code Enforcement Division
Room 205� City Hail
City of DATE � �� Oshkosh, Wisconsin 54901 �
OSHKOSH INSP
INSPECTIONS MAY BE ARRANGED BY CALLING 236-5050.
_, �., - ---�
' ���
BUILDING � DAT � �'� �-�
ELECTRICAL �� ����� �-' DAT� `3� 5 �
HEATING DATE �` - ��^
,�
, . .�
PLUMBING �� �� �� �� D�tTE "�,��� � ��
ROUGH PLUMBING � DATE
APPROVE � 2 FAMILY DWELLINGS
�
City of oaTE � � � ' � D A TE
t from the Cfty Health Depertment.
OSHKOSH INSP E'��i�"'
CITY SEAL�K DATE
Only �-� ^• ,� �l�ere Scales. Pumpa or Scannin� Refliatera are uaed.