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Home My WebLink About0032699-Building r r � %/� � . CITY OF OSHKOSH N°_ 32699 : `' PERMIT - APPLICATION AND RECORD . � TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ��/ FLOOD PLAIN HEIGHT : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . ADDRESS � 3� � !,� ` PLAN NO. C � �� DZ�� OWNER E- � DESIGNER USE/NATURE OF WORK �� _� • BUILDING CONl'RACTOR�•� �a!C��i�/ Siz Sq. Ft. �3�Z # Rooms '3/� # Stories Height �I / Foundation �_.�t. Class of Const.� Occupancy Permit� l� HEATING CONTRACTOR�j�.l� Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR� li12fY� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �,t��L� —BT —WH —Disp —WSoft —CBasin —Lav Sh DW —DF —San. Sewer —WC FDr SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other FEES: Valuation $ � Permit Fee Paid $ �O `0 ✓ Park Dedication $ ISSUED BY Date � -3 Final/O.P. l–�`� ��.� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU ' �� / � AGENT/OWNER DATE ADDRESS ll1 ' a � .�--�a�,s-- ; � TELEPHONE# � l 1,°O a Z93 v� � WisconsinDepartmentotlndustry, WISCONSIN UNIFORM APP��ationNP. LaborandHumanRelations BVILDING PERMIT ��9• Safety and Buildings Division : P.O.Box 7969 APPLICATION Parcel No. Madison,WI 53707 Wisconsin Statutes 101.63,io�.�3 (See instructions on back of pink copy) , :;;:<:��:��:;�� :.:.'�:��:<:>::;:`< >:<�� ••� � Constr HVAC Etec Plb Erosion Other: : ::>;>:::::: � ❑ ❑ ❑ 9 ❑ � Owner's Name� _ Mailing Address Telephone No.(include area code) 3 �i D a33- Contrador's e Mailin ddress Telephone No.(include area code} 1 3 D � — D3S'— >z:>:::: Lot Area ;:::»':::��..;..::<»>»>:::'.;;!;':;>.;;!.:;;:><>:>:>::>?<. :»» ' "'��"��''" 5 .ft. 1/4, 1/4,Sedion ,T N,R E(or)W �Building Address .. Subdivision Name Lot No. ' Block No. a-3o ! ` c� S � Zoning District(s) Zoning ermit No. Front Rear Left Right � Setbacks �0 ft. O 4 ft. / fc. �7 ft. .::;t:�...:.:.::..: ..:�•�:±�:..�:.;;;:.»::.;>::;:;.:::>�::,,;::;;.;�:.>:.;;::;:.>::::�.;::.;...:•. ...�..:,:..:�..:.....:�.::.:;>:...:.;:::�:y:::;:....:,:...::��:..;_.:.i:.;:.;::>:��«:>:::::.;•.:•.,:•...r.. ..�.:...::::.::.:::,::'��•::;:.::.;;::.:��.:�:::>,..::.r:.::.:::..:;:.: ..:..::.::....;;;<::•:�.>:.::.:.;;:.::;:;:.;;;:.>::»:;.;: ?:.1:L::::..'3�i. :::::::::::::i:::::2:::Y::::::c::::::::i::f:::::::::.::::;::.:: ::::': .>;.::(: � :::::::::::: ''';::. :.;�r,t:: :: �:.;:.>:.s:.:: ::.::':y.�: •::: . . ; {y�./�..`.,:.;>:.>;:..:. :::.:.�t . .... .>.• .: : . . 1�. . ......�•...C.�6.t�. ... . . �:.::.::.:.>�i:.>�:i��.��. ��':R#i—'.l��sx.::<.>:�.�.>:�E7E��:. . . . `. �':;`::t::<::::::::i::::::::::::5;;::`;:i::::i::::: .............:....... �.. . .�:a:::::.�::::::::::.::::::::. New ❑Repair ingle Family Entran£e�P_anel � Forced Air Furnace Fuel Nat_ L.P. Oil Elec. Solid Solar Alteration ❑Raze Two Family Size: iC7 Oamp Radiant Baseboard or Panel Gas * ❑Addition ❑Move Q Garage Service: ❑Heat Pump �Other(print): �'Underground ❑Boiler Space Htg ❑ ❑ ❑ ❑ ❑ ❑Overhead ❑Central Air Conditioning Water Htg ❑ ❑ ❑ ❑ ❑ ❑Other ❑Other •�Dwelling unit will have 3 kilowatt or �'`'��'"��'�"��' .....,more installed electric s ace heatin e ui . ite Constructed Concrete p 9 q P #:'�.� is�>��#��i>a»»»»>>»�>`:�>'?>:z Infikration control o tion is: F II lin ,,.::...:.:....:.<;r...:..:....:...:.....:..::::.:_:::::.::::: ❑ anufactured Masonr � sea g ..:.:..:.......:..:::::.::.:..::...:::.....:.. y p u of joints. ❑Blower door test. ❑Exterior i'•�;�'?.��:��`��>>'>'>:<'.:«>:»»> ❑Treated Wood Sewer air infiltration barrier. ., ..... .. 0 7� E::�«::::��:::.?;;::;::':;':.:::?»::: ❑Other Pa� Unfimshed easeme�3 S ft. Munici ::::::.. <»....................... .: ;: ;;,;;:;:;:;: :>;>; :<:>::>:::<> Q� :.;::::;�se tic ;:?�:::>::'��:«H��ttiT::��S�::..�:±��d#�.::>::::::::>:: ,-sto► >< . p . .....................:�...... �......:. ............. ❑ Y ;;. �':':,'. `�?>:'»>:»:iz':�»::<�»:�:�>: Permit No. Envelope BTU/HR Living Area 13.e 2 Sq.ft. �2_Story ❑Seasonal � • � �yC 3S� BTU/HR ) <:�"��::::�l��:[>::%;::i:`:�::?::;>':>::>:::<>i>:<:::;::;Infikration Z Oth r � (�'Permanent ......................................................... Gara e (0 S .ft. � 9 4 � ni i I ili u c a Ut t .:........:............. . .. ... ....................................... P Y �:�:>;;FS�x::��G�«0:��:::>:::<::«:"::<::i'>:;>;»<::;;' ❑Other _.............................................................. ..... : ❑Plus Basement ❑Private On-Site Well $ Q �OQ, O d 7he 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 liability,express or implied,on the Departmen municipality;and certifies that all the above information is accurate. APPLICANT'S SIGNATUR DATE SIGNED /S � APPROVAL CONDITIONS This permit is i su�d pursuant to the following conditions. Failure to comply may result in suspension or revocation ot this perm it or other penalty. � �w Town Vi�la e it Co nt t f: M n �` ��w� u S ate o u ia alit Number of Dw Ilin L i n: <?: ❑ ❑ e ocat o 9 Y ❑ Y ❑ P Y 9 . ii?i:Ei�:7V�:�:�7��i:;`i!<::�i:�i:`:iE::E:i:ii:>:E: . }��y {�k �` � '7 : �1J#��.I�e��l!E.::;:<': � O - G% � �L ::..:.:.:,:.,,:::::::.:.:::::::.::::::::::::. ::::::;:::;;:<i:;>:i<Y:::;;::::;::;::;:::::i:::;;;:::::;::>.^•.:;::;:>:'::::i:::::i::;:i:::::;::;;::;i::;::>::.:>;:::;::;i�..:..+.�.:.�..:y ..../...............�..�..y.....:.>::.:.:.:q.:...:.::�.y..:�.;Y...:..:......:�..;�..y.:..:.:.:<.:o->;>o-:c;;�.>;:::.:>:>:;;:c:�;;>::r;:o;o-;;;r,o-::.:;;�::::;;:»:;.::;:;:::�:;:;xo::.;w>:;;;;:.:;;;;>;;;;;:::;::r,r>;:�.-.. ...;..:'.tii:tir:t�i:tii�:::i:i:ittiSittf<tt[:;:it:iti':'i[[tt::c:ii::::i:i::::::it:iG::t::tt:G::Ytt i:t:ii:tciti:o-: . . �'�".itiiiE:S:; .� : '':;'�. ..' y� . ::i::.. T�i7�lY� �.........l[7:I�..��I��Ri ?:. ' . �i:.'.'.::.s'.�;:.:'::.::.:,..:':.::::';:.:...::::,..;::.>'.>'.:::::i::::::>o-:m>::»:>::::s:::�:::::.»:>:>r.r.;�:.:.»;:::.:;»:o:<:.>;::::; •i:: �w . ............................:.. . . �iRi.��*yp��i ii : . .. .. . :i:::::::i::::::;:;i::::;::o-;;:»;o->:r;;o-;;:::::;;:;:::::::::;::;>:>:::>:>:::;;: ...... :Y.::�.:::::..:::....:..:.::..:.: .::.�::.�::.�::.::,.:......,..,........ .... : . . ...................::.::::.�:::::::::::::::::.:::::::::::::::::::::::::::. o->:�i`i:��•:.;:o>::::.;�:::::;::.�::::::::.:o-:r:.:;:v,::h:;;;»:;;w:;:.:::»::.:;::n:o-::::.:�:�. ................ . .. ............,..:...::,.:::.:..�:.:�.:.:. ..:.. . : . ....................................................................... .......................:.::....::::.�::::::.�:::::.:�::::::::::::::::::.::::::.�::::::::�{ .r.r..�. . .:.�:.�:::::::::. .. . ..:. /.+y......................................��f.p��.��.��K.:::::::::::::::::::::.::::::.:::::.::.:::::::.�:.�:::::::::::::::::.::: ::::;:::::::l��ii�L�i:�::>::i::i::i:::::i::::::� . � . ��i��7i::i:ii:;i:i;::::i::i:;i:fi:;Gi2:ii:i:ii:::i::ii:::::ii:i:;::i:;�i;:;:::::ii::::::;::i:::::::i::i::ii:;i:i;�;::::::;::::i:::::::::::::2::::i:::::::i:::i:::::::�i:::;::::::;:;::;:::::::.';::::::::::::i::::::::::i::i::: . �>:�:»';:o-:: Plan Review� :.................:..::.::::..�.::::::::::::.:::::.::,.:::::::..,:::,,,.::.:::::::::::::::.:::.::::.:::::�.::::::::,:::.:::::::::::::.:::::::..�::::::::::::::::::::::::::::::::::.::::::::..:::::::::•:::::::;•;:::. $ '�•O O Construction Inspection $ �J iVAC Name Wis.Permit Seal $ D.d O ❑Electrical /� (� �S�'J"' � 3 Other $ ❑Plumbing � Date /a � ;��rosion a 5�,,�D rota� $ 70,o� a Cert.No. SBD-5823(R.07/92) WHITE-Issuing lurisdiction YELLOW-DILHR GREEN-Inspector PINK-Owner/Agent . ` � �� Reyisad: 8/P9 . . • ZONING/LANO USE COMP�IANC� C�fEC<LIST , JOg LOLATION: �3� I (�,,�;ZQa� ZONING: ' l PROPE�tTY OWNER/CDNTRACTOR: �, h/. /��,� CONSTRUCTION DATA: �/11�EY�1 CONSTRUCTI{N ADOITION ALTERATION PARKING LOT TYPE OF PROPOS� CONSTRUCTION: (i.e. fencz, poal, sign, de�k, etc.) /'l..e,u� ,�� C�`�� . �z�� . �` CDMP�IANCE CHE�KLIST (Check only those applicable} � � CDMPI.IES OErICIE`JT OEFICI�i1CY/CDMME�TS USe Lot Width Lot Area Floodplain Front Yard Side Stre�t (fro�t yard) � Rear Yard - Side Yard (R) Side Yard (l.) Parlcing Spaces Building Area � Lat Area Per Fami.ly Carner Lct Landstaping Transitional Yard Off-Str�e�t Lcading Yision Clearance Height REV I EirJ AUTHOR ITY: 7he Oirettar of Ccmnunity Oevelopmesrt, or designee, must approve all plans, except the following: (1 ) Alterations or interior work when the use is cortforming and when no change in use is prvposed. (2) Maintenance items,� e.g. siding, windows, etc. , when the use is conforming and when no cf�ange is proposed. Instances wi�ere worlc complies witfi the abave criteria, tfie permit can be revie�ed by tne Building Inspettor without referral to the Oirettor of CcrrQnunity Oevelopment, or designee. : �PROVED OEIV I E� . Plan Commission Action Required Variance(s) Required RE�!I E'�IED BY: OATE: �� GATE z-��/93 � � NAME t,7 9�1•,D.¢�e� AOORESS LOT � BICCK �' T.� .r�FtD �'� SUBO l v. C',cP�1�! ZGNE ST�EET NO. ? 3�( (�,c� - �T I MENS i Gr�S SIOEWA�K EXISTING YES �p � Bul�DivG G�ADE ELEVaTtONS STAKES SET AT SITE , ig gY - FEE; �i5.00 -��L�.'iZ�'l�-`r�-�' _ �E�ART'"c'dT OF 2�,;o L I C '�VGr�K_ I , the undersigned, owner or agent of the abcve dascribeC prapert•,� agree ro have the �rade estaDiis�tied befora excavation has commenced. . ��'�°�3C'.�'. � S � ��' ��- � . , . . � . , 1 OQ '• p �� cA T— i n 0 D� .� I r' , �_ - f�! � ' , � �° �. �� _ - . - � n" � T-- p� N G --------� o O �- • � I �' r 0 �' � ; Z � 0 ` �v � �. , ,, , d � 9�0 7/ = �" � 9_ O �- ' 0 ►' : ' � ^ °�� 0 � � � � '` '� `�. . � �•� \~.•'�•` I �.�\ � �. `� �_`�� .��, �``;��\ �� W 1 � \\;� �\ � � i � ` � I '. `\\\ ��• ��\ � � O � � � •\� �\, � �� ►' ` � , .z 4�c,",, ,¢7 s�o�� :� �: � • _ � _ w 0 ,- o � � , o o :-o„ ' � - - - - ----� - i O � z � �O j v ► � L.� ND RD- � � � �