HomeMy WebLinkAboutBuilding CITY OF OSHKOSH N=0 00204
PERMIT ® APPLICATION AND RECORD
TYPE BLDG',Er" HTG E] FLEC L PLBG E] SIGN F] 70NING FLOOD PLAIN(,�C/, HEIGHT__. _~
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ADDRESS
PLAN NO.
OWNER
DESIGNER__—,
US /NATURE OF,?WORK
L
7
BUILDING CONTRACTOR
Size'"' Sq. Ft. # Rooms # Stories Height
Founclatiorza�o:r?/'� �"�o
Class of Const, &,31
Occupancy Permit
HEATING CONTRACTOR--------
Heat ❑ A/C F-1 Vent E] Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New D Change D Temp Type— Volts— Amps
FixturesSwitches Receptacles—_ Circuits
PLUMBING CONTRACTOR
BT _WH Disp Wsoft C13asin
Lav —Sh _DW DF —San. Sewer—
WC FDr _SP Ur —Storm Sewer-----.
Sink LTub Eject SS
Other-
FEES: Park Dedication
Valuation.�' Permit Fee Paid $ X"
ISSUED BY
Date Final/O.P. 10
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE--.-. 4�
AGE_NT/0WNEW_____ DATE
ADDRESS_...... 35
TELEPHONE
f �FG/"VM USE MPS 5T
Building Permit C Zoning COnfo
Non-C.onfag
Job loea.tion,� °
v
w. Lot Dimension
Property OwTp_.r -Mz_ V
lot Area
22jSTR=0N DATA
Describe Work: 4C
STRf.JCT ON ADDITICN
ALTERATION
Accessory Building Fence Pool � ,.,Single Family
-- ® Deck/Patio Two-Farnily
Boathouse ® Sian Multi-Family
® Utility Structure Porch
---- _ C�xcial
Other (specify) Manufacturing
III. CC TZ _zNCE aiECKZ
comolies Deficient„ Deficie*1cv/C=L-nts
..� .� Use
Lot Width
Tot Area
Floodplain
CIS Front Yard
Rear Yard
Side Yawl (R)
Side Yard (L)
�µ Parking
Building ,Area
.. Tait area per Famj ly
Corner Lot
Other (specify)
Iv. R?zEa AurHoRTTY
The Planning Director, or appropriate designee, must approve all plans, except
The following. (1) Alterations or interior wark when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g. , siding, windcws,
etc„ when the use is conforming and when no change of use is prcposed.
Instances where work =nplies with the above criteria, the permit can be revie,;ed
by the Building Inspector without referral to the Planning Director.
APPROVED NOT APPROVED
Plan Comrnissicn Action Required
Variance(s) Required
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