HomeMy WebLinkAbout1991-Building (fence) CITY OF OSHKOSH N° 22869
� PERMIT - APPLICATION AND RECORD
TYP�: BLDG G�"I HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ��� FLOOD PLAIN HEIGHT
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ADDRESS/� 3 // ��`'V�z1 PLAN NO.
OWNER ����OL�i�
DESIGNER
USE/NATURE OF WORK��� �� �� ��'^��t �`-�`2U"" � �u� �� ' � ��
�-1/+-4.vr�i�+i�.�LL �{l�Lc l}�"
BUILDING CONTRACTOR � �l /C-. -?"�ii7�-�
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
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: Valua� $ ��U� ` e � ^ Permit Fee Paid $ Q' �� Park Dedication $
ISSUED BY � - � n Date � q Final/O.P
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE�"1- F�f�d�p�� �-I�� ���
' AGENT�OWNER DATT E
ADDRESS
TELEPHONE#
Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB L�CATION: �Z � �� ,���/'/ �ti/� ZONING:
PROPERT OWNER ONTRACTOR: /�� J�tn���( _
� �
CONSTRUCTION OATA: �/ NEW CONSTRUCTIC�I ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc. )
70 � �u ��i�'i .�Ce �l`c�x_ ��1�
�0 O �� ��- ��L C�.c��� ��
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COMPLIANCE CHECKU ST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (frart yard)
Rear Yard
� Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
REVIEW UTHORITY:
The Director of Community Development, or designee, must approve all plans , except the
following: (1 ) Alterations or interior work when the use is conforming and when no change
in use is proposed. (Z) �4aintenance items; e.g. siding, windows, etc. , when the use is
conforming and when no change is proposed.
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector without referral to the Director of Community Development, or designee.
�PROVED DENIED
Plan Commission Action Required
Variance(s) Requir
REVIEWED BY: DATE: �
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