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HomeMy WebLinkAboutBuilidng (foundation only) CITY OF OSHKOSH N° 25868 n PERMIT - APPLICATION AND RECORD TYPE BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � / FLOOD PLAIhIPy''`"� HEIGHT�� � _ " " " " " ' _ " _ " _ " " " _ _ " ' _ " " " _ ' _ " ' _ ADDRESS��/ � � "" Q S�� rN _ PLAN NO. '- / �- ��1� OWNER �'+F ' eV-�� Y�'d' � � '�^+ DESIGNER / �/ / USE/NATUREOFWORK��"1 ��'^- � � Y r �C� f X �Z-� �Y"��n-Y-+� �{�� °�1,0 '� `�—�� ��—�� BUILDING COM'RA�R !r��r" �'�`� � ' f, � Size% �X� Sq. Ft. g # Rooms "j� �`�"' # Stories � Height �7 /� / Foundation � � � �/ � Class o� Const_I�Z_� Occupancy Permit ��� HEATING CONTRACTOR ���-' � �'-'� Heat ❑ NC ❑ Venl ❑ FueVSys�em - Heat Loss — BTU'S ELECTRIC CONTRACTOR � I - � Elec�ric Serv. New ❑ Change ❑ Temp ❑ Type _ Volts— Amps Fixtures Switches Feceptacles Circui�s PLUMBING CONTRACTOR �-C ��- � fl— _g7 WH Disp WSofl —CBasin _Lav Sh —_�W _—DF —San. Sewer WC _—FDr SP Ur Storm Sewer _Sink — LTub —Eject —SS Water Olher FEES' Valuati � Permit Fee Paitl $ � � S!� Park Dedication $ ��� ISSUED BV Date �� — Final/O.P. In �he pertormance oi this work I agree to pedorm all work pursuant to rules goveming �he described construction. � � �j/ry la �6�9� SIGNATURE � '�m'� � � t"� � ��� AGENTIOWpNEP ORE ADDRESS ���'E�� - '.CL�� „'�"' Z3� U��� TELEPMIXiE Y �� _ :z:�, UEP,ARTb1ENT OPINUUSTRY_LA130R AM1DIIUMAN RGLATIOhS � � SAFETY& BUILDI�GS DIVISION W P.O. 60X 7969 - MAUISO�,WISCONSIN 53707 PEfLMI5S10N TO ST.4RT CONSTRUCTION �'� 1'CG RI;Qli1RLU IS nDUll IOiti"I�O LxnM1IINATlO� IASPIiC�I IOK PGGS . Locmiun ol Projccl�. StrccC ( '^ �f City: ' � . � C� Plun Pilc Sumbcr Counly ` "' Unlc Pluus Rec'd � � Occupanry' � `�� Wc, tlm undenleneJ, rcyuesl �o bclin �boting und �owidullon wurA priur m uppruvul ul Ilit plun>in vccorJ.ince wllL IuJ.�0.13. Pla�u hvvc bvcn culvnlllcd lu Ihe Ucpurlwcnl uf Indusvy_ Lubor � Ilmnun Relutioiu. Sulcly vnd Uuldings Dlvlsun. und 'vll INbnnution [cqucsled bq Codc Ind.�0.1'_ or Ind.�0_li Irvs bren in�9uJed wfLh �he subuuuul. Ne h.rvc revlewed dm speei�le cude mquircweuls �nr die builJiug or slrucWm 'vnd hs usu,us sel �ordi iu Ind.50-64. and,whure'vppGcuMe. I�avv shrnvn coinpli:mcc on Ihe Jrmeings. We agree �o nmke xny chauges reyulred :d�er iLe pluns huve been revie�aJ vnA tu remoce ur mpluce noncude coinplying purls n(Ihe loun- dufiun und or Ii�o�In`ds. � We agree �o prucced wiili the �uoiiu�s and (ound:nlon unlV und wlll no1 Jununuc wilh Ihc renrvinder u( thc bullding ur slfu.lure unlfl upprovul hvs bcen reecived. We undemunJ IhuL p�'lur to Nc smrt ol constructlun. o Building Pcmut must De ubWlned Irom Ihc lowl �utlmnGes huvingjurisdiction in uceoNunee wilh their laws und ordinuucts. ✓ _ , , i :✓/, y " ,/ �_ ' � (,, ` �. �', " u��e OwnchS�bna�urc Dnc � Attcplcdbb � Namc: `�t'- � + DcpLol InJ.. Lubor& Humun RclaGons � Su@�y� ItullJlnps Uivixlun Address: � ��=� � � � �'�"" � Foi �ccepted beeuuse i =, f I.. � (- �. � �� �I ��V:� � ' . . �' I � . j�'{� Cluns will hc czainine� wltLln Ihe nex� DesigncrsSignnlum ' Ua�c d:p�e. :'-}, .. i 1 i V�me. — � NO'CH: Tliu pcinusson is applicaAle tu projects 6nvin� bclmv grade A�d2ss: �� � ' ` � �'. '� ` � (oundalion work only. �, i � � , Sltivtl IR.[IX/N2) BLDG. INSPECTORS COPV . Revis�: 8/89 � ZONING/L?�N� USE COMPLIANCE C4EC;<LIST p, f . JOB LOCATiON: Tl / — \: i Po �-I��-� �n ZONIYG: V °� �� _ c_ I PROPERTY OWNER/CONTR4CTOR: .J`�� '•�� � ' ' ' 1�-�� "4 CONSTRl1CTI0N OATA: NE41 CON57RUCT�CN ADOITION AI.TERATION _PARKING LOT TYPE Of PROPOSED CONSTRUCTION: (i.e. fencz, aoL , sign, deck, etc.) . /c3 v O f Pl��.� �� ctt -' �2e� � � r�i �v COMPLIANCE C4ECKLIST (Check only those applicable) COMPLIES OEFICIENT �EFICIENCY/COMMENTS � Use �_ Lot Width ��� Lot Area �_ Floodplain � Front Yard � Side Street (fmrt yard) � � Rear Yard Side Yard (R) � � Side Yard (L) Parking Spaces �'r������ ', �-��� � �� ` �� Building Area � Lot Area Per Family Corner �ot i Landscaping ',-,�.�:s � .r �--._C{�e ,� - �- �� � r�/�r'� � - Transitional Yard ' ^� .sr•.;-,�F-„ x, r. n. ' �-��� �< Off-Street Loading ��-t"'� rr' '`�f�" '� 'c.� � Vision Llearance Height RE`!IE'A AUTHORITY: The Oirector of Cortmunity Oevelopment, or designee, must apprave a11 plans, except the following: (1 ) Alterations or interior work when the use is conform�ing and when no change in use is praposzd. (2) Maintenance items; e.g. siding, windows, etc. , when the use is conforming and when no change is proposed. Instances where work complies with the above crit2ria, the pernit can be reviewed by the Building Inspector �dithout referral to the Oirepctor of Cortununity �evelopment, or designee. = APPROVEO �,� ��-�,Y �'��lL�� _ �ENIED Plan Coimnissian Action Requir=fl Variance(s) Required _ / � _ . .. .��' i 0.E9IESJE➢ Bv: ' �'CC'C.:� /� �" ii�- OATE: �� �