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HomeMy WebLinkAboutBuilding CITY OF OSHKOSH N4 25504 n � PERMIT - APPLICATION AND RECORD TYPE: BLDG���HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �"�� FLOOD PLAINi�-�^��EIGHT�': � - - - - - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �G� ��F'����� �%s� PLAN NO. ��� ' I ZY'%�JI OWNER -� �' � G i ' �LJ Ct> ,w� tx DESIGNER � �/ � USE/NATURE OF WORK ?�:.�=.��..�z��-:/ �Y t' �-J' 'C� X "y�(�' �{- : (-it t� .� F �"�rX'�[cti._ ' ��r��i�l1 - BUILDING CONTRACTOR ���� /��'i`cLda� ! Sizs� � x���-� Sq. Ft. � �� '�L- # Ro ms, # Stories � Height i-�''- '� � Foundation � � ��'= :- �� �r �:�� �� -� Class of Const.��`�-��" '�� Occupancy Permit �Z� HEATING CONTRACTOR /'f��•- �-- '����� L�L./r`�cti7�Ni— Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S— ELECTRIC CONTRACTOR ��-���' (�� r-� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volis 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 �� �}f' " � �Permit Fee Paid $ �� 7'- ��� Park Dedication $ � iJ/ ISSUED BY ,�e " � � Date ��' �� Final/0.P. In the performance of ihis work I agree to perform all work pursuant to rules governing the described consVuction. i ��7) 1 SIGNATURE ����'�� ��°`�� C 2� ��� /' � AGENT�OWNER ' D TE �i� n��aess "�� S7/f �2e�N ����~� �%� 2�� a�c� � TELEPHONE# Revis2d: 8/�9 + ZONIN6/LaND USE COMPLIANC� C4EC,<LISi � �`� ` /e�� �`s� �?.�r�-c ZONIYG: JOB LOCATION: _ _ %U PROPERTY OWNER/CON7RACTOR: ��� ��= `�' � p�TERATION PARKING LOT CONSTRUC?ION DATA: NE'd CONSTRUCT.{N ADDITION _ — TYPE OF PROPOSED CONSTRUCTION: (i.e. f2nce, paol , sign , det:<, etc.) � , , �—;�•t� t - c c�c, . ,� 3z x'�G �{�; � ��r �c �s ` � COMPLIANCE CHECKLIST (Check only those applicable) DEFICIENCY/COMMENT5 CQMPLIE5 OEFICIENT �' USe Lot Width Lot Area Fioodplain 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 j Vision Clearance Height RE'JIE'�! AUTHaRITY: The Oirector �f A1 erationseorlopterior workswhen theuuseaisrconforningaand when�no change following: � ) sid_ing, windaws, etc. > when the use is in use is propos2d. (2) 14aintenance itzms ; e•9- conforming and when no ctiange is proposed. Instances where worlc complies with the above crit2ria, the permit can be reviewed by the Building Inspector without referral to the Director of Cemmunity OE�IEDPment, or designee. i/ APPROVED Plan Commission Action Required Variance(s) Required �� � � OATE: f���' � REVIE'dED B�;:"%'CCi� �%��,�G" i �i� �-���/ �I OWPIE1t��>;�c•:,"'+� � C_�: ADDRESS ���r:�� /LIr.�J��`< ,� DATE ` - Z - � PERt3IT # -�-5�� USE �c c >;- /y-/�c-r�. �Lf- WoYk consists f �Z n-S�C,� ,�„���z.,,<� GENERAL NTRACTOR on�-a /.I..l1��, MASON .CONTRACTOR ZONE Width of lot DATE ZNSPECTIONS i . RENIARICS c:i :��7 �-�-n�c_, ��r:� �— Of�c� l�-D4s;.�. � � � !� � � � .;� � � � t`�� ci i xi�S � �-:�n r�� /t'�� l� � - .� �L u.e�l�.1�. ..{� /,�.�r' �c�c:r��-- r'Zz�-� � <L'k_�. - - .� " , -�. 0 rl C�-��L-�` .-._��zL- !4 /� �.�'i-��=t�� I q,l �. . �':i c . � _ ���� _ , Q `i L /�/rG¢� �'��(`�'F F K �o'i-� �r i�vL/ :tEl� � � y a m a Front of lot MAILZNG ADDRESS