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z/� CITY OF OSHKOSH N� 41606 � PERMIT - APPLICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING/ � � FLOOD PLAIN C'�t J HEIGHT ��� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 3��%'� �`c�'��� � �S � J i— PLAN NO. OWNER�d "— 'F' ' , ` '�� DESIGNER ; � / USE/NATURE OF WORK '"�t - ��C—' R�? ' � , I ' 'c" �,'��r��.. BUILDING CONTRACTOR � -� /1`-I 6�C�fa`1-� �� � Siza3� K�a�? Sq. Ft. # Rooms� # Stories� Height � q �� �'' Foundation �-«. �' � �'��-� <�yu�-�, Class of Const.—�� Occupancy Permit� HEATING CONTRACTOR - "�- Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ��4-7� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT —WH _Disp —WSofl —CBasin _Lav —Sh _DW —DF —San. Sewer —WC —FDr _SP -Ur -Storm Sewer —Sink —LTub —Eject —SS —Water Other I FEES: Valuatio � � ermit F e Paid $ � �� ^ Park Dedication $ ��-� � ISSUED BY � ' � Date �— Final/0.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �3 9� I AGENT/OWNER DATE , ADDRESS J /l� �=7t��E� Y���� ,ei�. Z31-��3S I TELEPHONE x ZONING/LAND USE COMPLIANCE CHECKLIST JOB LOCATION: �� C�� �'r�,li"_� � ZONING /GI i��� PROPERTY OWNER/CONTRACTOR: CONSTRUCTION DATA: New Construction Addition Alteration TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) „ �c c�C� � `�. �. �_r ��i F�[�7 � COMPLIANCE CHECKLIST DEFICIENT COMMENTS Use Lot Width Lot Area Lot Area Per Family Fioodplain Front Yard Front Yard Side Street Rear Yard Side Yards Building Area Parking Standards Off-Street Loading Standards Vision Clearance Transitional Yard Standards � Landscape Standards Height i Conditions of Approval Compliance with P.C. or BZA Conditions of Approval Signage Standards Drainage Pian REVIEW AUTHORITY As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must approval all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is conforming and when no change is proposed. �� APPROVED DENIED Plan Commission Action Required Variance(s) Required � � �,� „ j � � REVIEWED BY,��1/��' � �/`��/ . _ DATE: �� / > / / � pt�•re..o,•.r� nEl�"1_ ' �b `t'=1h� 1�:._5 iD:l'!iL-Im.: Frrii�HflG , c: r itL i•il_I:71`� Sc4 ==,��: _ kioFt." . :�1. _' __.-,- -_ . . . YYiyL0f�Sifl Cr?panment nP�neus:ry, P�RiV395s1'CF:� T4 �7ART t;,.C)IV"a'Fft1J�T7Cl�i+; S+afzty en<I euil,�ir,�+;;�iv�sitrri Labur and Human Rqlatiarrs �Fl�T5; T�lx(�ErmigF�C;n sF appl(cable only a Rrajatl5 hoving bmlow grsde fovn�iatlon wark. Adt1i#�Onpl'�El"5 are e�quiratt. t,antetk o;�e o`the�o<s4i�ns EEs�ted b€loxr fi❑r m�rc in9u�'m�tlon. HAYMJAR�O�FECt LAfRC55SQFFItE �ACVI�Dl1QFfIC£ S�AWANC�Ot�I�',C `h'A!JFiE3HAQ`FiC[ ROutcB 27,26RosgStre4i ZD1E.W�sshlegtorAve. 1053AE.GreanBa�$trpqt QG1PiL•CCoort V.q.Eox807i LaGo+se,`<�'154Gn3 a; Box?769 P.O.BoN�i3n vVe!�ktsha.`NI531F1� Naywar!i,�V15aftA3 ry�;a: ?UP0;7&S•43a4 "dadnon,`r/i537C% ihawano,v✓�54155 Te;E: (414;548•(3BOi9 'fals: (7tgJ634•487C FAX; �6"i5;78§-a13i� Telp: rf,0312G6.S135 �ei�; (7'i5)SZd-3b1b �4X: (�i�e)g4p-ry514 FAX: {�t 5)534-515tr FnX: (60H)257�45b6 PAM: ('1,}524-;53! Projec# Lo�a�t�of�: 52rcet: �L� �/ F� � �1"��J �' , � -�-1 ,�;.���L?�.�____�__ E-I�i!e: _�__ ___--- 5'_' ��������� ;�, �. �Fty: �� �� Plan Numbur: t ���-__�U',� ;-� �-��-_—___.�....�.�. .. L'ounty: 4�f./l�A.�,� � Date Plans P,ec'd: � ( � �r f� ���._.�_� __._ ._______�_ :.-`��__�- ., �.�__, �yr"-9r /''� �,,8 QCCUpanty: _f�.�..•�-���i.[�f--�..�. _._..._�..�___...._��._.._.�. .. . ��1��_...._.�..._ '�a,?kie under,ign�:d, r��?ues ta Uegin f�oting ard foundatiun w��ri�prior ta ap��nv::l oithe pl�r���ss<���9��n�ith tLH R Sd.i 4. Plana i��vw ba.,�ir,+a�ir,li?ted lc)t9�e Uepar?mUn:of Inclustry, LaE�tsr an;1 hiurnan Relatior�s,Saf�t� , i�����r.�, anu ail inforn�fi�n rcquc+sted �y Cor,��I�HR SC t�c;� ilt-tr �i0.13 has been i�r,h�dad�vith fhe sutimrctal. 'eYe hAve ravlewed thr, ��S��ific cade rp�;rir�mer72,foi the buildlnr�or sCruccure an� its use,-�s sst fa�ih�n�?_{{R`�U-U0., and, where z�ppliczble, hav�shvwr�cc�;tlpfiance on the�srawin�s. 1N�sgr�e to rr,nke r,n�ChrnS7Ps voqui�ad a[tar2hn Fylans lar,ve been rev;ewed �ntJ ta rerc�ove or r�plate non-.oda com�lyinq perts ni thR#oundatien andiar frat�ngs. We�gr�o to�?race��9 wlth t�i�s foocinys and`ountlatlon��r7iy 8r�d v�il! r.ot ccntinuc wi.tti the �erttai:?dee c�f tna�iuil�2inr,�ur atsutture unt(1 apprc�vsi hns besn retelved. We understanc�that, �JflOf 1O[Ilfi t�c'!It of conseruc?ion,a t�uildinq Pe�rrit rnust be�btainr,: fr�m th�lo;al authe�ities hbvinq;urisdictio� In aceor�ertt�with th�ir lav✓5 ar,d oriinanc�s. We understand that if thls p�t�Jec1(s in an unseveered area,a sani?ary p�rmit m�isc'ae obtaine� �:rlor ta th¢ iuuance e' u Inca! bvild�r.g��r,•nh(ss 1U1.12(3)(h)}. °�` ��''� ,�'rr' C)r,vner'zSignaturA: ���` ' �� I aesigner's5it�naturH'-1�?����P.�„t ��a�' iQina i ry In ' , ��pC igi nT�( u' �r�'"_�......_.._ �i nayf�E in inc ,. Date�ign�d: ''���'^_�,�.�/_ C�axe Signe<',:�..,V..,q. ) !/r S'!V'�'�V�'�^�`�^�,t....�-�.,_�.,�.�.�__-'�'��.. ! �i Qvme�r'5 Name: _���,a_�. -� _S�'ics+�,@_4L.,1L_ I �e5iQne;'5 Na;nf: �vr77.�t�f�'��_�-�.�a��_____. ;ere6t: ._..__._.;�:i.1.S�4�------�.,...d,''',w/eitf ��r._v_e_..--- I Svert: _1.t.'d����.,h'�e.���_E,�..Y°�":'!'�¢''*/!%'�'��`t,tJ � ,y�°",�i- J ��/7 Cliy: � �" •".—_. SfdiB: �I�: t/ 4� � Ciey.-v'l..+i�"_—�--5tate:,��1'—,zi�'��7`_ ���4_+_. -_rct�� ' .s�.��- I b@p�rtmetltActian: ppr4�ad rNott>�proved ��..�� ��.e.,,�`'�.d..��..t-�� �teviewComrrients: �7" �, �� .�t.,�A..rf �'�-�� ''�� �� � � .+4...) .,.�'.L�,�^+w�ew�..Ji��„�v°.'f j ,���-.�e.`.�-. ���'�t, �' d �"'�t;� '�.�,,qr�,�x.,�,�,,,,aydf r'r� (�,...���fi.,a¢'F� C�'�4� •--'"",r ��..¢�-�.e.+'�"� ` � � �n.� ' � r¢' J r.�z�--C.�..d�C..�� �2.-� '��' "•,r7 °h.� ` e.e-sc_�t..«c.{��.�"' �7 t�:� �� �--�._.i .��.,��� ��`�� � �'�� '"� � �: f Rcviev.ed 6y'����/�"�)��'��1��TUday's Gate f�/��-y-. �� Cnn.tofllR ni1r971 l" �f