HomeMy WebLinkAbout0017933 B
(t)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
17933
TYPE:
BLDG~HTG D ELEC D PLBG D SIGN D ZONING ~ FLOOD PLAIN- HEIGHT-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
ADDRESS
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/J~? 1,-.ç
aJe..::;Á L"C--ÞI..
(õ"u--u, v.t./7
PLAN NO.
OWNER
(' ~ r-e- ~
DESIGNER
USE/NATURE OF WORK
'",--
~,
-~..::.
BUILDING CONTRACTOR
Size 3)C~ {:t
Foundation' £t: /",
('1:"'-
Height
Occupancy Permit
17'
# Stories
Class of Canst
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
-
_BT
~WH
_Sh
_Disp
_WSoft
_DF
- CBasin
_Sink
Other
_FDr
_LTub
_DW
_SP
- San. Sewer
_Lav
_WC
_Ur
- Storm Sewer
_Water
_Eject
_SS
Park Dedication $
FinaI/O.P.
DATE
Revised: 8/æ
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: '333 ::5,=, tc9~~ ZONING:
PROPERTY OWNER/CONTRACTOR: /1)p,,) L~e d""", ~v-v-c- i..
CONSTRUCTION DATA: _NEW CONSTRUCTION _ADDITION -ÿLTERATION -YARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (Le. fence, pool,@eck, etc.)
. 7!rfJ 3r~ -~ Ý-o ~~J S~Þ"- ~-
V'Mfl ¿¡. ;., - "- I 2- X. (?' "'- - - C:..-:$ r bf C" :s: -
COMPLIANCE CHECKLIST (Check only those appl icable)
COMPLIES
J
+=
----L-
DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front 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
~~è
DEFICIENCY /COMMENTS
REVIEW AUTHORITY:
The Dï'rector 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. (2) r~aintenance 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.
~APPROVED DENIED
- Plan Commission Action Required
- :~::::(:~
fIÍ;/Þ
---
DATE:
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