HomeMy WebLinkAbout0045061-Building
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CITY OF OSHKOSH N~ 45061
PERMIT - APPLICATION AND RECORD
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ADDRESS
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR ~
Size \'Re;., Sq. Ft. 3'6'\4
Foundation <?.D~~
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# Rooms q - l...\ ß\::. # Stories Q Height 86 J
Class of Const. e Occupancy Permit ~~
HEATING CONTRACTOR íV\C(Y\
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
COM 1¡V(,. ~
Electric Servo
New 0 Change 0 Temp 0
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
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PLUMBING CONTRACTOR
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_Lav
_Sh
_FDr
_DiSp
_DW
_WSoft
_DF
- CBasin
- San. Sewer-
_WC
_Sink
_LTub
_SP
- Eject
_Ur
- Storm Sewer
_Water
_SS
Other
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50r- Ç9 ./
.:::> d Park Dedication $
5/lq I qS- Final/O.P.
FEES: Valuation $ \ <\0. DOC> Permit Fee Paid $
ISSUED BY ~AA- ~..QJ),..r-.... Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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TELEPHONE.
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WISCONSIN UNIFORM BUilDING
PERMIT APPLICATION
(See instructions on back of pink copy)
;~';~~:~s"ì~;ii~;c~~~£~~Vlf~3"'X ??m")led by other government agency
0 HVAC 0 Elec Erosion
OOther
Unfinished Basement~q" It
LivingArea 3J-l~
Garage crt. ~
0 Village
Ø-City
OCounty "OState of:
::ID
Name
Date
Total
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Cert"No"
GREEN" Inspector
PINK-Owner/Agent
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,{¡SBD-S823 (R" 0619~1
--~J1{)J}f)O- -
WHITE -Issuing Jurisdiction
YELLOW-DILHR
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Application No"
L\50£l
Parcel No"
0 Other:
Left
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Right
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ZONING/LAND USÉCOMPLIANCE CHECKLIST
HfCJ(Of!-( 1..;0. ZONING ß--/
PROPERTY OWNER/CONTRACTOR: Fox 0.1 n6 WusrRoC;rraù
CONSTRUCTION DATA: * New Construction Addition
TYPE OF CONSTRUCTION: (Le. fence, pool, parking lot, sign, etc.)
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bA?24bdO ---7 Q6l./ .(21z-
COMMENTS
JOB LOCATION:
! 1?/O
Alteration
COMPLIANCE CHECKLIST
DEFICIENT
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
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
Conditions of Approval
- Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
- Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, 0
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
REVIEWED BY: ø~&;-~ ~
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DATE: 5'722._/9 5~
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CATE
NAME r;;:i C/Tles (l,/u.sí12r.:£.f1O,{] ADDRESS
LDT ~flr cF & / - lb6MeK- HAr BLeCK
5//719[;
I.IARD
sueDIV.
STREET NO. ¡"if/D.
ZONE
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SIDEWALK EXISTING
YES
LOT DIMENSIONS
§f. NO ~
:L?--- ,I 9 'î 5
BUILDING GRADE ELEVATIONS STAKES SET AT SITE ~~~
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FEE: $15.00
BY~~
I, the undersigned, owner or agent of the above described property agree TO have the
graae estaci ished before excavation has commenced.
1740
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