HomeMy WebLinkAbout0117218-Building (sign) ,
' City af Oshkosh
y Inspecrion Services Division � �
P O Box 1130 � �
� Oshkosh,WI 54903-1130 �
Phone:(920)236-5050 ����� �
Fax:(920)236-5084 S
Building Permit Application ON THE WATER
Ifyou are a contractor participatin� in the Permit Fee Account Svstem and have adequate funds check here
if vou want this processed through your account n
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JOB ADDRESS ,��Cf d .Jr��Scr,� J� ( �i'i�c� ,�P �� � E ' 'i
y = J
OWNER ..xf��'U � c� G. -
�jlK ����� (1 1�/'r—
Y—T'-7t!!7�
CONTRACTOR �'/D�� S; ,•, s
- ,�,s
.� _ � �.;d
r°
I am the: ❑ Owner OR ,�Contractor �°`�`°' ��tii � �i;� f fi.; ,,;�1-�`�
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental�ommercial ❑Industrial
Work being done: �:
�Addirion ❑Deck/Porch/Pario ❑Driveway/Parking
❑External Remodeling ❑Fence/Hedge/Kennel ❑Garage/Utility Structure
❑Handicap Ramp ❑Hot Tub/Spa ❑Internal Remodeling
�Sign/Canopy/Awning ❑Stair/Handrail ❑Stove/Fireplace _
❑Swimming Pool ❑Wrecking Pernut
❑Other `
;
Additional information, such as plan submittal and approval, may be required before issuance. Fliers, _
located in the hallway, may be referenced to note if any additional information is necessary. �
;
❖ Full description of work being done:�,���;,,, LJ�l� 5;�;,,k,.� � �f�-�•� L,,��:�s�,���.s
.� �
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f t",'7�,�` ��� � l��� '� �:S- �_ Zi'� ,� /�Cir.4 i.� — 3 i
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Any work not included in this application is not permitted.
J `�— '
Value of the job $ �Q v C (Value for materials and labor is required to ensure consistency in accessing permit fees for all �
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
Name: d rrj � �
lease print) �
€
Signature:
�
Date: JJ' �/��'I � �
3/02 s
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: / fj Ò ð Jar 1so /) 3't. ZONING: C -2m
PROPERTYOWNERICONTRACTOR: 16,,/.d! ¡ Lb/'.--"",f, AÞ,f2 / ~/é'4-h'1/-<- .s'M ')'
( v
CONSTRUCTION DATA: 0 New Construction 0 Addition 0 Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) - ?ep/Y,V¡f LJ,æ/1 ( ¿/,,~
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COMPLIANCE CHECKLIST
DEFICIENT
DEFICIENT
DEFICIENT
0 Use
0 Lot Width
0 Lot Area
0 Lot Area Per Family
0 Flood Plain
0 Front Yard
0 Front Yard Side Street
0 Rear Yard
0 Side Yards
0 Building Area
0 Parking Standards
0 Off-Street Loading Standards
0 Vision Clearance
0 Transitional Yard Standards
0 Landscape Standards
0 Height
0 Conditions of Approval
0 Compliance with P.C. or
BZA Conditions of Approval
0 Signage Standards
0 Mechanical Equip. Screening
0 Parking Lot Lighting
5-!r"k,..ts /0 ¡hi ,61 j);"'Yh Þt4¡J,
COMMENTS:
IJð f'»-:.J,'r "o/h.;eh." .,,-. ~ß~-Is
t!-;;1.
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, must
approve aJ/ plans, except the foJ/owing: (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.
~PPROVED
0 DENIED
Plan Commission Action Required
~ V,ri,""',) R"'7jh-- ~
REVIEWED BY: I j d
DATE: /1- ,:f-ðS-
2003
.
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