HomeMy WebLinkAbout0019101-Building (deck)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
19101
TYPE:
BLDG ~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING kL FLOOD PLAIN- HEIGHT-
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ADDRESS
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USE/NATURE OF WORK ..sf:::: ~ / ~j~ec. f- 104)( /~
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PLAN NO,
OWNER
DESIGNER
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BUILDING Cç:>}JTRACTOR t!)Cô P'- 'E' r-
sizeIP¡¿iC/(p Sq, Ft
Foundation '-p~
# Rooms
# Stories
Height
Occupancy Permit A Jv
Class of Canst
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HEATING CONTRACTOR
---
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR -
Eiectric Serv,
New 0 Change 0 Temp 0
Type- Volts- Amps-
Fixtures
Switches
Receptacies
Circuits
PLUMBING CONTRACTOR
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_BT
_WH
_Sh
_Disp
_OW
_WSoft
_OF
_CBasin
- San. Sewer
_Lav
_WC
_FOr
-SP
-Ur
- Storm Sewer
_Water
_Sink
Other
_LTub
_Eject
_SS
ISSUED BY
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform aii work pursuant to rules governing the described construction,
SIGNATURE
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AGENT/OWNER
j;( 33 WI/I/~~ 4e
6' ~ :Þ-po
DATE
ADDRESS
"e 3 '3..06"0/
TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
jOB LOCATION: 2. '3~ '"-./ (4 a
PROPERTY OWNER/CONTRACTOR: 71""-' {?;tt.s::Þet-
CONSTRUCTION DATA: _NEW CONSTRUCTICl'I ~DDITION
Revised: 8/&3
ZONING:
ALTERATION
~ARKING LOT
TYPE OF PROPOSED CONSTRUCTION:Ci.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES
DEFICIENT
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r
-L
-L
-L
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Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fraTt yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Family
Corner Lot
L'andscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
DEFICIENCY/COMMENTS
REVIEW AUTHORITY:
The Director 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) t4aintenance 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 ~_referral to the Director of Community Development, or designee.
~PPROVED DENIED
----- Plan Commission Action Required
Variance(s) Requir~~-;r- ~ ~
- REVIEWEDav, ~fA~~': DATE,
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