HomeMy WebLinkAbout0046663-Building (patio door)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE:
BLD~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN - HEIGHT-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - -. - - - - - - - - - - - --
ADDRESS
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PLAN NO.
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Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type - Volts - Amps -
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH
_WC
_Sh
_FOr
_DiSp
_DW
_WSoft
_DF
- CBasin
_Lav
- San. Sewer
_SP
_Ur
- Storm Sewer
_Water
_Sink
Other
_LTub
_Eject
_SS
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FEES: Valuation $t """'\ ~'-' '-'
ISSUED BY DB
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Permit Fee Paid $ )
Date ~\\-<'.')
Park Dedication $ -
Final/O.P. . ~------
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE I{~£d¡j ¡¿
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AGENT/OWNER
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DATE
ADDRESS
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TELEPHONE.
JOB LOCATION:
ZONING/LAND USE COMPLIANCE CHECKLIST
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ZONING
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction 'Y Addition
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) --e..:x \"S"\'~
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Alteration
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COMPLIANCE CHECKLIST
DEFICIENT
COMMENTS
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, 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
REVIEWED BY:
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DATE: ~ - ì\~l<