HomeMy WebLinkAbout0006615-Building
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CITY OF OSHKOSH N2 06615
PERMIT - APPLICATION AND RECORD
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BLDG D HTG D ELEC D PLBG D SIGN D ZONING ~ \ FLOOD PLAINa"p~ HEIGHT N pf-
TYPE:
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OWNER
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PLAN NO.
ADDRESS
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BUILDING CONTRACTOR '::::: 'e" (' ...:s
Size ~ (t"14 .(?!-- Sq. Ft.
Foundation P<o :::s: ~
# Rooms # Stories
Class of Const. @;
Height C ~ c:; X
Occupancy Permit PO
HEATING CONTRACTOR '
Heat D NC D Vent D Fuel/System
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Heat Loss
BTU'S
Electric Servo
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New D Change D Temp D Type ----=:::.::. Volts - Amps_
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ELECTRIC CONTRACTOR
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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_FOr
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
ISSUED BY
Paid $
Date
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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
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AQDRESS
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ELEPHONE #
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ZCNING/I.,AND L'SE COr.1PLIANCE C'HECI<US'I'
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Job Iocation /7 {PJ~-'- ~E", 8. (~~~j/ Lo~ Oim!rrsion ~
Property OWner /l(~ V-\ /It ~ f-h "f' ~ f'\ e Lot: Area .
a:NS'l'RrO'ICN DATA. /V We> r~.
Describe ~: {;, r A ~ (
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NEW CXNS'mJCTICN
" ALTERATIaf
ADOITICN-
~SOl:Y Build:ing
Ebathouse
_ Utility structure
_ Other (specify)
In. ~ cmx:KS
~$ihqle' Family,
'l\lo-Famil:
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MiIi:i:~Famil
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O:mte-..-Q.al
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MmUfat;t .
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Pool
_ Deck/Patio
~ Sign
Porch '
Carclies Deficient
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Deficiencv /Cc:mnents
Use
Lot Width
Lot Area
Floodplain _
F.I::ont Yard
Rear Yard
Side Yard (R)
Side Yard' (L)
Parking
Building Area
IDt Area per Family
Comer lot
Otber (specify)
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IV. m.vm'l AtJmORnY
The Planning Director, or appropriate designee, must approve all plans, ext:ept
tl1e following: (1) Alterations or interior \t.Drk when t:r.e use is confoDninq and.
when no change of use is pmposed. (2) Maintenance items, e;.g~?si~ wi.ndaVS:e'
etc., when tile use is C:Onfol:Ining an:i when r,o d1a.n<Je .of\'use is. pmposed:"
Instances where work a:rrplies with th.e al::ove criteJ::~.t tli.e, ~t d;n, ,ba revie.-.'e!:i
by the Building r without referral to th.e Planning Oire.<:tbr. '
NOr APProvED
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Plan ,
. ssion Action ~ed
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