HomeMy WebLinkAbout0012085-Building (addition)
~-
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
12085
TYPE:
BLDG~TG D ELEC 0 PLBG D SIGN D ZONING ~ FLOOD PLAINJ'-HEIGHT
--.... --.. ---................ --.... --.. --.. --............... --.. --.. --- ---.. -- --.. --.. --.. --.. --..-
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ADDRESS L~I b A,,- Cv ref) r s:..f-
OWNER Locue I ( C;;e ~jj,-1..'er-
PLAN NO.
USE/NATURE OF WORK
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DESIGNER
BUILDING CONTRACTOR l2.. n.j e ,-
Size {"2- Y L 4 Sq. Ft.
Foundation J?f"W.Jv ~
KoPt ke /
# Rooms ~
Class of Const;
# Stories
f3
( Height /~
Occupancy Permit lz eg~
I ;'
HEATING CONTRACTOR
-;-:ze~
~ Pc;-. ~er-
Heat 'u NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
~r-:
0"''14 -
New 0 Change Temp 0
'/'". I)
(/C-/ .'~ i,,,- --e ~ L'O t...... I^-(""
ELECTRIC CONTRACTOR
Electric Servo
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR /: e -::s... ~ ~ < ,.. fA
_Sink
Other
_FOr
_LTub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
ISSUED BY
aid $ & 7 ~ 0"-:0
Date(- ?- 'is'?,
Park Dedication $
Final/O.P.
r-----...
erform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
ADDRESS
It) WII1t]ec(')/),/} ~ ) 'Cd;
..5'cjf PC
J - J- g 7
DATE .
~-<:.)913
TELEPHONE #
za.mlG/IAND USE COHP.r.:rN-1CE:' tHECKLIS'l'
t. GENE:RAL
Buildi.nq PeJ::mit i Zoni.ng7Z ( Confoz:ming_ Non-Confoz::mi.n9_'
Job IDeation i?S'/ 1// /lIe0 t P 0-11, Lo~ DiItension
Property Owne!;/~we If ~e- ri4A e v- Lot Area
II. cc::NSTRIX::'rICN . DATA
Describe NJrk:
('1\(';> tt..
NEW CCNSTROCT.IClN
-Jr-
ADOr.t'ICN
At:lERATICN
~$ihqle' Family-
_ '1\lo-Family
!t1ltL-FamU
- Y
C01merd.al
ManufaQi: .
"'""-- u:rJ..t).g
_ Accessozy Building
Fence
Boathouse
Utility St:rtlctu1:e
-
_ other (specify)
III. a:lMPLIANCE c::mx::KS
Pool
_ Deck/Patio
_ Sign
Porch
CarDlies Deficient
Deficienc:y/O:mnents
7//
Use
Lot Width
tot Area
Floodplain -
F.roni: Yard
Rear Yard
Side Yard (R)
Side Yard' (L)
Parking
Building Area
Lot Area per Family
CoJ:ner tot
Other (specify)
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-/
J
7'
-
v-'
~
/
-.k /
~y
7"
Aff'4-
tlf.
IV. REVIEti At11'HORI'lY
The Planning Director,. or appropriate designee, ItU1St approve all plans, except
the following: (1) Alterations or interior lIiOrkwhen the use is conforminq and
when no change of use is pz:oposed. (2) Ma.int~ items, e;.9'~'", si<ii.r1q1 windows;..
etc. I when the use is CQnfonning arXl when ~ dhan<ge of '\1Se is. pmposed:,
Instances where work cx:nplies with the a1::ovecritet:ia.. tne pe%Itti,t ~. be rrivie.:ed
by the Building Inspector without refer.ral to the Planning Director.
~-'-Al?ProVED NOT APProvED
Plan Cottmission Action Required
Variance (s)
DATE: /- 7' ~.~ 9
.
REVIE\'V'EO BY:
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