HomeMy WebLinkAbout0023968-Building (roof)
~
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
fil.fh.{
BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN
N2 23968
'"'TYPE:
HEIGHT
OWNER
5~( b1tt:du~
p~ )3~
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK fb
t'
2"1' ~
f ~. .
L( 4-
,
tOrr(
I
BUILDING CONTRACTOR
I '
Size 2. If'dU(.,-
4-u~
r
Foundation
Class of Const.
# Stories
Q-
l--
Height
Occupancy Permit ~
Sq. Ft.
# Rooms
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts ~ Amps_
Fixtures
Switches
Receptacles
Circuits
In the performance of thi " work I agree to perform all ~ork pursuant to rules governing the described construction.
GJ ' ,
./ ,;
/
rJ. - - .!<i~ r2 d? r;; '9/
DATE
~8/-0(j5(j
TELEPHONE #
SIGNATURE
ADDRESS
ZONING/LAND USE COMPLIANCE CHECKLIST
Revised: 8/89
PARKING LOT
~
JOB LOCATION: 52-/ J71~ ZONING:
?~OPERTY OWNER/CONTRACTOR: ~ ~~
CONSTRUCTION DATA: ~ CDNSTRUcnON ___ADDITION ---ALTERATION
TYPE OF PROPOSED CONSTR~CTI?N: (Le. fe~Ce~Sign, deck,etc.)
;;LV,dUx- . tfr~r- o~r~;prrf
,fi"
. COMPLIANCE CHECKLIST (Check only those applicable)
COM~ DEFICIENT
/
-Y
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 without referral to the Director of Community Development, or designee.
~PPROVE; . . D~N I ED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ~ U~
/
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fn7ttyMd)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
DEFICIENCY/COMMENTS
DATE:
(:;Xihl
rt'
,..-(
f~
--
^ , -
7t"'" '\,
~
~t
I
/s
?/-::{
~ '
'"