HomeMy WebLinkAbout0019219-Building (fence)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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BLDG D HTG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN
N2 19219
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TYPE:
HEIGHT
OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK 0~) .~e.J' .---
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC 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
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
ISSUED BY
Perll.lit Fee Paid $
Date
I tJ. 0 0
7/31/7P
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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TELEPHONE #
ADDRESS
Revised: 8/fflJ
ZONING/LAND USE COMPLIANCE CHECKLIST
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JOB LOCATION:
ZONING:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUcnCN ADDITION ALTERATION PARKING LOT
- - - -
TYPE OF PROPOSED CONSTRUCTION: (i.e~nc~ool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES
L
DEFICIENT
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Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fnxtyard)
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
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.
~PPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: r;(:.~
DATE: 1!3/ftl
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