HomeMy WebLinkAbout0027539-Building (pool & misc.)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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BLDG ~. HTG D ELEC D PLBG D SIGN D ZONING K -I FLOOD PLAIN
N2 27539
TYPE:
HEIGHT
_ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ADDRESS 122 s.- Itt~ tf,.( f'
OWNER ld~lL.l~ /t/~
DESIGNER
USEINATU~ORK~/~ ~ T ~ ~,d ~.~
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PLAI;'J NO.
BUILDING CONTRACTOR tJtt.~
Size di-/~ Sq. Ft.
Class of Const
# Stories
P-
Height
Occupancy Permit ~
# Rooms
Foundation
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
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $
Date
/
~.s~8. y
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Park Dedication $
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~~ 'l- ~
~ . / ~GENT/O R
ADDRESS
DATE
TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCA T1 ON: / '2 ?- ~ /te;, IL~ . Ltil-C;L".
PROPERTY OWNER/CONTRACTOR: #///""4~ /tI~
CONSTRUCTION DATA: ~ CONSTRUcrKN ___ADDITION
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign,
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" COMPLIANCE CHECKLIST (Check only those applicable)
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) ~~aintenance items.. e.g. sid.ing, 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.
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~APPROVED DENIED
Plan Commission Action Required
Variance(s) .ReqUired ~..
RE'IlEIIED BY~/~
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COMPLIES DEFICIENT
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Use
Lot Width
Lot Area
Floodplain
Front Yard"
S ide Street (fratt yard)
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
Revisej: 8/fB "
ZONING:
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ALTERATION
PARKING LOT
-
deck" etc.)
Cf~
DEFICIENCY/COMMENTS
DATE:
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