HomeMy WebLinkAbout0024926-Building (bedroom floors)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
24926
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~P_E~ _ _ ~L~~ lY _ ~T~ _ E? _ ~~E? _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~L~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _
OWNER
909 ~
L9~ ~~
If .
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK .jr1/~- _ ~~~ r ~ l/i~ 3 --~
.fI~/~77'uvtGN.C4- ~
BUILDING CONTRACTOR ~ ~
Size ~. Sq. Ft. # Rooms
Foundation ~
-
Class of Const.
# Stories
~
Height
Occupancy Permit ~
HEATING CONTRACTOR
7
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR <1,
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR 7.
_BT
_WH
_Sh
_Disp
_ WSoft
_DF
_ CBasin
_FDr
_DW
_SP
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES: Valuation $ 70&(). 0 {)
ISSUED BY ~~
~I
Permit Fee Paid $ () , f) 6
Date ~f/
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATuR.211~A ~"''"''
DATE
ADDRESS
TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 909 ~~ ZONING:
~ROPERTt::O~ONTRACTOR: f)~;? ~
CONSTRUCTION DATA: ~EW CONSTRUcrKN ADDITION ~ERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc~
~ /7d-Ul ~ ~ f' 2-~ ~ 3-/:kr1/J~
COMPLIANCE CHECKLIST (Check only those applicable)
COM//DEFlCIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (f~Y~)
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
Revised: 8/fE
=
DEFICIENCY/COMMENTS
R VI~A AUTHORIT~:
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) t~a i ntenancei terns,. e. g. s i d.i ng , windows , etc., when the use is
conforming and when no change is proposed.
Instances where wor\<. complies with the above criteria, the permit can be reviewed by the
Building Inspector without,referral to the Director of Community Development, or designee.
~ROVE; DENIED
Plan Commission Action Required
Variance(s) Required
REVIE'HED BY: ~ j,db~'
(.
DATE:
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