HomeMy WebLinkAbout0034232-Building
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
1;1
34232
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ADDRESS 127~Cf ;5~&A ~ ~
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
~
/~ 2"Z- y::..z,(, ~ ~.
~/ 7&J/ ~~
.3 /Jq/~ r
BUILDING CONTRACTOR Sid ;e~
Size '( ~-"L-- 'I:-~ Sq. Ft. # Rooms
Foundation (' ~
Class of Const.
# Stories
~
( Height
Occupancy Permit
~-
HEATING CONTRACTOR
7
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
-z
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR 9:1f- ~
_ BT _ WH _ Disp _ WSoft
_WC
_Ur
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
_Sink
Other
_FDr
_ LTub
_DW
_SP
_DF
_Lav
_Sh
_ Eject
_SS
Permit Fee Paid $
...
Park Dedication $
Final/O.P.
ISSUED BY
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
{l//~ ~~ -
. . AGENT/OWNER
DATE
.'
ADDRESS
TELEPHONE #
r<r
Revise:!: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: / 2.--zq. A (~aA ~ ~j-A.. , ZONING:
13ROPERTY OWNER/CONTRACTOR: r;;;;/~ ..uM.~~
CONSTRUCTION DATA: NEW CONSTRUcr.KN ~ITION ALTERATION ---pARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (Le. fence, pool, sign, deck, etc.)
-; z Y ?_'=' ~ f2d.A
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEfICIENT
/'
/'
V
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra'rt yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per .Fami.ly
Corner Lot
Landscaping
Transitional Yard
.
Off-Street Loading
Vision Clearance
Height
DEfICIENCY/COMMENTS
REV I EltJ AUTHOR In :
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) t4aintenanceitems,- e.g. siqing, 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
8uilding Inspector without ref~rTal to the Director of Community Development, or designee.
~PPROVED
Plan Commission Action ReQuired
Variance(s) ReQuired
REVIEWED BY: ~tAktt~
DENIED
DATE: \!.zr!??