HomeMy WebLinkAbout0021789-Building (bathroom)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21789
--.......-....-... ---.....-.....-.. --.....- --- --.. ---...- --.. --.....-..-.....-.. -- --... ----......-.. ..---..
BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
TYPE:
ADDRESS ;;2 / tJ 7/.J-~/?r?1./(Lf:h-..- ~
OWNER ~ :I ~ !<'Cl~t~
DESIGNER
PLAN NO.
USE/NATURE OF. WORK SFfi-..
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BUILDING CONTRACTOR
Size ~/-
Foundation
I('~
e,~...
Class of Const.
# Stories
R-.
Height
Sq. Ft.
# Rooms
Occupancy Permit
~
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
.... Permit Fee Paid $
Date
,
.;
.;:2::; .00
17~ /? If'tJ
, ,
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
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION:2jI7 ff~ ~ "t.r ZONING:
PROPERTY OWNER/CONTRACTOR: YdW-f ;Z/~:t ff- K ~~
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ~LTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
/3~_A~ /2-R~~
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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) Maintenance ltemsi 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.
~APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ?~/~-
COMPLIES
/
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.
DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front 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
DEFICIENCY/COMMENTS
DATE: I 2--hh iJ
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