HomeMy WebLinkAbout0003983-Building (screen porch)
@ CITY OF OSHKOSH N! 03983
~ PERMIT - APPLICATION AND RECORD -
- ":PE~ _ _ ~L~~ 0 _ ~LE~ _ 0 _ ~LBG _ 0 _ SIGN _0 _ ZONING~(e: _ FL~O PLAIN _~~~I~HT_ ~
ADDRESS 2.-135 MH/l (#01/\. PLAN NO.
OWNER_K,,-( Kv W\ {,(\~r
DESIGNER
USE/NATURE OF WORK S:~. h .-.-.. < Iy
C'" Vf'reJ) ::S-~r <" €' " r r (' ~
BUILDING CONTRACTOR t!) U .JfI'I e r .
Size <?' X ~. Sq. Ft. t., 1 # Rooms
Foundation ~.::> f- . ~e.t41. ePtk ~
ex~ tYF~e$-
.5'/ ~ff:;~ I-
( # Stories
Class of Const. ~
/ Height J 2.....
{ r:6-
Occupancy permit~ .
'-
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
\
ELECTRIC CONTRACTOR \
Electric Servo New D Change D Temp D
Heat Loss
BTU'S
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Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ;-
-
_Disp _ WSoft _ CBasin
_DW _DF _ San. Sewer
_SP _Ur _ Storm Sewer
_ Eject _SS _ Water
_BT
_WH
_Sh
_Lav
_WC
_FDr
_LTub
_Sink
Other
ISSUED BY
/ ...:j-;- ~ 0
Date (t? -(- ~. 7
Park Dedication $
Final/O.P.
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In the performance of this work I agree t '!~ orm all work pursuant to rules governing the described construction.
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DATE
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TELEPHONE #
SIGNATURE
ADDRESS
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GENERAL
Build.inq peJ:mit # Zoning Confonning_ Non-COnfoI:minq_
Job Iocation Z~ ff; l;~, rot ~
Property Owner _ ---B. _ _ .J!:l b;~ r-klt Area
~CN PATA J ~'~ JJ " ...
0escri1:e~: ~r<? ~~-(~ ~~.
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II. .
NEW ~ON
ADOITICN
..:..- AccessoJ:y Bui.J.di.nq
Fence
Eoathouse
_ Utility Struct:ure
_ other (specify)
III.. ~ CHE.:CM
_~tiD
~ Sign
Porch
_ Manufacturing
Cottplles
.~
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Deficient
Deficiencv/~ts
.use
klt Width
klt Area
Floodplain
:E':t:Ont Yard -
Pear Yard
Side Yam (R)
Side Yard (t.)
Parking
Bui.J.di.nq Area
Lot Area per Family
Comer Lot
other (specify)
IV. BE'lJ'ISi' AUl'HORI'lY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior "'-OD< when th~ use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, win~vs,
etc., when the use is confoming and when no change of use is proposed.
Ins'l:ances where work,cx:xtplles with the above criteria, t.~ pennit can l:::e revie'l,'ed
~ tl1e ~ -= ref~ to :~= Director.
Plan Comnission Action ReqUired
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