HomeMy WebLinkAbout0016630-Remodel 4 upper apts
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
16630
TYPE: BLDG 15Sl(HTG D ELEC D PLBG D SIGN D ZONING ti- FLOOD PLAIN ~ HEIGH~~
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ADDRESS / :\ ~ - 1-4 ( U~ Jlv e . PLAN NO.
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OWN;;tR
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DES.'0NER
BUILDING CONTRACTOR
siz6"Ot~Y7L Sq. Ft.
Foundation ~ 'f f ~,{-
fJ~ c-. /Lee-
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U~lle7 . .
# Rooms 11 H'l,r 'i...:s
# Stories
~ Height
Occupancy Permit jc:e.,..... ~
t
Class of Canst ~
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
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ELECTRIC CONTRACTOR
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Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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r
_Sink
Other
_FOr
_LTub
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_WH
_Sh
_Disp
_Lav
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
ISSUED BY
Park Dedication $
Final/O.P.
~
Date
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~~ /2-t-.?"!,
AGENT/OWNER n JJ .I. /J DATE
ADDRESS c2Sf?? ~~/0::t4 Q) (' ~~ 2_~5 J;-fz
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TELEPHONE #
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Rev i se:i: 8/00
JOB LOCATION: 13 '7
P~OPERTY OWNER/CONTRACTOR:
ZONING/LAND USE COMPLIANCE CHECKLIST
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CONSTRUCTION DATA:
NEW CONSTRUCT1~
ZONING:
):- '-' C'.s' F-
C_..--4't
ADDITION
PARKING LOT
ALTERATION
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
DEFICIENT
~ Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fnxtyard)
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
REVIEW AUTHORITY:
The Director of Corrmunity 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 ofCorrmunity Development, or designee.
APPROVED ~ENIED
Plan Commission Action 'Required
Variance(s) ReqUi~~ ~~
REVIEWED BY~~~
COMPLI ES
DEFICIENCY/COMMENTS
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DATE: tf p~~
OWNER
DATE I
MASON CONTRACTOR.
ZONE
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-INSPECTIONS
FOOTING
FDTN SLAB
BACKFILL
STRUCTURE
ENERGY
TEMP OP
FINAL/OP
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