HomeMy WebLinkAbout0034200-Building (deck)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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34200
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ADDRESS "CjlJffl ~
OWNER / AJ>--,b~ ~~
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PLAN NO.
DESIGNER
USE/NATURE OF WORK/r~ /j-,k-z..e p.+- ~
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BUILDING CONTRACTOR () t~
Size ( ~- k ~ ,Sq. Ft.
Foundation P c..LM
# Rooms
# S)fries
Class of Const. d"""
Height
Occupancy Permit /Ct.f"
HEATING CONTRACTOR
Heat 0 NC 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 _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ LTub _ Eject _SS _ Water
Other
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Permit Fee Paid $ (0 (0 D . (
Date ~~/c;$
Park Dedication $
Final/O.P. (~I r( /1-;
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ ~~\~
- AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
JO~ LOCATION: 9010 ~/
PROPER~ONTRACTOR~ ,~ _J/A~/fu~~
CONSTRUCTION DATA: ~EW CONSTRUcr.KN ADDITION ALTERATION
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TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. pool. Si9~tC.)
/~k 2-0 A.L~~ d~
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Revisa:t: 8/89
ZONING:
PARKING LOT
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES~DEFICIENT
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Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra'It 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
REVIflA 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) t4aintenance items.. e.g. sid.ing. 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 ref~rral to the Director of Community Development. or designee.
~/APPROVED
Plan Commission Action Required
Variance{s) Required
REVIflAED BY: ~ {vU~
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DENIED
DATE: ~P/9)
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PERtlIT #
ADDRBsS 90fp~7
USE . jFA .
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Wo-rk cons is ts of n, hd I&.4A
D_-L~-
OWNER
DATE
GENERAL CONTRAC'1'OR
MASON CONTRACTOR ZONE
11\
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DATE INSPECTIONS
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FOOTING
FDTN SLAB
BACKFILL
STRUCTURE
ENERGY
TEMP OF
ClII{f:J~ FINAL/OF ~