HomeMy WebLinkAbout0021075-Building (siding)
""~U~
~
CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21075
~.-;
TYPE: SLDG~' HTG D ELEC D PLSG D SIGN D ZONING FLOOD PLAIN HEIGHT
- . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -
~ ~ ~ jtJ3f?f~ .
ADDRESS ~~~ ~~7.~ ~-?V PLAN NO.
OWNER /I~r- ~~0/1
DESIGNER
USE/NATURE OF WORK >1..,?u) /-11/
tfxrfc#-/~ J,g ~.,~ f~~
BUILDING CONTRACTOR~ ~
$;zo ~ Sq. Ft.
Foundation ~~
Class of Const.
# Stories
p
I
Height
Occupancy Permit...ttld
# Rooms
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CSasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
Permit Fee Paid $ /0. () 0/ Park Dedication $
ISSUED BY Date IlJ /1..:1./7 Q Final/O.P.
"
SIGNATURE
ork I agree to perform all work pursuant to rules governing the described construction.
DATE
ADDRESS '- -? <5 7.
r?2~4 Z(~
~Y~6./
"
c;;:~/ ....2JE~
TELEPHONE #
t".
ZONING/LAND USE COMPLIANCE CHECKLIST
Revised: 8/89
, JOB LOCATION: 3()7 6. f?~J~ ZONING:
PROPERTY OWNER/CONTRACTOR: ~~ f? ~. ~.
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ~LTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
YlktAJ ,J-L~ lfK~~ Till Jf41 0/1- ~ ~/~~du-4--
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.
~PPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ~~. ~
COMPLIES
/
DEFICIENT
v
Use
Lot Width
Lot Area
floOdplain
Front Yard
Side Street (f~tyard)
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:
/012.2--)90
I ,