HomeMy WebLinkAbout0003160-Building (utility room addition)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
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03160
:CVP.E: . . BLD~G. o. ELEC. C? . ~LB~. 0 . ~iGN .0 . ~ONING. ~ ~ ~ FL~OD. ~~i~ .0:'''- ~~~I~HT . . . "
ADDRESS /8 I t; tc)J . is b 11 ~ I/v f . PLAN NO.
OWNER l?f)ber~ /'!~I1V50n
DESIGNER
USE/NATURE OF WORK ;/0 X /&, r-<"CL-. uJ," /,,, <'<>OWl a.,lclr'j"o t1
_ -/f/"v i ~~ "5,t..,JL($.. ~ 4-
BUILDING CONTRACTOR :"\(? 1-9
Size 10,)'1& Sq. Ft. / hI)
# Rooms
I # Stories
Class of Con st.' ~4 #fit e
/ . . Heighf /___-<>
Occupancy Permit Key" f/
Foundation
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat L9~~.........
!3TU'S
ELECTRIC CONTRACTOR -~p / t='
Electric Servo New 0 Change D Temp 0
+/2.
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits ..
PLUMBING CONTRACTOR 'e / .p
-fts
_Sink
Other
_FOr
_LTub
_Disp
_OW
_SF'
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Lav
_WH
_Sh
_BT
_ Eject
_SS
... ~ ~tQ.r.ll) Sewer
_ Water
_WC
_Ur
SIGNATURE
rk Dedication $
ISSUED BY
Date
II work pursuant to rules governing the described construction.
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DATE
ADDRESS
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ZON1NG!IJ.\ND USE COMP~ ~ST
'0
I. GE:NEAAL
. Building Permit # 3/ (P. 0 ZOning R {B Confonning_Non-Confonning___
Job Iocation !Q"/ to a/r ~ e>Pf tot D~ion
Property Owner
tot Area
II. . C(lqSTRUCrIcN DATA 'J7 =~.-- . / /J. /J .'. f'.' In<-. ,A
Descrim i'brk; Y fo y 2-0 ~~ L- ~ )tL ~ !::-L
NEw CCNSTRUCrION
. ~ ADDITION
Pool
Deck/Patio
~ Sign
Porch
ALTEBATION
~J-ngle Fantlly
_ 'lWo-Family
_ Multi-Family
Catm:rcial
............
_Manufacturing
_ . Accel3s0l:Y Building
Fence
Boathouse
_ Utility Structure
_other (specify)
III. OJMP~ CHECKS
CoIrplies Deficient
-4l Use
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)0
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X-
L..
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))eficiency/Comnents
tot Width
lot Area
Floodplain .
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
lot Area per Family
Comer lot
other (specify)
IV~ REVIEti AUTHORITY
The Planning Director,. or appropriate designee, ImlSt approve all plans, except
the following: (1) Alterations or interior ~rf<when the use is confonning and
when no change of use is proposed. (2) Mainten;mceitems, e.g., siding, wincb<lS,
etc., when the use is confonning and when no change of use is proposed.
Instances where work carplies with the above criteria, the pennit can be reviewed
by the. Building Inspector without referral to the Planning Director.
N APPROVED
Plan Comnission Action Required .
t.ur APPROVED
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