HomeMy WebLinkAbout0021332-Building (family room)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21332
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TYI-i: BLDG car HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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.;;2/11 m~
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~LAN NO.
ADDRESS
DESIGNER
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USE/N~TURE OF WORK I&~ !),YI'/ . ~ W~~
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BUILDING CONTRACTOR It//' ~
Size fLY (J- Sq. Ft. :216
Foundation ~
# Rooms
I
# Stories
y
! Height
Occupancy Permit
Class of Const.
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HEATING CONTRACTOR
Heat 0 AlC 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
_Lav
_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_ San. Sewer
_Sink
Other
_ Eject
_SS
_ Storm Sewer
_ Water
_WC
._FDr
_ L Tub
_Ur
ISSUED BY
Permit Fee Paid $ 3~ . at:) i
~ Date 1115/711
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ,~ '. {;t'-t/ L
AGENT/OWNER
ADDRESS /0 (
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, DATE
7,3:1'-- 710 0
TELEPHONE #
Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOP,LOCATION: ;>- III m~/>1~ lONING: @
PRO~ERTY OWNER/CONTRACTOR: t3~ jf)bv /I ~
CONSTRUCTION DATA: ~EW CONSTRUCTION ---ADDITION ___ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
CO~ DEFICIENT
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Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front yard)
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
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 Itemsi 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.
~PROVED . DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWEO BY: ~J(^,~
DATE:
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