HomeMy WebLinkAbout0019561-Building (remodel)
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CITY OF OSHKOSH N2
PERMIT..... APPLICATION AND RECORD
19561
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TYPE: BLDG ~ HTG D ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS LTS& ,#'~~ff
OWNER ..4~ ~
PLAN NO.
)2SIGNER
U~OF,WORL~~~.~~
~ <F.lLJ .. i
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms # Stories
Class of Const. Y
~
Height
Occupancy Permit }eEa
Foundation
HEATING CONTRACTOR
x~~
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
12~
Electric Servo New D Change D Temp D
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 _ L Tub _ Eject _SS _ Water
Other
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FEES: Valuation $ 5000.00 Permit Fee Paid $ . O. tH)
ISSUED BY F /. .~ Date 7/"2.-0/7' 0
Park Dedication $
Final/O.P.
this work I agree to perform all work pursuant to rules governing the described construction.
ADDRESS
AGENT/OWNER
c;2 /-2-.'7 ~~
. C/
7/ck; /90
I DAlf
.,;/,3 3 -- SF/a
TELEPHONE #
SIGNATURE
...fOB LOCATION:
Revised: 8/00
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ZONING/LAND USE COMPLIANCE CHECKLIST
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# PROPERTY OWNER/CONTRACTOR:
NEW CONsTRucrrrn
CONSTRUCTION DATA:
ZONING:
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)
COMPLIES/ DEFICIENT
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Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (f~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) t4aintenance Items,. 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.
~APPROVED
Plan Commission Action Required
Variance{s) Required
REVIEWED BY:. ~;: ~//A'A~
. I .
D EN I ED
DATE: 7/~/9CJ