HomeMy WebLinkAbout0019607-Building (fence)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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BLDG)8J HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN
N2 19607
~-TYPE:
HEIGHT
ADDRESS
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PLAN NO.
OWNER
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DESIGNER
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USE/NATURE OF WORK
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Sq. Ft.
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# Stories I
# Rooms
Height
Occupancy Permit ~
BUILDING CONTRACTOR
Size
Foundation
Class of Const.
~
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
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES, valuatiO~.. p~ 0 ~ (Jc) Permit Fee Paid $
ISSUED BY ~ ~. ,1~ Date
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Park Dedication $
"11"2-~~9 Q Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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~ WNER
7-;).5-7'0
DATE
ADDRESS
TELEPHONE #
Revised: 8/00
ZONING/LAND USE COMPLIANCE CHECKLIST
"JOB LOCATION: IS-- S / #~ ZONING:
-'PROPERTY OWNER/CONTRACTOR: .$.h-7/Aa./ ~~ ~~
CONSTRUCTION DATA: NEW CONSTRUcnON ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e~ pool>> sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
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: ~ T~{A;-v...--
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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
DATE: ~/:LJJ9 d
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