HomeMy WebLinkAbout0029865-Building (bathroom & parking lot)
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N~ 29865
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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BLD~TG D ELEC D PLBG D SIGN D ZONING FLOOD PLAIN
HEIGHT
TYPE:
OWNER
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PLAN NO.
ADDRESS
BUILDING CONTRACTOR
c!)h DA ef--
Size Sq. Ft.
Foundation i;;-r~f-,
# Rooms # Stories Height
Class of Const. E:v:.rsr- Occupancy Permit ~o
HEATING CONTRACTOR
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Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
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Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
c.;;; r-v IJ,J,IH S
(
_BT _WH _Disp
_Lav _Sh _.DW
_WC _FDr _SP
_Sink ~ L Tub _ Eject
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
ermit Fee Paid $
Date
J
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~..r
'7," 211- 7l::.-
Park Dedication $ ~
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform al
ork pursuant to rules governing the described construction.
SIGNATURE
7- '2 f/- 92--
DATE
ADDRESS ~/~ ~..4.o/c~C7/1/
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TELEPHONE #
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Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
{'??-I tirc--!-so<1 ZONING: .jY/v -;
JOB LOCATION:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUcrKN
ADOITION
ALTERATION
PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
. $ d:v~~ra(1 ~~kf\~ 4f,
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra'1t yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Fami.ly
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
DEFICIENCY/COMMENTS
REVIEW AUTHORITY:
The Director of Community Development, or qesignee, 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) t1aintenance items,. e.g. sid.ing, 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.
~ROVED
Plan Commission Action Required
variance(:..~)," R.$eqU~. edM .~. ..
REVIEWED /~
DENIED
DATE: ~7(?C-
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GENERAL CONTRACTOR
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MASON. CONTRACTOR
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Front of lot
ADDRESS
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DATE INSPECTIONS
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MAILING ADDRESS