HomeMy WebLinkAbout0028455-Building (fence)
@ CITY OF OSHKOSH
~ PERMIT - APPLICATION AND RECORD
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TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING FLOOD PLAIN HEIGHT
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28455
ADDRESS
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR tJ {.c-~
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Size r..e (y Sq. Ft.
Foundation 0J ti7;-c1
# Rooms # Stories
Class of Const.
Height
Occupancy Permit
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 _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
FEES: ValuaUon ~,., 0 O. ~ U Pe..(mit Fee Paid $
ISSUED BY ~ ~~ Date
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Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ck/ M ~~
AGENT/OWNER
~Y-7;Z
DATE
ADDRESS
TELEPHONE #
ZONING/LAND USE COMPLIANCE CHECKLIST
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?RO~RTY OWNER/CONTRACTOR: . ~~~/~L ~~~
CONSTRUCTION DATA: ~CONSTRUcr.KN '___ADDITION
TYPE OF PROPOSED CONSTRUCTION: (~. Cfen~~o 1, sign, deck, etc.)
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JOB LOCATION:
Revisai: 8/89
ZONING:
ALTERATION
PARKING LOT
COMPLIANCE CHECKLIST (Check only those applicable)
CDM~~ DEFICIENT
1/
Y
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fra'lt 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
REVIB-f AUTHORITI:
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) t-1aintenance 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 witho~ef~rral to the Director of Community Development, or designee.
~PPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIB-fED BY: r-L. ,%u'A;(lIA~
DATE:
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