HomeMy WebLinkAbout0018905-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18905
TYPE: BLDG~HTG D ELEC D PLBG D SIGN D ZONINGrf-3 FLOOD PLAINCO...d--REIGHT ~#...
OWNER
19 J D -lia-f-'Ir' l:50&~ ~'f-
,Nelvl f/1.- k[,'~~r-
PLAN Noj1.!9'-{~7-~9'o!s
ADDRESS
DESIGNER
USE/NATURE OF WORK ~i~e c+
n Qc.\..J
s:: L~ . c {;{;"tA?, L-Ja r-f? 144 ~ F
r / I
BUILDING~~1!ltCTOR /Yo .....4-b '^--
Size~ ~O Sq. Ft. # RoomsG'f--? Lci-A. # Stories
FoundationC;Ot."L.vL~ "t1-'~/u-tn,,'--ce'R Class of Const. B
!S /<21
c:
<-1-e~ 90 -(lS~lo/>!5
I Height 2~-
Occupancy Permit 1'1: Py d:1
HEATING CONTRACTOR
~
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
-z
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
z
_BT
_WH
_Sh
_Disp
_ WSoft
_ CBasin
_FOr
_OW
_SP
_OF
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
ISSUED BY
_ Pe' " Fe. Pa'd $ ~/F/
Date . J ~ 9 0
---
Park Dedication $
Final/O.P.
In the performance of this work I agree t perform all work pursuant to rules governing the described construction.
,4/0/1../tI AI .6 ~ : IcljJ';.I i"J 17
SIGNATURE ,JjA.b 0 L~~gV~, to ~/3 - '70
AGENT/OWNER DATE
ADDRESS
0\ /tJr) 7d-t/u-e/\, ~~ ~A/Ylp't rd' ~ftJi)
t/lc{-76('- CfttrS-
TELEPHONE #
Revised: 8/00
ZONING/LAND USE COMPLIANCE CHECKLIST
tee ro !Ia-,-r (~M.- .s:+-
JOB LOCATION:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA:
ZONING: ';11-.3
NEW CONSTRUCTION
ADDITION
ALTERATION
PARKING LOT
TYPE OF PROPOSED CONSTR~CTION: (i.~. feqce, pool, sign, deck, etc.)
e.c.Qc-~. .~ tl!JeVLR~
COMPLIANCE CHECKLIST (Check only those applicable)
DEFICIENCY/COMMENTS
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
COMPLIES
I
DEFICIENT
=1=
v
~
!ir yt /i,1frJ to fJ-<A-- 9 ~
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 ~ut referral ~hthe Director of Community Development, or designee.
, @APPROVED IJfl/fO ' ~~DENIED
Plan CommiSSIon Action Required
variance(S~.Requ'red __
REVIEWED BY:, _ ~~----
~~o
le!(If{%D /P'-"
DATE:
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ADDRESS
BLOCK
HARD
SIDEWALK EXISTING
ZONE
;-I a.-I"'r' Is 0 AI Uo I MENS IONS
YES 0 N~
BUILPING GRAPE ELEVATIONS STAKES SET AT SITEf'?'~ 7 ,19
/1/0
SUBD1V.
STREET NO.
9AJ
BY P7--
FEE:
c;. ~,{/
DEPA~MENT OF PUBLIC WORKS
Kg.
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
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