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CITY OF OSHKO~H N2
PERMIT - APPLICATION AND RECORD
02531
TYPE: BLDG')'( HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING C-..2.... FLOOD PLAIN <oJ- HEIGHT jJ (A-
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ADDRESS ~:.s 0 0 S~ KOE:LLfUL st~
OWNER LA~DAAi~Qj< L-rD. ~w.ill I ~ a -L DOn f 0
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:N'V\€S ~R..~OA.J 000 So )V\p., l,.J ~t
USEINATURE OF WO~, -c:A.1 L ::;/4 oPS ~ L-nv<A"(I.AJS CO t< S-rlEr,0 ~20iW Cwr", (,
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PLAN NO. 6Co-~t d. -cooer 8
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'STteJEff:T
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DESIGNER
BUILDING CONTRACTOR .ALJsQ.J C:.i-\-T Q.AJSl/L.. (t..
Size {q:/X 1','"3 Sq. Ft. "Z..il,'ooo # Rooms\o-t-4'lQ1W;:'l$ # Stories I t Me:Z'U,<J/!'k-Heightlb C{lM.J<::,/L..
Foundation 'E'" 'x:'"\ STI p.:. G:. Class of Const. '[;8 Occupancy Permit & c.:j) (A fll!LD
HEATING CONTRACTOR E~ COo L\ E::R-lLl (1 \~'C-'
Heat 0 NC 0 Vent 0 Fuel/System . Heat Loss
BTU'S
_"r
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ELECTRIC CONTRACTOR
S~oLt>.L
ETectric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR E.. C" ~RtRiCG
_B1- _WH _Disp
_Lav _Sh _DW
_WC _FDr _SP
_Sink _LTub _ Eject
Other
_ WSoft
_DF
_ CBasin
_San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
..' ....0(/ .
AA~
L/ L/ Permit Fee Paid $
Date
/
C- V
~ J O~ark Dedication $ AJ (A.
J .- 2' - g-7 Final/O.P. t;:/2}j../g y
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~' ~~ - 1,/ra/AA"7 '
~"'WN" W t
ADDRESS
TELEPHONE #
GENERAL
Building Permit # Zo 0 COnfo 0 Non<onfo 0
i -- fUI<J-:r;- I:IIW>;_ I:IIW>;_
Job I.ocatiox6yC? '~aoC6 ~6l\D~L(,S;-IDj: Dinension
P1;qlert.y o.rer( ~~ en. rot Area
. a::NSTm:TICN DATA ~ vL.T AJv(!LS' !-I/ \~ 14 - . .
~ liork. g ^J./lJ fUJ.-. \Pf:;bt;':{Pf'LMW X ~ 1/( LUL (li'!, " ( iC1c.u,. )
(!~-~~-- . ',' ". .... . .' ...... ..
'- v CK.TI.-tA.& . ~ J'TU/2/L . :4. Id' ~r C4:.rZ/'(,1.~ .,-- U. S'/6/
'3 I ;><:;,fe. r . AJ {.(.., Ov'---J <" /Uocl0l'O Cw..J Nt OA/L ' A-1\.~
^><' NE.W c::x::tSTRUCl'ION ADDITION.. .. ALTERA1'I~ Flif'IAJ.1ArtV
~ .
I.
..
II.
_ AccessoJ:y Building
Fence
Boathouse
_ Utility St:=ucture
_ Other (specify)
III. 'CDMPLIANCE cmx:I<S
CarcUes Deficient
-
-
-
.1.',-
-
ZCNING/IAND I'.JSE cor.1PLIANCE: CHEttUST
Pool
Deck/Patio
~Sign
Porch
SfhHle' FamiJ; .
-', '':: . Y
_ ~Family
_ Mllti.-FamUy
-25""~
__ Manufac;:turing.
Deficiency/O::mnents
Use
IDt width
IDt Area
Floodplain .
FJ:Ont Yard
Bear Yard
Side Yard (R)
Side Yard' (L)
Parkinq
Building Area
IotArea per Family
COmer IDt
Other (specify)
IV. REV:tE.li AumoR!'1Y
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior \o.Wk when the use is c:onfotnring and
when no change of use is proposed. (2) ~tenarrce items, e..g..... siC:ii..Il9., wi.nd.c\oJS::t-
etc., when the use is c:onfonning ~ when IX) chan<Je of "USe is. pmpo.sed...
Instances where ...ork cx:xrplies with the above cri~;i.a" tli.e pel:.itU.,t ~_ ~ revie.-.'ed
by the Building Inspector without refe:rral to the Planning Direct:ot'.
APPROVED
NCYl' APProvED
Plan COIrtni.ssion Action Required
Variance (s) Required
RE'ilIEIvID BY:
"""'T"='o
~........
_ Accesso:r:y Building
Fence
B::lathouse
___ Utility Structure
_ other (specify)
III. CDMI?I.IANCE CHECKS
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IV~
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ZONnJG/!.AND tJSE CONPLIANCE O!ECKL!S1"
I.
GENERAL
Building Permit #Cb?63 (
o ~~ '/ r~
Job IDeation ~CL~ '---<:J. .orf'ceJUc.. 0(,
Property CMneLtvJDA\A2K LTD_ J(7<N, 1lr
Zoning c-~ Confonning_Non-confo:oning_ "
,IDt Dimension
IDtArea
II.
CCNS'l'RIX:TIOO DATA
~~ite, r;",k: ACXt'-MTI '''''s
(jU( LO ,~ <:,.'
-c~
JJ C0/L7?A- !in-rr,~ ^ I dr
NEW CONSTRUCrION
# AL'mRATION
_ Single Family
_ Two-Family
_ Multi-Family
Catmercial
_ Mmufacturing
ADDITION
Pool
Deck/patio
~ Sign
Porch
Cbmplies Deficient
42
~
g
y
41
..&
#t
jji;t-
~
Deficiency/Corm1ents
Use
IDt Width
IDt Area
Floodplain
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
IDt Area per Family
Corner IDt
Other (specify)
REVIEtV AUTHORITY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior wurk when the use is conforming and
when no change of use is proposed. (2) M3.intenance items, e.g., siding, winoovs,
etc., when the use is confonning and when no change of use is proposed.
Instances where wurk caoplies with the al:ove criteria, the permit can be reviewed
by the Building;c:r::=ut referral to :p=Oirector,
Plan Corrmission Action ReqUired
- va=aZ'Led ,
REvThWED BY: V~
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CONT~
OWNEaLAND'v\6~b.P~(tJ.TII<!: A1)';)~s_3oo SO'-!<OE-LUC12-&.
DATE l-s-67 '. nmrr .0;<5"3 r' USE ~(cS'(~()fr-Cs&uJf!JJ &~~~"L '
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