HomeMy WebLinkAbout0019210-Building (interior & windows)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
1M3
BLDG!Xl HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONIN'G :tIiifr FLOOD PLAIN
N~ 19210
TYPE:
HEIGHT
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OWNER
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PLAN NO.
ADDRESS
DESIGNER
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USE/NATU E WORK ~~
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BUILDING CONTRACTOR
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Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class qf Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
He~t 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 _qF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink _LTub _ Eject _SS _ Water
Other
FEES: Valuation $ ~ tjfJ'I . D () Permit Fee Paid $
ISSUED BY ~ ~ ~~ Date
r
i . ~
3;' {)tJ v'
7/>-/90
f .,
Park Dedication $
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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AGE1\1TI0WNER
%/10
DATE
ADDRESS
TELEPHONE #
Revised: 8/00
ZONING/LAND USE COMPLIANCE CHECKLIST
~,OB LOCATION: I-- -z.- -z--f' ~1~1 ZONING: ~~ 7-,-/?r- /
PROPERTY OWNER/CONTRACTOR: ~ 9. ,/cJ(z:trf
CONSTRUCTION DATA: NEW CONSTRUCT1~ ADDITION ~LTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
~ 2r//~~AH-/ ~ 7-/X-# fL~ ,. nLuJ !<:t--l- (l~~-
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COMPLIANCE CHECKLIST (Check only those applicable)
REVIEW AUTHORITY:
The Director of Community Development, or designe~, 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) t4aintenance "items,. e.g. siding, windows, etc., when the use is
conforming and when no change is proposed.
Instances where work complies with the above crit~ria, the permit can be reviewed by the
Building Inspector without referral to the Directpr of Community Development, or designee.
~. APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ~,~.I_Lw-<~
COMPLIES
-L
DEFICIENT
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:
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