HomeMy WebLinkAbout0010304-Building (sign)~ CITY OF OSHKOSH No 1030
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ^ SIGN~ZONING ~~ FLOOD PLAIN HEIGHT
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ADDRESS ~'L~~ ~~ ~~t° V'~-~GJ PLAN NO.
OWNER ~'t ~ J ~sf,/ Q d" ~ /~(~ / ~ ~r . ~
USE/NATURE OF WORK ~ y~~ r '~ ~o ~ ~ i it ~ ~ ~ X
BUILDING CONTRACTOR _~/' t~ ~ ~ ~~ ~f~
Size ~ ~~ Sq. Ft. /' # Rooms # Stories Height ~•Z-
Foundatio~~~ ~~ / ~ Class of Const. 'Occupancy Permit ~~
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ~ -1
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT _ WH _ Disp
- Lav - Sh DW
- WC FDr _ SP
- Sink _ LTub Eject
Other
FEES: Valuation
ISSUED BY~
In the performance of this work I agree to
SIGNATURE
ADDRESS
WSoft
DF
Ur
- CBasin
San. Sewer_
Storm Sewer
- SS Water.
set
Paid $ <~ Park Dedication
- Date ~~ ~ Z- P ~ Final/O.P.
~rform all work pursuant to rules governing the described construction.
~~~~
~~~~~
AGENT/OWNER DATE
~ 13 ~ ~ ~ ~75~Z'
~ TELEPHONE N
ZdNa~G/L~ND USE CCI~'~LIPS~ C~Q.iST
I. C~tAL
.+..~.
Bui,ldit~g Peanit ~ Zoning rr= Confoaniry9 Noc~oaai.nq
Jab L3cation j '2~{0 ~ /YiC ~er~c,~ ~i Lot Dimene
Property ~ ~y~ '~` S G~'e~.Y- ~ vs~~ Lot Area
II. C~[~S1~LX'PLCN RATA
DesQibe WFitk: Z?~ g" ~ ~-
Dg.W ~b~Q~1 i_ ADDITION A
__~
._... Y 9 _ Pool ~ Sii'~91e• Faadly.
Fence _ Dec:K/Patio ~ ~tao-F~tily
Boathouse ~ Sign _ 1~I.ti-Family
_ Otility Structure _ Porch ,~ Ckmaezri~~
Ottyet ~ ._ -?~~~~.
III.
~A~ ~ Defi~enc~t/
Ise
~ Lot W1,dth
~ ,_ Lot Area
_.. Floodplarn .
FYDnt YArd
~ hear Yard
~ Side Yard (~
_.._. .._
.,~. _ Sids Yard tL)
,,,y_/ ,_ ~ Parking
,,,~ _ euild#.ng Area
_ _ Lot Area per Famil~r'1~
_ Cornet Lot N/h
_..._ _ other tspecifY) a~
Iv. ~w wv~rrY
The PlannitxJ Director, or app=opsi~ate designee, mast apgrvve all plans, except
the gcllowing: (1) Alterations or interior work why the use is ~nfoaaing and
wfi~t no of use is proposed. (2) Maintenance iteta,, e.g:~* sid~g. vri~ws,
' etc. , wren the use is oanformirig arxi when no charge of ~ is prvpaated~.
where work ccsplies with the above criteria, tha peacat Can. he revieyaed
by the Bttilciing Inspector without referral to the Planni,i~g Direct=.
~~ APPROVm rx~T APPROVED
Plan Coamission Action Pecuis'ed
Variance (s) £ectui_re3
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OWNER 1 ~ J ~ {r_'\~"~ (~i~l'; C,°"(_
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ADDRESS _ _ 4
USE ,,'~_,.2'c,~-feu ~w.v
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CONT&AiCTOR ZONE ~_ 4
DATE
INS4ECTIONS
FOOTING
FDTN SLAB
~~
BACRFILL
~~
_ STRIICTURE
ENERGY