HomeMy WebLinkAbout0020327-Building (steps)/`~ _CITY OF OSHKOSH N°_ 20327
PERMIT APPLICATION AND RECORD
TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN HEIGHT
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ADDRESS t0 .S l/CJ
OWNER
DESICy~ER
USE//NA OF WORK
BUILDING CONTRACTOR ,/~'o-r~ Eit~~~'
Size ~/e~ Sq. Ft. # Rooms # Stories ~~ Height
Foundation Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR -
BT WH
Lav
WC
-Sink
Other
Sh
FDr
LTub
Disp
DW
SP
Eject
Heat Loss BTU'S
Volts Amps
Circuits
- WSoft CBasin
DF
Ur
SS
San. Sewer_
Storm Sewer
Water.
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FEES: Valuatio $ ~ ~ Permit Fee Paid $ f ~ * ~ Park Dedication $
ISSUED BY Date 9'~7 ~y Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNA'
AGENT/OWNER
ADDRESS
PLAN NO
.~ ~D
DATE
TELEPHONE #
- _ Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
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JOB LOCATION: ~O 3 RAJ, _ A
PROPERTY OWNER/CONTRACTOR: gyp/ j~£~~`'~~GL
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CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ~TERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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ZONING:
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front 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
REVIEW AUTHORITY:
DEFICIENCY/COMMENTS
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) P4aintenance items; 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 without referral to the Director of Community Development, or_designee.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: DATE:
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