HomeMy WebLinkAbout0017595-Building (deck)/~ CITY OF OSHKOSH N° 17595
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONINGS FLOOD PLAINS-'~"'' HEIGI~" `~'
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ADDRESS ~~ ~ S ~ ~ dti ~ PLAN NO.
OWNER- _-~~ ~i~,~DFL.~V~
DESIGNER
U E/NATURE OF WORK ~~,~/G' ~-~ ~~ <<
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BUILDING CONTRACTOR ~C~~~v
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Size Z U Sq. Ft. ~E% # Rooms # Stories Height ~ •~ •~t 4a v ~'
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Foundation G Z~ ls:GS` Class of Const. ~~' Occupancy Permit ~ °'E
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
BTU'S
ELECTRIC CONTRACTOR _-.-
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT WH
Lav _ Sh
WC FDr
-Sink LTub
Other
WSoft
DF
Ur
SS
2 c~ ~' Z ~ f ~C'/
Amps
Circuits
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuat' n j ~ Permit Fee Paid $ ~~ Park Dedication $ /y <~'"
ISSUED BY ~ ~ Date ~~~'~ V Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ (~~ ~ !I 1-ihCQ~(.~A.~(Y~~~- o~ aJ ~ ' ~ C1 ~ ~ 3 " a ~ - 9 t~
AGENT/OWNER s DATE
ADDRESS `~ `- ~~ ~~
TELEPHONE #
Revised: 8/~
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ~3S ~- Al f-~ ~ti~/ ~ d,U~- ZONING:
PROPERTY OWNER/CONTRACTOR: ,~"~ ,~/pI;JZ.S~-~J
CONSTRUCTION DATA: NEW CONSTRUCTION ~ ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CO^N~STRUCTION: (i.e. f z3 e, pool,/sign, eck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
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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
DEFICIENCY/COMMENTS
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
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 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 ; _ ~~~~1 " ~ DATE: ~~Z~
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