HomeMy WebLinkAbout0018994-Building (shed)_CITY OF OSHKOSH N°_ 18994
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
ii
ADDRESS.~~ J/ V
OWNER ~~
DESIGNER
USE/NATURE OF WORK
PLAN NO.
BUILDING CONTRACTOR /~~
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
- BT WH Disp
Lav Sh DW
WC FDr SP
-Sink LTub Eject
Other
Volts
WSoft
DF
Ur
SS
BTU'S
Amps
Circuits
CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ ~v'~,I~D.00 Permit Fee Paid $ ~0~00
Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of this work. I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
AGENTIOWNER
ADDRESS
~ /$ ~p
DATE
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TELEPHONE #
Revised: 8/89
JOB LOCATION:
ZONING/LAND USE COMPLIANCE CHECKLIST
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.ZONING: ~ ~
PROPERTY OWNER/CONTRALTO
CONSTRUCTION DATA: NEW
TYPE OF PROPOSED CONS
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ADDITION ALTERATION PARKING LOT
ON: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
~/ Use
~ Lot Width
Lot Area
~,~~~ Floodplain
-./ Frant Yard
Side Street (front yard)
Rear Yard
Side Yard (R)
~ Side Yard (L)
_12~%~ Parking Spaces
~ - Building Area
v 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) 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 withou referral to the Director of Community Development, or designee.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY:
DATE : ~~~/~/ZOO
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