HomeMy WebLinkAbout0013540-Building (deck)_CITY OF OSHKOSH RD No 13540
PERMIT APPLICATION AND RECO
TYPE: BLDG~HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~~ FLOOD PLAINK=`°r HEIGHT '"
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ADDRESS ~ ~ ~ c-~ ~ f~ ~ ~ PLAN NO.
OWNER /~ o ~~~ ~ ~~ (r" X
DESIGNER
USE/NATURE OF WORK-~ `~ c~ c ~ '/ ~ ~ ~ ~'- ~ f `~ ~
BUILDING CONTRACTOR 'F S c p
t(
Size ~ l Sq. Ft. # Ro ms # Stories Height
Foundation r Class of Const. ~ Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ._ ~~--
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT -WH
Lav Sh
WC _ FDr
-Sink LTub
Other
Disp
DW
SP
-Eject
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
/~'
FEES: Valuation $ rmit a ai_d $ ,Lr~ Park Dedication $ .._. _
ISSUED BY Date, '+~ r ~ ~ ~ Final/O.P.
In the pertormance of this work I agree
SIGNATURE
ADDRESS
all work pursuant to rules governing the described construction.
AGENT/OWNER
-_a_
~~
DATE
TELEPHONE #
ZQV~3G/L'~ND q5E ~1-'~LZ~ ~.IST
2. t~AI~
Bui7ttir~q ~t ~_ Zotii=~g_ crrq Not-Caatfoxmiaq
Job Location ~/ ~~~ l~/ ~ i'K Lot D3mesai+ao
party O~as;r ~E Lot Ares
II. ~SLS'IR~UC.TICN DATA
DssCZibs wbdcc:_, °5~, r ~ ~ a-- oY~~
__ 1~t Cc~'i~cx3~ar _ Aco~ _ A
. Y ~~9 _ ~'"~ig1E~ Fatally
Ftince tia _ 7.1~o-Faani.ly
Boathatae _ qn _ MiLtirFamily
D't3lity Structure Pbxch '~
~, Gt2a't may)
aI. ~L~' Q~t~lS
Cro~ De~fieiettt
"-~lY _ Lot l~idth
`~ _ Lot Ares
~!1lY~11 f; Tf
~~ ~
~/ _, Rear Yard
-/- _ S3ds Ygrd (~
T~ Side Yard (I~
_ Ict Ares Per Family
• ~ Lort
_ _ Other (specify)
IV. 1~TIZ:.T+1 A[T
~e pax! , ar appropriate designee. iaat appxove all plans, e~acept
the ~lloaring: (1) Alterations at anterior work when the use is aonEo~rming an3
wiwrn no d~ange of use is pzaposed. (2) A~aintenmt~ce items, e:g:•. s3i3i~g, wiadowa,
• etc. , wiysn the use is caafar:oing awd when no c3~ana~s oiR -tae is psvpased.
~~n9 ~' referral to thela~u~is~ig D ~~ ~e revier~e3
_ ~ APPSipVID _ 1~AT ApPI~VF~
Plan Cession Action Ftequised
Variance is) ed ~
i~irVilr~""' ~. lil~srA~