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HSO~IHSO
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
~(!H
Building Permit Application oN THE WATER
If you are a contractor ap rticipating in the Permit Fee Account System and have adeguate funds check here
if you want this processed through your account n
JOB AD]
OWNER
CONTRACTOR ~(~(1~ Q.1(- ~e~~' 0
I am the: ,Owner OR ^ Contractor
USE CATEGORY
~lSingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Work being done:
^ Addition
^ External Remodeling
^ Handicap Ramp
^ Sign/Canopy/Awning
^ Swimrning Pool
^ Other
^ Deck/Porch/Patio
~Fence/Hedge/Kennel
^ Hot Tub/Spa
^ Stair/Handrail
^ Wrecking Permit
^ Driveway/Parking
^ Garage/LTtility Structure
^ Internal Remodeling
^ Stove/Fireplace
Additional information, such as plan submittal and approval; may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
• Full description of work being done:
Any work not included in this application is not permitted.
Value of the job $ 1 CJ ~j2 ~ O ~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
S
D
CI
3/02
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION:~~ ~v~son ~~`-, ZONING: _2 -„3
PROPERTY OWNER/CONTRACTOR: ; o ~~c
CONSTRUCTION DATA: New Construction L] Addition II Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) ~.t'r~<< ~ y! c'~a;~
_.•
COMPLIANCE CHECKLIST
DEFICIENT DEFICIENT. ' DEFICIENT
II Use
II Lot Width
II Lot Area
II Lot Area Per Family
Flood Plain
II Front Yard
II Front Yard Side Street
II Rear Yard
II Side Yards
II Building Area
II Parking Standards
^ Off-Street Loading Standards
j~ Vision Clearance
^ Transitional Yard Standards
j~ Landscape Standards
II Height .
II Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
j~ Signage Standards
II Mechanical Equip. Screening
II Parking Lot Lighting
COMMENTS:
REVIEW AUTHORITY
As per Secfion 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or designee, musf
approve all plans, except fhe following: (7) Alterafions or inferior work when fhe use is conforming and when no change in
use is proposed. (2) Mainfenance items, e.g. siding, windows, etc., when fhe use is conforming and when no change is
proposed.
APPROVED ^ DENIED
Plan Commission Action Required
Variance(s) Requ
REVIEWED BY:
DATE: _~~/~O $
2003
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