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HomeMy WebLinkAbout0022939-Building_CITY OF OSHKOSH N°_ 22939 PERMIT APPLICATION AND RECORD TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~-~ FLOOD PLAIN HEIGHT -------------------------~-~------------------------------------------ ADDRESS ~ 3 ~p K~~ ~~-~-~ L~ PLAN NO. OWNER ir"+a-~ N~t-L o /.~->~ DESIGNER USE/NATURE OF WORK.~~ //.~,u1 ~f{xz--(o ~.L~ i~/~~ BUILDING CONTRACTOR ~'~~rr~- O-utr~-l~t- Size _Z ~ x ~A~ Sq. Ft. ~ ~ # Rooms ~ # Stories ~ Height [~_ Foundation [.h'r ~~_.~ Class of Const. ~_ Occupancy Permit J~ 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 _ Disp WSoft _ CBasin - Lav _ Sh _ DW _ DF -San. Sewer WC _ FDr _ SP _ Ur -Storm Sewer -Sink _ LTub Eject - SS -Water Other FEES: Valuation $ ~ S~~©~ ~ ~ Permit Fee Paid $ ~~ ~~ Park Dedication $ ISSUED BY ~~e~'~ Date ~//z/~! ~ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ `~- z.. ~/ AGENT/OWNER D T//E Q / ADDRESS ~3 ~ ` ~P l TELEPHONE # Revised: 8/89 ZONING/LAND USE COMPLIANCE CHECKLIST r ~, JOB LOCATION: ~~ ~~ /'~~ _ _ ___. ZONING: PROPERTY WNE CONTRACTOR: ~ ,C~p/~ -~/ ~_~ CONSTRUCTION DATA: /NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence', pool, sign, deck, etc.) ~~.w~ Z-- ~F ~Z lv ' C%~~ ~L~ ___ :0 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 DEFICIENCY/COMMENTS IUTHORITY: 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 witho referral to the., Director of Community Development, or designee. APPROVED DENIED Plan Commission Action Required"' Variance(s) Required _ , . REVIEWED BY: ~~~~h'~~ DATE: ~1~~~. j'~~ -a „. e '~yY~~ ~. OWNER ADDRESS 'Z 3 `7 a /<<~c_~,~.,O ~'._,~.-{ DATE PERMIT # USE WoYk consists of i~GO~'S~- GENERAL CONTRACTOR MASON CONTRACTOR ~ ZONE Width of lot 0 w 0 r y d m Q Front of lot DATE INSPECTIONS REMARKS -~ ~~ ~ /~ OlG MAILING AODRESs