HomeMy WebLinkAbout0023302-Building (shed)/~ CITY OF OSHKOSH N°_ 23302
`' PERMIT -APPLICATION AND RECORD
TYPtE: BLDG ~J HTG ^ ELEC ^ PLBG ^ SIGN ^
----------~~11------------------------ ZONING ~L_ FLOOD PLAIN HEIGHT
-----------------
~/ d
ADDRESS Z T" ~ ~ -----------------
PLAN NO.
OWNER ~~
DESIGNER
~ ~
® ~
USE/NATURE OF WORK /
BUILDING CONTRACTOR 1~/~
Size C
q• Ft. ~ ~ ~ # Rooms # Stories Height
/~
Foundation l 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 _ Disp _ WSoft CBasin
- Lav _ Sh _ DW DF San. Sewer
- WC - FDr _ SP Ur Storm Sewer
-Sink _ LTub _ Eject _ SS _ Water
Other
FEES: Valuation)
$ Z'ZDy Permit Fee Paid $ ~ • Ov Park Dedication $
,
ISSUED BY ~~~71~ ~f ~~~ Date ~/ ~!
Final/O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~C/~ /'~'Z---~' ~~y/~
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
Revised: 8/89
ZONING/LANG USE COMPLIANCE CHECKLIST
JOB LOCATION: ~- 3 ~ ~ Cc~e_ ZONING:
PROP~~RTY OWNER/CONTRACTOR: ~~~~-ctfi ~'L~¢~%~~
CONSTRUCTION DATA: ~EW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence', pool, sign, deck, etc.)
~~~~~~
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
Use
Lot Width
Lot Area
Floodplain ',
Front Yard
Side Street (frart 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
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
Variances` °~~••~-~~'
REVIEWED B'
r,
.s~
...
O ...
~
e _ _
r _.~
l
_°
r ...
9~ ~-
~
n
~ ~' ~` ...
~ ~3 ~ _TD S-DF wp~L~C _ _ ~~ ~3' S~1)~ a'F
x1 b.o cs~~ ~`'~
--~ -~ y ~ L~7-L / N ~
~ ~
_.. __
I
to
...
l
oc~
4 ~_ .. ~ ~ __._.
~/ _~__
~ ~_ I
~ ~
r-
~- _~ _
~
y
~, -~
~ o
-~
~b ~ ~
~
.~ ~ ~
~~ ~
d ~ y
z ~
.
1
..
I
_.
INSPECTIO.T REPORT
FILE: ~~~ DATE: lQ 3 ~~
i ~'
,FOOTING __SLAB _BACKFILL _STRUCTURE ,INSULATIOit t/6CCUPAi7CY
_OTHER
VIOLATIONS/REMARKS: