HomeMy WebLinkAbout0040395-Building (deck)~/
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N°- 4J~~J
CITY OF OSHKOSH
PER11111T -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS r ~/~ Vy'~-'~~ PLAN NO.
OWNER ~~~ r° C.IC.~ ~~1i ~/` /
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit ` r T
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
FEES: Value
ISSUED BY
Disp
DW
SP
-Eject
Permit Fee Paid $
Date
WSoft
DF
Ur
SS
Park Dedication $
Final/O. P.
SIGNATURE ~~~ j~ ~' ^l= ~ /~
C= AGENT/OWNER DAT
ADDRESS ~ `)t'~7 C' i `/ i~ C~ C-~(-, 2 ~~`~ ~: ~ ,3 i
TELEPHONE #
CBasin
-San. Sewer_
-Storm Sewer
-Water
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
JOB LOCATION:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction ~ Addition
ZONING
Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST
DEFICIENT
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off-Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
Drainage Plan
COMMENTS
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval 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.
~J~APPROVED DENIED
Plan Commission Action Required
Variance(s)
REVIEWED BY
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OWNER_ b~ ~ f{1~~~
DATE ~ ~~ PERr1 T #~
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GENERAL CONTRACTOR
MASON CONTRACTOR -
Width of lot
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Front of .lot
ADDRESS /~I~.L~
USE
Wo~Ck consists of
DATE INSPECTIONS
REMARKS
MA2LING a,oDtu.Ss
ZONE