HomeMy WebLinkAbout0000081-Building (addition)~ CITY OF OSHKOSH No _00081
`' PERMIT -APPLICATION ANO RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING~~' FLOOD PLAIN ~ HEIGHT
ADDRESS ~y ~~ ~DA~- ~ PLAN NO.
OWNER ~/~ L ~.4-/LVSES ~~5~~/7~" Y~I~~/" ~r`' ~3f '3~~5~~~
USE/NATURE OF WORK
1
BUILDING CONTRACTOR ~/w`/~~2
Siz Sq. Ft. # Rooms # Stories Height ~
Foundation ~ Class of Const ~ Occupancy Permit p
HEATING
Heat ~ A/C ^ Vent ^
Heat Loss
BTU'S
ELECTRIC CONTRACTOR _ Q~/V~/ ~'
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~`~
BT WH Disp
Lav Sh DW
WC FDr SP
Sink LTub Eject
Other
WSoft CBasin
DF -San. Sewer
Ur -Storm Sewer
SS
Water.
c~
FEES: Valuatio $ ~+~~ O Permit Fee Paid $ / ~ • ~'~ Park Dedication $ /`'
ISSUED B Date ~ ~~ '• A~° Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
~'`- /D ~-~'6
DATE
TELEPHONE #
zocra~c/t~rm vsE oor~LlAC~cs: Cf~a¢ssT
z. c~c~,
Building Permit ~ Zoning Confo~zni.ng Non-~Conformuig
Job Location ~G~~, ~,=/J.9~ S~ Lot Dimension
Property Owner y~~~~1.~-OSG~r Lot Area .
II. ~ CCNSTRUTICN DATA .
Describe Work: ~E/J/loo~i' F'/~D iT1an-~ .~/_~~ ~
NEW CONSTRUCTION ~ ADDITION ALTERATION
Accessory ,il~;*?~ Pool ~ Single Family
Fance Deck patio Two-Family
Boathouse ~ Sign Multi-Family
Utility Structure Porch Ccttanercial
Other (specify) Manufacturing
III. CCIvLa?~..tiCE Cf'~~,S
Deficient Deficiency/Ca~~ts
Use
[/ Lot Width
,~,~ Int\ Area
~ Flooaplain -
Front Yard
'~ Rear Yard
Side Yard (~
`~ Side Yard (L)
~~/ Parking
J Building Area
~~ Lot Area per Family
Corner Lot
Other (specify)
rv. Rya AvrxoRlTSr
The Planning Director, or appropriate designee, must approve all plans, except
the followi.rig: (1) Alterations or interior work when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, windotas,
etc., when the use is conforming and when no change of use is proposed.
Instances where kork oo~lies with the above criteria, the permit can be reviek~ed
by the Building In..~pector without referral to the Planning Director.
APPRQVID NOT APPROVID
Plan Commission Action Required
Variance(s) Required
RE,v.~vED BY: L1AZ'r': CQ 6 ~ ~