HomeMy WebLinkAbout0001641-Building (foundation only)~ CITY OF OSHKOSH NQ _01641
`' PERMIT -APPLICATION AND RECORD
TYPE:, BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ -`~ FLOOD PLAIN ~"^'" HEIGHTL~ L~
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ADDRESS ~~~ S ~AC-~Sf~nJ ~Z PLAN NO~r^j3~ `_ lOB~og
OWNER ~ ~ ~~ thJO (-~ L C5 ~ ~ '~ ~ ~ . N ~R C ~J
DESIGNER ~ E-~ ~ - ~~~^~ ~ ~- W Ste'
USE/NATURE OF WORK ~W ~v ~ ^1 ~ Tr ~Q ~ l O W X12
~Lu ~~, l (t~ i s ~MM t i
BUILDING CONTRACTOR PDI/~JQL.. Il1.S'T'Q~c1LTt.~r.i ~
1 ~I ~ ~t
Size "~ kR2 ~Sq. Ft. 32Z~ # Rooms ~~ZTuc~sr, # Stories
Foundation ~ tf C~`.o1,.1 ~ g~o+r'-~ ~'~~t.~ Class of Const. ~ ~ _
r`
~ Height i5
Occupancy Permit C7 t ~'~
HEATING CONTRACTOR ~ ~, C l ~t~- JK~-UI.L-ate
feat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR ~ ~ l_~ ~~---
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~~.~ ~+~ L ~-- 1 ~'~~-~
- BT WH Disp WSoft _ CBasin
Lav Sh DW _ DF - San. Sewer
WC FDr SP Ur - Storm Sewer
-Sink _ LTub Eject SS Water
Other
0
FEES: Valuat' n OOH Permit Fee Paid $ I 4
Park Dedication $ N L~'
ISSUED BY ~ Date ~ ~ ~ ~J '~6 Final/O. P. °~~^ ~~ ~d 7
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~~~i~^~+~°' ~iR~-'~ /~' 1'la
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AIGE/NT/OWNER DA E~/ ,
ADDRESS ~ O`- dr~ s ~f ~~~ - 7' ~' `~6
TELEPHONE #
ZOIVIl~/LAIW USE COMPLIANC.~ CFIDCKLIST
I. C~FiAL
Building Permit #~l ~~ / Zoning L -~ Conformi.ng Non-Confoizning
Job Location ~~jQ ~ ~~~LSc'~ ~Z Iot Dimension
.. Property Owner ~ t C_l~A ~ ~ W~ ~ ~ .c IAt Area
II. OCNSTRx7~TICN DATA
Describe Work: l~ ~
~~
y
ti
Accessory Builclirng _ Pool _ Single Family
_ Fence _ Deck/Patio _ Two-Family
Boathouse _ Sign _ Nhil.ti-Family
_ Utility Structure Porch ~ Ca~ercial
Other (specify) _ Manufacturing
~v1L~~N
III. O(1N~T•TAI~f"F: C~iECKS
lies Deficient
~ _
x
----
fs~
{~'-
X~ _
-tL- -
Use
Lot Width
Lot Area
Floodpla?n
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
Iot Area per Family
Corner Lot
Other (specify)
Deficiency/Cannents
UPr~Y~P~-e Prrrh r oar` ~e~ S~c.c~C
_11a ~~~,~.t,e ~>,~ ~,~u~.~ few ~ cr-~',a~ Y ~~ H f s/~~
~IJo~'L~ S GIi ~~~( -fJY S T f~
IV. REVIEW AiTI~iORITY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior work when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, windows,
etc., when the use is conforming and when no change of use is proposed.
Instances where work con~lies with the above criteria, the permit can be reviewed
by the Building Inspector without referral to the Planning Director.
., ~_ APPROVID NOT APPROVED
Plan Commission Action Required
Variance (~) Aeq~lired d/1,~ ~~ L~ w c
REVIEWED BY : ~~ ~ DATE : 1~ `,~
Tom- NEW C;ONSZZiUCTION ADDITIOiJ ALTERATION
OWNER 1~ 1 ~ k~. ~ ~!CI~ (~
ADD ~
~ ~ O ~ `
~ 1 ~CL~S o ~ , .
DATE ~L - I S-'~ PERt9IT ~-'~~~ ~ US ES' (/~~~i2~ ,
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,r-~o~rk
consists
of 1~J~~~ ~iL
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MASON CONTRACTOR ZONE
Cv
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DATE INSPECTI6ONS
FOOTING ~p ..zc ~~ i .,L. ,F~.~-~ "^.K-- ' ~~-
FDTN SLAB
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STRUCTURE
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