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HomeMy WebLinkAbout0041132-BuildingCITY OF OSHKOSH N~ 41132 n PERMIT -APPLICATION AND RECORD TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -- --- ---------------------------------- ADDRESS ~v ~ ~ ,~C~1M~SL~ ~/QCI PLAN NO.y ~- ~ ~ 7/r/© //~~ ~ r OWNER USC' ~ LA~3~Z.tx-~7t~ DESIGN USE/NATURE OF WORK ~ V~ ~l A.]~C~L ~ ~~' BUILDING CONTRACTOR -~6'1 Size ~ Sq./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 1 v` ~ ~S 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: Valuatio ISSUED BY ~ rya. ~ Permit Fee Paid $ Date ~~I a~ ~= Park Dedication $ ~ ~ e Final/O.P. In the pertormance of-thi-w~ork I agree to perform all work pursuant to rules governing the described construction. /~ 2Y SIGNATURE AGENT/OWNER pA7E ADDRESS TELEPHONE ~ L,OT ~~~ l~ t t~~Z JOB LOCATION: r'J~ ZONING/LAND USE COMPLIANCE CHECKLIST PROPERTY OWNER/CONTRACTOR:_ `~C~.1-l ' ,I ZONING ~• CONSTRUCTION DATA: New Construction Addition TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.) 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 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. 'APPROVED Plan Commission Action Required Variance(s) Req Alteration DENIED REVIEWED BY:~~-~-C..,. ~~~~~`% °° DATE: ~/~~TJ ~~~ ~ ~~~2 COMMENTS 0 ~. '~> D ~ ~~= 2~' bra ~'~ ~ ~~ i City Of Oshkosh ~/~/85 PARKLAND DEDICATION FEE COLLECTION RECOP.D Address ~~g~ Owners Name Name of Subdivision LDS - W ~ Lot ~ ~ B1 dg . Permi t # `~ / I~ No. of Units Fee Required ~1C~0 Fee Paid ~ ~~ ,--;-- Owner's signature Inspector's signature Date Date Parks Subdivision Improvement Accts. Rec.: 362-041 NAME SCE k ~5~. `LOT •'f~~` ' O suaol ~~. 1~l~N~o~ GATE ~, L~ ~ `~ A~~RESS a~ccK ~ ~•ra~D ZCNE STREET NO. 3g~ ~ ~ ~nnrv~L-~~T" W~14 LOT 0 I MENS I Gras SIDEWALK EXISTING YES ~ NO BUILDING GRADE ELE`/ATtONS STAKES SET AT SITE g ,I9~aY ~ _ FEE;~~5.00 OE?ARTr•"•E!`.T cF FUo 1. f C 'rVGRKS I, the undersigned, owner or agent of the above dascribed property agree ro have the grade established befora excavation has commenced. .~