HomeMy WebLinkAbout0024578-Building (deck)~ CITY OF OSHKOSH N°_ 24578
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING _ _ FLOOD PLAIN- - -HEIGHT - _
ADDRESS ~ ~ 5 PLAN NO.
A ._
OWNER
DESIGNER
USE/NATURE OF WORKT / ~~ ~~~ /~~ rC/.~C~ ~ ~X~~
BUILDING CONTRACTOR IJL~!/Y~l//
Size Sq. Ft. ~~" ~ # Rooms ( # Stori ~ Height .
Foundation ~~ Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles
Disp
DW
SP
Eject
PLUMBING CONTRACTOR
BT - WH
Lav Sh
WC FDr
-Sink LTub
Other
Heat Loss BTU'S
Volts Amps
Circuits
WSoft
DF
Ur
SS
CBasin
-San. Sewer_
-Storm Sewer
-Water
FEES: Valuation $ 1~ 7 Sr' ~ ~ Permit Fee Paid $ ~• ~ 0 Park Dedication $
ISSUED BY Date 3° 9~ Final/O
P
.
.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
r
AGENT/OWNER
ADDRESS
O
DAT
z33~~/
TELEPHONE #
Revisal: 8/89
ZONING/LANO USE COMPLIANCE CHECKLIST
ZONING:
JOB LOCATION: S~
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: /NEW CONSTRUCTFCN AOOITION ALTERATION PARKING L07
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign dec etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
DEFICIENCY/COMMENTS
COMPLIES DEFICIENT
~/~ use
Lot Width
Lot Area
_ Floodplain
_ Front Yard
Side Street (frcrtt yard)
~~ Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
_-_
Building Area
~.-
_ lot Area Per Family
_ Career-Lot
Landscaping
_ Transitional Yard
Off -Street Loading
Vision Clearance
Height
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REVIEW AUTHORITY:
The Director of Community Develop~e~ioroworkswhenetheuusea~srconformingaand whenpnotchange
following: (1) Alterations or in Siding, windows, etc., when the use is
in use is proposed. (2) Maintenance items; e.g.
conforming and when no change is proposed.
Instances where work complies with tto tlbiev0irectorlof CommunitytDevelopment1eorddesignee.
Building-Inspector without referral
APPROVED DENIED
_ Plan Commission Action Required
Variance(s) Re
REVIEWED BY: