HomeMy WebLinkAbout0022822-Building (addition)CITY OF OSHKOSH N°_ 22822
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~~ FLOOD PLAIN HEIGHT
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ADDRESS ~ 2 ~ ~.r~~l.C~ ~~/L"'e~
PLAN NO.
OWNER v-~.,.y- ""'
DESIGNER
USE/NATURE OF WORK+ ~~ ~..C.(it/ 3 ~I.,D`z~-~;r Q~t~,
Z xi~.~-~. ~r y~ `~
BUILDING CONTRACTOR C.~C.l:,L~~
Size Sq. Ft. ~ ~ # Rooms ~ # Stories ( Height
Foundation C~ .'1:2.C~ Class of Const. ~ Occupancy Permit
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 Disp WSoft CBasin
Lav _ Sh DW DF -San. Sewer
- WC FDr SP Ur Storm Sewer
-Sink _ LTub Eject SS Water
Other
FEES: Valuatio ~ ` O J Permit Fee Paid $ -~ 0 ~ ~ Park Dedication $
,~
ISSUED BY Date / ~
T S ~( Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE L„f - S-` 9' ~
AGENT/0 E~ DATE
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/
ADDRESS ~ ~ /~ C ~' -~ 7'f> {moo J ., d~ ~ o~ 3 3 ^ 1 y y U
TELEPHONE #
Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB. LOCATION: ~ Z
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUCTION
ZONING: /`~ /
DITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
IES DEFICIENT DEFICIENCY/COMMENTS
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (frart yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off -Street Loading
Vision Clearance
Height
REVIEW AUTHORITY:.
The Director of Community Development, or designee, must approve 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.
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector without referral to the Director of Community Development, or designee.
~PPROVED DENIED
Plan Commission Action Required
Variance(s~ _
REVIEWED B
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