HomeMy WebLinkAbout0023274-Building (porch)CITY OF OSHKOSH N° 23274
PERMIT -APPLICATION AND RECORD
TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ FLOOD PLAIN HEIGHT
ADDRESS SZ' ~ ~GY(.G_ PLAN NO.
OWNER
USE/NATURE OF WORK ~ / O " ,
BUILDING CONTRACT_ OR /~-~~
t / ~-
Size '~ x /7 ~ Sq. Ft. 1 Z Z - ~ # Rooms
# Stories ~ Height
Foundation ~ 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
- Lav - Sh
- WC FDr
-Sink _ LTub
Other
- Disp - WSoft
DW - DF
SP -Ur
-Eject SS
CBasin
-San. Sewer_
-Storm Sewer
- Water
FEES: Valuation $ ~ 0 0 /o . O o Permit Fee .Paid $ ~ ° OO Park Dedication $
_
ISSUED BY Date S ~ 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 DATE
TELEPHONE #
Revised: 8/89
ZONING/LANG USE COMPLIANCE CHECKLIST
J08 LOCATION: ~ ZONING:
PR~PERT OWNE /CONTRACTOR: ~~~~ ~~-
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
DEFICIENCY/COMMENTS
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front 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.
~/APPROVED DENIED
Plan Commission Action Required
Variance(s) Requited ,.---~ _
REVIEWED BY:
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DATE : S ~'
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