HomeMy WebLinkAbout0028451-Building (addition)~ CITY OF OSHKOSH N° 28451
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING~~~ FLOOD PLAIN HEIGHT
ADDRESS ~ ~ ~ ~ ~-~~ ~~ ~~'~ ~ ~ PLAN NO.
OWNER///t ~ p~-~.-G~-
BUILDING CONTRACTOR ~~ ~c%~GL~LQ-r/'GQ
Size Sq. Ft. # Rooms # Stories Z" Height
Foundation ~~ ~ Class of Const. ~ Occupancy Permit ~~~-
HEATING CONTRACTOR !~ (.C/t-~/ ~
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR ~. c ~-
Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ~1_Ll/~~. ~~'~--Z~
BT - WH Disp WSoft CBasin
Lav Sh - DW DF San. Sewer
- WC FDr SP Ur -Storm Sewer
-Sink LTub -Eject SS -Water
Other
FEES: Valuation $ ~~-3 Permit Fee Paid $ ~ r Z ~ ~~a Park Dedication $
ISSUED BY Date ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE`~~~~ ~,Y~6\(; 0 ~~~~=~ ~1~\ ~' lD'~~
AGENT/OWNER~~ DATE
ADDRESS
TELEPHONE #
DESIGNER
Revised: B/B4
ZONING/LANG USE COMPLIANCE CHECKLIST
JOB Lt7CATI0N: ~ ~' 3c7 ///.~~c-6~~'C~C- ZONING:
PROPERTY OWNER/CONTRACTOR: ~8-n-c ~f.~-~c..~~~ ~~-~
CONSTRUCTION DATA: NEW CONSTRUCTI4V ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
_ Use
• Lot Width
Lot Area
Floodplain __
Front Yard
Side Street (frrnt 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 UTHORITY:
The Oire or of Community Development, or designee, must approve all plans, except the
followin (1) Alterations or interior work when the use is conforming and when no change
in use i proposed. (2) Maintenance items; e.g. siding, windows, etc., when the use is
confo •ng and when no change is proposed.
Instances where work complies with the above criteria, the permit can be reviewed by the
Building Inspector~with~out referral to the Director of Community Development, or designee.
C/ APPROVED DENIED
Plan Commission Action Required
Variance(:
REVIEWED E