HomeMy WebLinkAbout0023438-Building (deck)/`'~ CITY OF OSHKOSH N°_ 23438
PERMIT -APPLICATION AND RECORD
HYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~~ ~~ / ~ PLAN NO.
OWNER ~.!/n/J^' ~~~/(~~L~'~
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR ~
Size ~ a Sq. Ft. # Rooms # Stories ~" Height
Foundation <~~ Class of Const. ~ 'Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type Volts
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
-BT WH
Lav _ Sh
WC _ FDr
-Sink LTub
Other
Amps
Circuits
BTU'S
Disp WSoft CBasin
DW DF -San. Sewer
SP Ur -Storm Sewer
-Eject SS _ Water
FEES: Valuation ~' ~ b Permit Fee Paid $ ~~ ~ ~ ~ Park Dedication $
ISSUED BY Date~1 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
ADDRESS
TELEPHONE #
Revised: 8/89
JOB LOCATION:
ZONING/LAND USE COMPLIANCE CHECKLIST
ZONING:
PROPERTY NE /CONTRACTOR: _~~~
CONSTRUCTION DATA: >~EW CONSTRUCTION
ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, ec etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES /DEFICIENT
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front yard)
Rear Yard
Z/-
REVIEW AUTHORITY:
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
The Director of Community Development, or deli
following: (1) Alterations or interior work w
in use is proposed. (2) Maintenance items; e.
conforming and when no change is proposed.
DEFICIENCY/COMMENTS
lnee, must approve all plans, except the
ien the use is conforming and when no change
~. siding, windows, etc., when the use is
Instances where work complies with the above riteria, the permit can be reviewed by the
Building Inspector without referral to the Di ector of Community Development, or designee.
~ APPROVED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY:
DENIED
DATE:
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