HomeMy WebLinkAbout0003948-Building (sattelite dish)CITY OF OSHKOSH No _03948
PERMIT -APPLICATION AND RECORD
TYPE: BLD HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~ ~ ~ ~ ~~~° ~ PLAN NO.
OWNER « ~
BUILDING CONTRAC OR '~~~~ !L` ~ --~~
Size ~ Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. ~. Occupancy Permi
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: Valuation $
ISSUED BY
In the performance of this w ree to
SIGNATURE ~~~_
ADDRESS t ~l
Fee
~~
$ ~~- Park Dedication
ate ~ "Z~ g' Final/O. P.
work pursuant to rules governing the described construction.
DATE
TELEPHONE #
USE Ct~ISANCE
I. t'~tAL
i ,a` ~~y ,~/~}~ cry-~~ *~_
Phut K {/~/~~ MN~VY~~ j~l~~-
JGb Locats:on (~ ~ ~ ~l..r°-.~ ~ IDt Dimension
~'oP~'tY ~~.~,
II. ~ CCNSTR~'1'ICN DATA
I~7nT CCL~tS'L~[]C.TION
t~~
•-- ~n~ r
.~ Aocessory Buildis~ _ Pool ~ Single Family
_ Fence , DeckrPatio _ 3tao~-Family
Boathouse _ Sign _ M~ilti-Family
Sttvctu~+e ~ ~ _ Caaaiercial
Other (specify) ~ ~ ~ Manufacturing
IIZ. D~LIANCE CF~tS
dies
Def~ic_~__nt Defc.en~.Y/Camnents
_
.--' ZJse
~~ Lot Width.
Lot AL^ea
f FloodplalA
Firont Yard -
_
~
Rear Yard
_
~, ~
Side Yard (~
Side Yard (L)
,~/ _ ~ . paw; ~
____ . q Area
~'' ~ Lot Area per Family
~ Corner Lot
_ _ Other (specify)
IV. REtT1EW AUTf~ttl'1'Y
The Planning Director, or appropriate designee, na~st approve all plans, except
,the following: (1) Alterations or interior work when the use is conforrni.ng and
when no change of use is pt+o~osad. (2) Mai.ritenance items, e.g. , siding, windows,
etc. , when the use is ccxLforrning aril when no change of use i.s proposed.
Instances where wvrk,ocriQlies with file above criteria, the peanit can be revieti.ed
by the Building I~ without referral to the P~larmi.ng DirectAr.
ROVED I~ APPR~JVID
~.
Plan Goccma.ssion Action Required
Variance(s) r
Lot Area
REVIETn~U BY: _,_ ~_-~ ~~'~'~u~-- DATE: ~ dL ~j,~
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