HomeMy WebLinkAbout0027709-Building (fence)_CITY OF OSHKOSH N° 27709
PERMIT APPLICATION AND RECORD
c:~ ~~~
TYPE: BLDG ~ HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING /~- `Z FLOOD PLAIN HEIGHT
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ADDRESS I~ Z 3 PLAN NO.
OWNER
DESIGNE
USE/NATURE OF WORK ~~~ ~ 3 / O.( b ~ ~C[.t.6/I'~- . ~ f /f ~(~i.. 7'a ~~ S~~i~
BUILDING CONTRACTOR ~.l~i~-L / .~y>v~
Size C Sq. Ft. Z # Rooms # Stories
Foundation ~~ Class of Const.
Height .
Occupancy Permit
HEATING CONTRACTOR
Heat ^ A/C ^ Vent ^ Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ^ Change ^ Temp ^ Type
Fixtures Switches Receptacles .
Volts Amps
- Circuits
PLUMBING CONTRACTOR
BT WH
- Lav _ Sh
WC FDr
-Sink _ LTub
Other
Disp
- DW
SP
-Eject
- WSoft
DF
Ur
- SS
- CBasin
-San. Sewer_
-Storm Sewer
Water
FEES: Valuation $ ~ ? 7 S • ° ° Permit Fee Paid $ ~ a ~~ ~ Park Dedication $
ISSUED BY ~ -r Date 3 ~ Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / ' ~~" "~ Vl
DATE
ADDRESS
TELEPHONE #
Revised: 8/~
NG/LANO USE COMPLIANCE CHECKLIST
JO& LOCATION:
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
:W AUTHORITY:
ZONING: ~~
DEFICIENCY/COMMENTS
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 c ies with the above criteria, the permit can be reviewed by the
Building Inspector t referral to the Director of Community Development, or designee.
PPROVED DENIED
Plan Commission Action Required
Variance(s) Re
REVIEWED BY:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION OATA: NEW CONSTRUCTHN ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, paolA sign^ deck,^etc.) ~ ~ ~ ~,