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HomeMy WebLinkAbout004125-Building (fireplace)_CITY OF OSHKOSH N°_ 04125 rERMIT ArrLICATI~N ANA REC~R~ TYPE: BLDG HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS PLAN NO OWNER ~~°,...P~~ CY` ego IL ncci~~ico BUILDING CONTRACTOR Size ~~ Sq. Ft. # Rooms # Stories v Height '' //_ Foundation t`cn rte. ~ rP ~P 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 Disp WSoft CBasin Lav Sh DW DF -San. Sewer - WC FDr SP Ur -Storm Sewer -Sink LTub Eject - SS -Water Other FEES: Value ISSUED BY mn~ In the performance this work I agree SIGNATURE ~DDRESS f ®c~ - -----__ F_ee Paid $ ©• Park Dedication $ ~- Date ~ ~~" ~ ~ Final/O.P. all work pursuant to rules governing the described construction. ~ /icy/~"~ DATE ~- /~- oz g TELEPHONE # Z0.~.1A1D L15E OQl~LI11~ SST I. C~IItAL Building Peratiit # Zoning Conforming NoirConSorming JGb Location ~~J 1'-"~~ V ~`-- Lct Dimension Pht owner ~ ~a-~ ~ <-n © ~c Lot Area II. ~ acax-riav nom, Describe Walk: ~ t- ~-~ ~` ~ e taw vcrsTRrx~Ia~ S~~ADnTi~rr ALTgtATICN _ AMY $" ~ ~' ~ ~ Pool _ Single Fanri.ly _ Fence ~ Dee]c/Patio _ Stan-Fami.I.y Boathouse ~ Sign ~ I~ilti-Faaniiy Utility Structuze ~ _ Porch _ ~~Other (specify) _.__ Manufacturing III. aQ1~LIADiCE QfiBQtS ~.liss ~ Deficier~y/Cants ~ ,~ `~ Lvt Width / Lot Area / Floodplain / ~/ Frant Yard - _~ Rear Yard _ ~ Side Yazd (R) .__. / / .,,,_ Side Yard (L) „ / PBuilding Area . _, t-~ Lat Area. per Family _ /'~~N Corner Lot Other (~'~') N. 2c,e The Planning Director, or appropriate designee, oust approve all plans, e:acept the bollow3sig: (1) Alterations or intQxior work when the use is conforming and when no change of use is pr~osed. (2) Maintenance items, e.g., siding, windows, etc., when the use is conforming and when m change of use is proposed. Instances where work,oomplies with the above criteria, the pezmit can be revieked by the Building I~ without referral to the P~]anning Director. " APPROVID 1V17T APPROVID Plan Comaission Action Required tlariance (s) Required ~ BY ''~ L1AS'E: (IG