HomeMy WebLinkAbout1991-Building (deck)/~ CITY OF OSHKOSH N° 23167
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ~'f HTG ^ ELEC ^ PLBG ^ SIGN ^ ZONING ~ / FLOOD PLAIN HEIGHT
ADDRESS / a ~d ' `
OWNER
DESIGNER
USE/NATURE OF WORK
PLAN NO.
3 ,~ ., X ~~
BUILDING CONTRACTOR
r
size / 3 ` "k~6 Sq. Ft. 2/ # Rooms
# Storieas Height
Foundation~H`'~ Class of Const. a 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 $- ~~~ • ~~ Permit Fee Paid $ `fly ~ Park Dedication $
ISSUED BY ~ Date Final/O.P. ~ ' ~ ~ `7 i~
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
ADDRESS
AGENT/OWNER
DATE
TELEPHONE #
Revised: S/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB 'LOCATION : /(, ~ O ~~~~,,c~ay/.r.~- ~~
PROPERTY OWNER/CONTRACT/OR: ~~~~
CONSTRUCTION DATA: / NEW CONSTRUCTION
ZONING:
ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, eck etc.)
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
R~VIEW AUTHORITY:
DEFICIENCY/COMMENTS
y
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 complies with the above criteria, the permit can be reviewed by the
Building Inspector without referral to the Director of Community Development, or designee.
~~APPROVED
Plan Commission Action Required
Variance
REVIEWEC
DENIED
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OWNER
DATE PERMIT #
GENERAL CONTRACTOR
ADDRESS l O ~{ ~ ~~~ u~
USE
WoY k consists of /fit-a-~- .2~~~
MASON .CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
Front of lot
MAILING ADDRESS