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0017963-Building
CITY OF OSHKOSH N°_ 17963 PERMIT APPLICATION AND RECORD TYPE: BLDG`S HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGH A- ADDRESS C-' NAG .1"0 c P1 ce_L `e PLAN NO6). "-&--F- OWNER lco c 1 A e1 1 -Co.53 DESIGNER `,ff USE /NATURE OF WORK R Le G( 1 4 r-- wteGt 8 fce 9'0- c3 03_0 l� BUILDING CONTRACTOR ©tom Gt a Imo' Size `G Sq. Ft. 1 7 1 6 4- Rooms �-'u t c Stories Height Foundation 70-c4.4, ci --1 �-1 Class of Const. Occupancy Permit HEATING CONTRACTOR l,l ®Cam Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Li' Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR MCP A BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other i FEES: Valuation l s'O erm' ee Paid P v Park Dedication ISSUED BY IIr� Date e a Final /O.P. 1/ a 90 y In the performance of t_York I as to perform all w• pursuant to rules governing the described construction. SIGNATU',- i. ii z,. -fss� 17A- 17A- l AGENT /OWNER D E ADDRESS T ELEPHONE Remised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: V�-� r ZONING: tZ PROPERTY OWNER /CONTRACTOR: CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area 41( 4 Floodplain Front Yard Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per Family //MIL. Corner Lot Landscaping Transitional Yard Off-Street Loading Vision Clearance Height REVIEW AUTHORITY: 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 DENIED Plan Commission Action Required Variance(s) Required A REVIEWED BY: /'!u .I DATE: 4-//,v gli DATE NAME G/L- Z kfjU 4 S ADDRESS 3 ,.v ..5- xx C�4 LOT BLOCK WARD SUBDIV. ZONE /T2'<r— STREET NO /96 Zim- XL du C.. LOT D I MENS I ONS A G 6 SIDEWALK EXISTING YES [1:: NO el BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4/s 19613 BY 1 FEE: $'/5' 00 17 DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above de ribed prop-rty agree to have the grade established before excavation has commence *1, i'■&/(7 Irlfr 04121 ice -:1- a 1 Y t`"'� j n t1 l Y4 4{ li t i I) 1 N i.___........ ..I..,„4_, --A k 01. r_- N y am+-' t a __I': x: a 1 ,v 7� 3 \.ri N 4' s' t j 1 rNCS t s: tij�, 9`5s-. ti 7-7) x i c (7.‘" i Sy 2-r-;,),, ti p -ei''. (gam may b r.,F^e. `��Y ,,,t..• c j r 76 1. ,'N ^4- t vri L q gy m, \NL/N t ov terms J A A t w r i.. OWNER ADDRESS ftS C (-007 DATE PERMIT USE &V• f Work consists of GENERAL CONTRACTOR MASON CONTRACTOR ZONE Width of lot DATE INSPECTIONS REMARKS V A i7P a D, o lc ©e o Q ivy o/l o A 0 m Front of lot NAILING ADDRESS