HomeMy WebLinkAbout0020152-Building 4.:.) CITY OF OSHKOSH N9 20152
PERMIT APPLICATION AND RECORD
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TYPE: BLDG al HTG ELEC PLBG SIGN ZONING F LOOD PLAIN HEIGHT
ADDRESS l [l/ o 6.)--7-1.4.)1A-0-,-- P---T PLAN NO. P7/ t
OWNER reef 4 r
DESIGNER ��jj
USE /NATURE OF WORK /7P 14 CF L e"714. afi
AV. AZA/4,041421
BUILDING CONTRACTOR
Size 7/Y .S Sq. Ft. 7644? Rooms Stories Height ,,ms�ss
Foundation Class of Const. P Occupancy Permit /�-e' Q
HEATING CONTRACTOR i
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 74/
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 /4 o Permit Fee Paid 39.2. J Park Dedication
ISSUED BY �it <u)+i� Dat Final /O.P. q /7/
In the performance of thi ork I agree perform all work pursuant to rules governing the described construction.
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SIGNATURE f 'j :C,`/ C J
i AGR p
ADDRESS 'il' —ILA %j
TELEPHONE
4 e /30.1' 'Orv. g /sv/90
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: )60, /kg, 170 /7S L dho 071 a ZONING:
PROPERTY OWNER /CONTRACTOR: )-t-
CONSTRUCTION DATA: 1/NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPL ES DEFICIENT DEFICIENCY /COMMENTS
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front yard)
Rear Yard
Side Yard (R)
Side Yard (L)
_1ef:_ Parking Spaces
—1146°
Building Area
Lot Area Per Family
Corner Lot
Landscaping A111. 4
Transitional Yard
Off-Street Loading
Vision Clearance �o- ,.;r,, Height
REVIEW AUTHOR ITY v E e
The Director of Community Deve ment, or designee, must pr ove pirr t
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, e c., when the use is
conforming and when no change is proposed. f
Instances where work complies with the abo a criteria the rmit can ere a r he-- Building Inspector without referral to the Director of Community Development, or d-' ignee.
C.- DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: DATE: 8 2, /4 t,
DATE e �3/9
NAME /Z Xe/'r/t' ADDRESS_
LOT BLOCK WARD
SUBO I V e %6 0" ZONE
STREET NO. 41r (77', LOT DIMENSIONS
SIDEWALK EXISTING YES 1 NO [a]
BUILDING GRADE ELEVATIONS STAKES SET AT SITE R/ 9 BY N-1
FEE: 151 eb
G, /rc 5 7 t
DEPARTMENT OF PUBLIC WORKS
1, the undersigned, owner or agent of the above de cr property agree to h_ve the
grade established before excavation has commences.
0/121.9
4 111.11.w-