HomeMy WebLinkAbout0017529-Building CITY OF OSHKOSH N° 17529
PERMIT APPLICATION AND RECORD
TYPE: BLDG\ TG ELEC PLBG SIGN ZONING FLOOD PLAINS HEIGHT (7:-.S
ifity ADDRESS C t ►frt 4 t^ V PI e-cSa--1` PLAN NO. i �3
OWNER 7n 6(.‘e.414.1.,3 A), Sct c.c.9
DESIGNER O
USE /NATURE OF WORK v Q J 1 /'J� t� c'o' 'PK" Z
,_,S1) itt .Y e 1,1; r te- ..l�rl a 040 7
r
BUILDING CONTRACTOR 0'
Size T 7 Sq. Fe 4P'1 Roo n Stories Height Z-C'
Foundation gl"tr-c-th.ell CO •f -3'/
Class of Const. e Occupancy Permit __s
HEATING CONTRACTOR e
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR C v` cu.
Electric Serv. New Change mp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /4.9
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 -f r A�.r 0 P°jr`t Fee Paid ::1:.tb01 ica
ISSUED BY 41. .r EW Date
II
1
In the performance of thi -,I<k I agree ..erform all work pursuant to rules governing the described construction.
T
SIGNATURES ,i. ii A
ENTIO NER
DAT-
-2 /e.', J V �L�
ADDRESS �J
TELEPHONE
Devised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 30 �pL ZONING: 4f r----
PROPERTY OWNER /CONTRACTOR: 'c)(4 ,1 ec' e W Q s_)
CONSTRUCTION DATA: IVEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
L9 td
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
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
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 witho t referral to the Director of Community Development, or designee.
V APPROVED
DENIED
Plan Commission Action Required
Variance(s) Requ' -d
REVIEWED BY i DATE: 4494)*6
DATE 3' 42 -.96
I ADDRE 3, z 5 c� �n
NAME _SO
LOT ol- BLOCK WARD
�UBD I l i a C'A ZONE Q-4
STREET NO. 3n QJdyr1 a)lh- Gfi. LOT DIMENSIONS
SIDEWALK EXISTING YES [1] NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 4/5 ,I9 f d BY KN
FEE: $;15.00 (e etaa 4.4.-•
6 7 "(17-0-7-1.---z-e-e,
nil4 All't 6)(41148 1 re2-L4 DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
7c