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HomeMy WebLinkAbout0017965-Building CITY OF OSHKOSH N°_ 17965 PERMIT APPLICATION AND RECORD TYPE: BLDcHTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT/' ADDRESS le-1 5— C_ "'r` \-o-. 7::)/e2--4--e--- PLAN NO. SIFQ/k OWNER C /`.'J` -13 DESIGNER n �i USE /NATURE OF WORK /v Qv-J c� n t r f r BUILDING CONTRACTOR 1 0r.4l— ."..c.�,� Size 1C 5 Sq. Room�J h r� Stories Height Foundation Class of Const. r Occupancy Permit HEATING CONTRACTOR ciQt i".4 Heat A/C Vent Fuel /System Heat Loss BTU'S 0 ELECTRIC CONTRACTOR v. I4 Electric Serv. New Change Tem Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 4 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 D 4 r /Per ee Paid Park Dedication ISSUED BY d u Date Final /O.P. In the performance of th'- work I `.i'-e perform all w• pursuant to rules governing the described construction. V SIGNATUR t AGENT /OWNER DATE ADDRESS f_ V g '`'∎T C ,SO TELEPHONE Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: f°4(S e,° v ©w ZONING: 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 1/ Lot Width Lot Area Floodplain Front Yard /1" Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area ;i7;77 ei Lot Area Per Family Corner Lot Landscaping ie 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' e ma /La IOW DATE: A l 16 /e7.,i--ric,_%- DATE C le NAME An3/ ADDRESS LOT /////45' Z// .�/'/'G''1J BLOCK WARD /1 SUBO I V V. j 6 m. ZONE STREET NO. �d �"-g t4 1 LOT DIMENSIONS y< '0 W:ef4 SIDEWALK EXISTING YES [1:: NgelE71 BUILDING GRADE ELEVATIONS STAKES SET AT SITE I s ,19 q BY FEE: $15 -00 11/1-e DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above des ibed proper agree to have the grade established before excavation has commen :d A AM' 0 /A-24, 2 z.