HomeMy WebLinkAbout0017966-Building CITY OF OSHKOSH N°_ 17966
PERMIT APPLICATION AND RECORD
TYPE: BLDGITG ELEC PLBG SIGN ZONING p.c FLOOD PLAIN HEIGH4-
ADDRESS /s—,,s___ c 0 A- 4)?lz.et-r.`._ PLe:P PLAN NO. Q i
OWNER /POP frer‘c r eCLP '.5
DESIGNER
USE /NATURE OF WORK ec Cm r V 4:. F
BUILDING CONTRACTOR fr1,. Q_ O'"
Size f X I Sq. Ft. G 7 Rooms <F,,,,,,,) Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR de9.--..010
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR 1-
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 as Mit 0 Per. ji ee Paid -S P ark Dedicate j f'
ISSUED BY lek, W",e Date L Final /O.P. 6 04 C O
IIII
In the performance of ork I a. perform all work pursuant to rules governing the described construction.
SIGNATURE A i �.ej t AGENT /OWNER /D
ADDRESS
TELEPHONE
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: IS C 4_ 0- ZONING:
PROPERTY OWNER /CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
_mac`
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
Use
Lot Width
Lot Area
Al Floodplain
Front Yard
Side Street (front yar
Rear Yard
Side Yard (R)
Side Yard (L)
C---- 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 without referral to the Director of Community Development, or designee.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
II
REVIEWED BY: if/, APT?
i DATE:
DATE
NAME U� L .5 ADDRESS N c
LOT BLOCK !BARD /5
SUBD 1 V g,,,,,,./,..".,_, ZONE
:7- ...t
STREET NO .._4.....6-' /*jh j LOT D 1 MENS IONS
G'
Cie- Ore
SIDEWALK EXISTING YES [1:: 1111
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
4 i S ,I9 ci v BY.P
FEE: /5 .00
)./A9z.J.-
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described prop; y agree to have the
grade established before excavation has commenc=
A i
/t „e_
d
04124