HomeMy WebLinkAbout0004020-Building C116-) CITY OF OSHKOSH N2 04020
PERMIT APPLICATION AND RECORD
TYPE: BLDG G ELEC PLBG SIGN ZONING Te. i FLOOD PLAIN HEIGHT /tie/'
ADDRESS �'l z £c �Gt1q Lt Jr' PLAN NO.
V
OWNER c...14..... �c°!/•te
DESIGNER
USE /NATURE OF WORK �I e T 4:144 a-x1 .Z i p o rC
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BUILDING CONTRACTOR t r)s► t� s ettAr C OY
Size r Z X 1 r Sq. Ft. /4 Rooms Stories Height
f
Foundation 0 Do ere {`e Class of Const. Occupancy Permit
HEATING CONTRACTOR
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
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
IP' .073 i
FEES: Valuation /AP /mit F-, -J. Park Dedication
ISSUED BY AtIO i �-0.- Date c 3' 57 Final /O.P. 3 -2
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In the performance of this work I agree ti orm all work pursuant to rules governing the described construction.
SIGNATU Lote. G —3
AGENT /OWNER DATE
ADDRESS 1 01„ �-t e �s r c3 —d- SY
TELEPHONE
ZONING/LAND USE COMPLIANCE E CHECKLIST
I. GENERAL
Building Permit Zoning Conforming Non.Confoxming
Job Location C1 Z r K./4r r 4 �ctic #7 Lot Dimension
Property owner c L Z 1"// 47 r it Area
II. CCNSTRUCTICN DATA y�
Describe Work: x' (a' _sC e, p tl 4 f�'' l'
NLW CEN5TREC ION ___ADDITICI3 ALTERATION
Accessory Building n Pool 41 Family
Fence Deck/Patio Two- Family
Boathouse Sign Multi- Family
Utility Structure E Commercial
Other (sixecify) Manufacturing
III. COMPLIANCE CHECKS
Cbmplies Deficient Deficiency /Comments
.Use
Loot Width
Lot Area
Fl odpi a i n
Front Yard
...e Rear Yard
Side Yard (R)
Side Yard (L)
Parking
2
Building ng Area
Lot Area per Family
Corner Lot
Other (specify)
IV. REVIEW AUTHORITY
The Planning Director, or appropriate designee, mast approve all plans, except
the following: (1) Alterations or interior work when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, windows,
etc., when the use is conforming and when no change of use is proposed.
Instances where work,00mplies with the above criteria, the permit can be reviewed
by the Building Inspec without referral to the Planning Director.
APPROVED NOT APPROVED
Plan Commission Action Required
Variance (s) Requir
REVIEWED BY: -:L`Y DATE: 3
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PLOT PL ,N
TOLERANCES REVISIONS
"c[rt wf °MT.. No. DATE SY
DECIMAL
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FRACTIONAL
DRAWN SY SCALE MATERIAL
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CHK'D DATE DRAWING NO.
ANGULAR A
TRACED APP.D
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011
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