HomeMy WebLinkAbout0022293-Building (covert to 2 family) R y
(4111-11) CITY OF OSHKOSH N2 22293
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZONING /Z FLOOD PLAIN HEIGHT
ADDRESS 5 7 9 f- v- tt--t4-- PLAN NO.
OWNER 6
DESIGNER
USE /NATURE OF WORK 4 e 5 g -2—
If/-tyi _itta yee7 ast-Per-40-
BUILDING CONTRACTOR 8/xi-PIA/I/ G�
Size Sq. Ft. Rooms Stories '7r Height
Foundation Class of Const. o Occupancy Permit __Af____
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
FEES: Valuati. 00 0 0 O Permit Fee Paid 0 Park Dedication
ISSUED BY J� .r -i s Date 9/ Final /O.P. -5 ��iri9f
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ,:ol
AGENT /OWNER DATE
ADDRESS
TELEPHONE
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
1 JUB LOCATION: 5 i p ZONING:
PROPERTY OWNE' 'CONTRACTOR: 5'/- 6
;f-
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION //ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTIION: (i.e. fen e, pool, sign, ecck etc.)
C�4�` t GV t Z G ��7/�/
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
Use ,,r�4..,.: 1 ..L
Lot Width A. 4'ti V
Lot Area la-1t 4,4 am. ?Cf
Floodplain A -Z;,,_
Front Yard eeT ix
Side Street (front yard)
Rear Yard Z '.L.LeA.r_ LL6Imi=
Side Yard (R) �A,...-i 4 44
Side Yard (L) di/J/04.
Parking Spaces /Oa priti ;_c3t a----`----
Building Area ,r,/ AA ...4
Lot Area Per Family
Corner Lot
Landscaping .44.6.- /Mj
Transitional Yard
Off- Street Loading i
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
REVIEWED BY: d "1401.-
DATE: IA-0(
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INSPECTION REPORT
FILE: VA-9A
DATE:
RE: S 7
_FOOTING SLAB __BACKFILL STRUCTURE INSULATION t NCY
OC UP
_OTHER �''3 5
VIOLATIONS /REMARKS:
INSPECTION REPORT
FILE DATE 7A4
RE: 5- 2? lr-
_FOOTING _SLAB _BACKFILL _STRUCTURE INSULATION LCUPANCY
_OTHER
VIOLATIONS /REMARKS //a1-- -71-/ott1