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0029697-Building (entry addition)
CITY OF OSHKOSH N°_ 29697 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ) HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS I 7 4 C,"LG - PLAN NO. OWNER 4 0 y1 i DESIGNER USE /NATURE OF WORK - W k / s 4 i✓ ad" BUILDING CONTRACTOR DLt®I Size 6 X r 9 ( 4.-- Sq. ��Sq. Ft. # Rooms 1 # Stories 1 Height Foundation 13.!%�L Class of Const. d 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 FEES: Valuation $ C,0. 0 v Permit Fee Paid $ 3,s `e1 0 Park Dedication $ ISSUED BY ,,V./1 Date 7/4 Z Final /O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE Visxsa...pKak. 7.15 - c't._ AGENT /OWNER DATE ADDRESS TELEPHONE # Revised: 8/84 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: /7 (p Ael >rt,.u/ ZONING: PROPERTY OWNER /CONTRACTOR: CONSTRUCTION DATA: NEW CONSTRUCTI{1 '/ADITION 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 • 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 without referral to the Director of Community Development, or designee. AP I PROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: DATE: - L ©Y SIZE-, 8e x (3S' 4 3(0' — Gaaktc lfl 1AouSE 36 I � Q 7\ NORT H OWNER ADDRESS / 7 ( b DATE PERMIT * USE S W o r k consists of J-ctk 4 . 1 . 1 r GENERAL CONTRACTOR MASON CONTRACTOR ZONE DATE INSPECTIONS n . FOOTING FDTN SLAB v " i BACKFILL C � /Z3 STRUCTURE C)re v , A ENERGY TEMP OP FINAL /OP V � x