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1986-Building (partial basement)
CITY OF OSHKOSH No 02217 PERMIT - APPLICATION AND RECORD TYPE: BLDGGHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT AD DRESS �J` 62,(--4v-- �� O PLAN NO. OWNER ` DESIGNER USE /NATURE OF WORK Gtr BUILDING CONTRACTOR ../ ,Jer_44/0-/--/ Size / J Sq. Ft. # Rooms / # Stories Height Foundation 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 °X[) 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 $ OB © --- ^'""Permit Fee Paid $ g v '�'� Park Dedication $ ISSUED B Date ./.. ...- Final /O. P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 41111.6 - 121 " .411 'i ! .s• 7 , /2 - Z " 41 A NT /OWNER (( DATE ,� 0.10 l ADDRESS � c /� 1/LV�`� = ( j`S3 3 TELEPHONE # ZONING /LAND USE COMPLIANCE CHEMIST I. GENERAL Building Permit # l 7 Zoning /11 Conforming Non- Conforming Job Location Jra 8 ' Child, Lot Dimension Property Caner / /ELL./A)41■C'.� lot Area II. CONSTRUCTION DATA Describe Work: /4,e77 ,Oji�i�l r NEW CONSTRUCTION ADDITION ALTERATION _ Accessory Building Pool _ Single Family _ Fence _ Deck/Patio _ 1V/0-Family _ Boathouse _ Sign _ Multi - Family _ Utility Structure Porch Cantescial Other (specify) _ Manufacturing III . 0.DMPLIANC E C E KS Caiiplie� Deficient Deficiency /Cannents � Use Lot Width Lot Area ✓ Floodplain Front Yard 7 Rear Yard `// Side Yard (R) Side Yard (L) _ Parking Building Area 11 Lot Area per Family ly Corner Lot Other (specify) IV. REVIEW AUTHORITY The Planning Director, or appropriate designee, must 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 catplies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Planning Director. L./APPROVED NOT APPROVED Plan Commission Action Required Variance (s) Required REVIEWED BY: `4;`` "—" DATE: / t N . — . -----' [ j \ ,^ ^ dou —L ` . x" . . `^ ` ' , ' ! ` ' � | ' , ` ' i -- ' ' | `. .^ li | 1 / � i ^ .� . - _ '_~ ~^--'~~ - ', \ $6s . ' . . , / `