HomeMy WebLinkAbout0021766-Building (window)CITY OF OSHKOSH N °_ 21766
n PERMIT - APPLICATION AND RECORD
T) E: BLDG 0( HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRt.'`' ! �'�� •S lle?:iZ7�c:'t l�C PLAN NO.
OWNER
DESIGNER C
USE /NATURE OF WORK SFX ��✓ �/� n t �`' �l�ti%� ��
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System
# Rooms # Stories Height
Class of Const. Occupancy Permit L'
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type
Fixtures Switches Receptacles
PLUMBING CONTRACTOR
BT
WH
Lav
Sh
WC
FDr
Sink
LTub
Other
Disp
DW
SP
Eject
Heat Loss BTU'S
Volts Amps
Circuits
WSoft
DF
Ur
SS
CBasin
San. Sewer_
Storm Sewer
Water
FEES: Valuation ,$/ / S Gy Permit Fee Paid $ /S— C O — Park Dedication $
ISSUED BY Date �y I a Final /O.P.
In the performance of this work I agree to
SIGNATURE
ADDRESS
all work pursuant to rules governing the described construction.
AGENT /OWNER
DATE
TELEPHONE #
ZONING /LAND USE COMPLIANCE CHECKLIST
JOE LOCATION: / Z/ 5— /��� ���� � �/��� ZONING:
PR�OERTY OWNER /CONTRACTOR: �.
CONSTRUCTION DATA: NEW CONSTRUCTION
�t
ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT
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:
DEFICIENCY /COMMENTS
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
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: �
DENIED
DATE: