HomeMy WebLinkAbout0020356-Building (foundation for addition) LO
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ZONING/LAND USE COMPLIANCE CBECKLIST
I. (SAL _
Building Permit $ 11103 � Zoning C - � nfo, g Non - Conforming
Job Location K 0 e( t.) r.J Lot Dimension
N � C PrcPertY ( •t•- O NVn s t-r (z (S L ri2__ -- IIt Area
a II. CONSTRMTICN DATA �.
: ./.�� �.i. l l /A G
(-4) . Amittrammigalmt.
M
C if NLW CONSTRUCTION r ' CN ALTERATION
Accessory
Building rl; r7 Paul _ Single Family
_ Fence Deck/Patio — Ztao- Family
_ Boathouse _ Sign Multi- Family
_ Utility Structure _ Porch Camrercial
_.. Or (specify) Manufacturing
•
III. COMPLIANCE CF QQ
Ccxiplies Deficient Deficiency /its
Use
Lot Width
lot Area
Floodplain
Front Yard
Bear Yard
Side Yard (R)
_ Side Yard (L)
Parking /3 /S
Building Area
Iat Area per Family
_ ` "— Corner Lot
Other (specify)
—
IV. REVIEW AUISORITY
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,
etc., when the use is conforming' osed '
� and when no change of use is proposed. .
Instances where work complies with the above criteria, the permit can be reviewed
by the Building Inspector without referral to the Planning Director.
APPROVED NOT APPS
Plan Commission Action Required
Variance (s) Required
RE j , DATE:
���?
REVISED � r � � //ff
DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
glll
SAFETY & BUILDINGS DIVISION
1
J
q ' j .c 1 tf P.O. BOX 7969
it MADISON, WISCONSIN 53707
PERMISSION TO START CONSTRUCTION
FEE REQUIRED IN ADDITION TO EXAMINATION /INSPECTION FEES
Location of Project:
Street: 1 570 Ripen tans E
City: Cshkosh Plan File Number
County: l innebago Date Plans Recd
Occupancy: *kery /rtestaurant
We, the undersigned, request to begin footing and foundation work prior to approval of the plans in accordance with Ind. 50.14.
Plans have been submitted to the Department of Industry, Labor & Human Relations, Safety and Buildings Division, and all information
requested by Code Ind. 50.12 or Ind. 50.13 has been included with the submittal
We have reviewed the specific code requirements for the building or structure and its use, as set forth in Ind. 50 -64, and, where applicable,
have shown compliance on the drawings.
We agree to make any changes required after the plans have been reviewed and to remove or replace noncode complying parts of the foun-
dation and or footings.
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or structure until 1
approval has been received.
We understand that, prior to the start of construction, a Building Permit must be obtained from the local authorities having jurisdiction in
accordance with their laws and ordinances.
1
77 / .C „ r
Owner's Signature 6/7/85 J j r tr -
Date A
g ` cepted by
Date
Name: h omas eiR ter Dept. of Ind., Labor & Human Relations
Safety & Buildings Division
Address: 1570 f} =t i on Lane
Not Accepted Because
Cshko3h, ,T 54%1
"' ,` ”` Plans will be examined within the next
Designer's Signature �- - DaTe days.
- � �� -
Name: ..
wiehae . , A.I.A.
NOTE: This permission is applicable to projects having below grade
Address: 3 C 15 ., t, - err on st. foundation work only.
Cs!hkosb, 11. fk9C1
SB -198 (R. 08/82)
BLDG. INSPECTORS COPY
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