HomeMy WebLinkAbout0024587-Building (patio cover) -C416) _CITY OF OSHKOSH N°_ 24587
PERMIT APPLICATION AND RECORD
TYPE: BLDG Al HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING / 3 FLOOD PLAIN HEIGHT
ADDRESS / ( 1 2 - Y - Cid D,&. PLAN NO.
OWNER eh&
DESIGNER ��J
USE /NATURE OF WORK—II/6 jle,(4) /0 0..0 fa.. Gd e, µ(4 (9 0 , ? „. .4e_ a
BUILDING CONTRACTOR . / 7" A
Size / 0 y [ LO Sq. Ft. Ze-° # Rooms / # Stories
p ( Height
Foundation Class of Const. a 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: Valuatio $ /7 `° J Permit Fee Paid $ / a, 0 0 I Park Dedication $
ISSUED BY /J a- Date 7i/,/9/' Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE (4e
a AGENT /OWNER DATE
ADDRESS ` .1 01--gie)
TELEPHONE #
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: Ni ti ZONING:
PROPERTY OWNER /CONTRACTOR: Pii�r 1)
�� 4
CONSTRUCTION DATA: EW CONSTRUCTIO ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
/0 X '2 ta; e 'L
COMPLIANCE CHECKLIST (Check only those applicable)
COMP IES DEFICIENT CIENT DEFICIENCY /COMMENTS
Use
_ Lot Width
Lot Area
1
---- Floodplain
Front Yard
Side Street (frart 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
REV EW 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.
■PPROVED DENIED
Plan Commission Action Required
Variance(s) Require. /i
REVIEWED BY: yr
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