HomeMy WebLinkAbout0027666-Building (shed) CITY OF OSHKOSH N°_ 27666
, ® PERMIT — APPLICATION AND RECORD
TYPE: BLDG p HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /I 0 I- > 4:04.47 PLAN NO.
OWNER L .14 -LX/ 9. /C
DESIGNER
USE /NATURE OF WORK J * - (Z ./ i . 6-1.0", • idifrk
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BUILDING CONTRACTOR Ui.E 4
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Size /f/(rt �Sqq. Ft. Pt # Rooms / # Stories 1 Height
Foundation £3' i •�� 6..0`� Class of Const. �'1 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
7
FEES: Valuation .9 0 v Permit Fee Paid $ / J Park Dedication $
ISSUED BY ,u llT,..‘- si-o -� Date 3 / /0/�I Z-'' Final /O.P. (i'-I 4 q
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE l eep . -lee ^JET,,
AG
DATE
ADDRESS
TELEPHONE #
Revised: 8/89
II � ZONING /LANG USE COMPLIANCE CHECKLIST
JOB LOCATION: / /Oa— )// 4Zri0-6:A_C ZONING:
PROPERTY OWNER /CONTRACTOR: �, i?. /
CONSTRUCTION DATA: L/NEW CONSTRUCT:DI ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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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. it
APPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: ( 4,/A w .„ DATE:
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BUILDING PIaRM IT APPL I CATION
`� for S
FLOOD MOLB I LE HOMES i INC. - 1X) FOND LAC_,. - W 1_ ,,,� � •y /
'Il t I S FORM MUST BE (! 1PL1 FF1.) ANI) FURN I SI IED TO FOOD MOBILE I IMES , INC. PR 1 OR.
TO ANY WORK PERFORMED ON THE CC)NS'I'RUCTION (JR REC NTSTRUCFiON OF ITT IS SU(11
AS STEPS, SKIRTING, DECKS, SHEDS, AWNINGS, CARPORT, GARAGES, PATIO (70VERS,
ETC.
- - -- -------- - - - - -- - - - - - -- - - - - - -- - - - - - -- - APPL ICANT NAME :� f •2/? � t T _ / — DA'T'E : -_ - -- - -� - --
ADDRESS: j, U t -' f 4/0 - L c t e d _ TELEPIK)NE: 1 3 1 , i , _ -
/ / _ Wc* K #): -- —
TYPE OF PRO.IECF :,SYd) f � P « STIED, CARPORT, ETC.)
PROPOSED SIZE: X /,. APPROX. STARTING DATE: -_ - - '- �' ? -
CONTRAC'IDR (IF ANY): > -144 4 4//7*) 3 QMPLGF DATE: . t O - Z
CONTRACTOR PHONE #: v
MATERIAL LIST
SIDING MATERIAL: 'h_t) L /.C. _ _ __ _ _ (MUST BE SPECIFIC)
R(X)FING MATERIAL: Ay4. ( �` Z „ plc' (MUST BE SPECIFIC)
R(X)FING COU012: '((l a _ ---- . _ (GRAVEL,W(XX), CONCRETE)
F I N I SI IED EXTERIOR COLOR: ( -.�� '�!_LI -- --
(MUST BE IDENTICAL TO PRESENT 1K)USE COLORS, WIIIUI ARE:
TYPE OIL FINISII:_ (�(rL f _ __ (PAINT, STAIN, ALUMINUM)
CARPORT OR GARAGE - DOOR SIZE: X MATERIAL:
• F(XJTINGS - MATERIAL TYPE:
* WARN I NG - APPLICANT IS RESPONSIBLE FOR C(NTTACT I NG TIIE PRIVATE AU11 TOR I T I ES
TO MAKE SURE THAT ANY DIGGING WILL NOT INTERFERE WITH UND1.RGROUND SEWFR,
WATER, GAS, ELECFRIC, CABLE TV, TELEPHONE, ETC.
ON TIIE REVERSE SIDE OF 1111 S FORM, YOU MUST ALSO FURNISH THE RDQUESTED
INFORMATION COVERING T11E SPECIFIC PROJECT YOU ARE PROPOSING. IN ADD I'I'ICNI
YOU MUST AT1'AC'l1 A PRINT OR SKEI'U1 SHOVING . A IJOCAT ION PLAN, A FRONT VIEW AND
A SIDE VIEW.
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OWNER � ADDRESS / /OP ,— ice
DATE PERMIT # USE
Work consists of i
GENERAL CONTRACTOR
MASON. CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
A REMARKS
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Front of lot MAILING ADDRESS