HomeMy WebLinkAbout0004912-Building CITY OF OSHKOSH N° 04912
PERMIT — APPLICATION AND RECORD
TYPE: BLDG, HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING M - 3 FLOOD PLAIN HEIGHT N /
ADDRESS (aa 1 So- /<A/ kW ST.
(� PLAN NO. 67-0 00 0/ 3 Q
OWNER WI&IN'rA4cw `-oufki2 v 1
DESIGNER 144 7 v E LuA4 er/Z. 4 Lic . J £ 4 - c4 SCHU/`ETrr f Ld 1 Lc 0✓1
US NATURE OF WORK `-O VN c y flJtJ �4 y f� pr- Lc/4U - (Pf ,cD J��
g U 1 t--b in/G
BUILDING CONTRACTOR F O N' UCT(J,i €S 1^ G3& C a -Ar k, , 4PP1J T ��
Size ..7U k / /
S9 Ft. 3 8 c3 # Rooms I # Stories / Height ,Q I
Foundation ' 'X/ 4. ii 1� OA/ Co M(e u a• 714., Class of Const. 8 Occupancy Permit _L U/ O
HEATING CONTRACTOR AMA/K.—
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR AMA/d.
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR A/004._
BT WH Disp WSoft CBasin
Lav _ Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuati' , 3' O4 � Permit Fee Paid $ / d 0 J Park Dedication $ N !a
ISSUED BY _.Sir . - . Date ? ° la -187 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ✓ 12 t r{-9Q ..-- Z-- em ,e.1 cP _ / .2
AGENT /OWNER
DATE
ADDRESS la v? l A/ -7, —12, yd V- 6 O.?s'
TELEPHONE #
ZaN USE COMPLIANCE CHECKLIST
I. COAL
Building Permit ItOr Zon.ing 43 Conforming Non-Conforming
Job Location 1 a &s, '1/4.Pe S lot Dimension
rty Cwner W N Ai Kro.cd vN 9 .tot Area
II. • CONSTRUCTIal DATA
Describe tbrk: ,(A / 6 Slq6D &I L b rA; C.
NEW CCNSTPUMMON ADDITION ALTERATION
_._.
Accessory Building , Pool _ Single Family
Fence Deck/Patio _ Two- Family
Boathouse _ Sign — Multi-Family
..� Utility Structure Porch Commercial
Other (specify) au - c Mgr U < - Manufacturing
III. COMPLIANCE CHECKS
Complies Deficient Deficiency/Corneas
-t„4!
lot Width
•
✓ tot Area
Floodplai.n
✓ Front Yard -
Rear Yard
(-V Side Yard (R)
. /� Side Yard (L)
/ Parking
t Building
_ Lot 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, windows,
etc., when the use is conforming 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 h'OT APPROVED
Plan Conmission Action Required
Variance (s) Required
Y/ a/- ( e//2/8 7