HomeMy WebLinkAbout0040005-Building 11/
CITY OF OSHKOSH
N 40005
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING \ _1____. FLOOD PLAIN — HEIGHT
ADDRESS S` (' - 1l4D 11 t Cro PLAN NO.
OWNER f lees •
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DESIGNER , �K1 tte�
USE /NATU E OF WORK � Z ic . __ • � Voostl,-
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BUILDING CONTRACTOR brie -S.'P c_e»11..v..,
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Size '2 o x ? n Sq. Ft. # Rooms 2 -- + r 4 # Stories ( Height 1
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Foundation Pa")) ....P Q1-t7. f Ai [( Class of Const. Occupancy Permit J L� div
HEATING CONTRACTOR / ; t° r e._ et-v."4 0 —
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 oL t° S Ya e.t r�P T
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BT _ WH _ Disp _ WSoft — CBasin
Lav _ Sh _ DW _ DF — San. Sewer
__WC _ FDr __SP _ Ur __Storm Sewer
Sink _ LTub _ Eject — SS — Water
Other
FEES: Valuation P� mit Fee Paid $ �� -� Park Dedication $
ISSUED BY AP_ .. TP _ __ _ _ Date 4// 'o/ ?/ Final /O.P.
1111111 r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 0
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y/ , ,_. AGE /OWN ,�
ADDRESS / Cv �/ C / y O` AGENT/OWN
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ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: l �ec 92c�1 ZONING ii`i
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
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COMPLIANCE CHECKLIST
DEFICIENT COMMENTS
Use
Lot Width
Lot Area
Lot Area Per Family
Floodplain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
Off - Street Loading Standards
Vision Clearance
Transitional Yard Standards
Landscape Standards
Height 4 7 Conditions of Approval r ' /�
Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30 -5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval 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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Requir -d
REVIEWED BY / DATE: 4.C'
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