HomeMy WebLinkAbout0012351-Building (sign) CITY OF OSHKOSH N2 12351
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN "frr ZONING S FLOOD PLAIN "i'""' HEIGHT i t/(4 "
ADDRESS 1 8 3 Z I/J tJ A/6 S---1: PLAN NO.
OWNER (ieL^lJJ M U ELLA/ 1 -d
DESIGNER �, b., 4--,,� / r USE /NATURE OF WORK r z-'� r, /t/�w Z ,,, Z a r
C ell (.K 7 G v f_JK S r CArzL L /( - 4 40 A/ AJK L
it
0-'1. Si1O/Vif
BUILDING CONTRACTOR Wi SZC'A)S'IJJ �rc..,.) ..cr / CAE
Size Zkz'X Z� f Sq. Ft. 2 # Rooms # Stories Height .. '
Foundation Class of Const. 4e Occupancy Permit U/2 D
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR /00 0 T l l l -U/V / /49reO
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 $ 52s Permit Fee Paid $ - 0 it / Park Dedication $ A/4
ISSUED BY J . �p
y'' s�lrt/ Date 2 � �� M O / Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / °, �/S /3 , 4 `7
A AG GEENNN??? /OWNER DATE
ADDRESS ) / l� C7 1 ( A, ).- 3 / -3 73
TELEPHONE #
WHIZZ/LAND USE COMPLIANCE CHECKLIST
i.
GMERAL
Bu d Permit # j; 3 / Zo Conforming Norr-Confo=ing_
Job Location (R 3 2 M (/S /A - c . Lot Dimension
Ply owner t 10--L . LL KA— Lot Area
II. CCNSITCN DATA /v ' /
Describe Work: &t-l! S ( C. A) C3,J ( '7 6,14-4_ c, (7
6-0 CD 4 JnJrz4 t'ifT St-4oPP/c *
cTM __ ADDITION AtxmATICti
_
Accessory Building _ Pool. _ ale Family
Fence _ Deck/Patio _ TUo- Family
Boathouse Sign _ Mslti- Family
Utility Structure Porch Caarercial
Other (specify) _ Ma:uzfacturiig
111. CCU
027 Deficient Deficiency /Cm:ants
Use
Lot Width
Lot Area
._ Floodplain
Fit Yard
Rear Yard
_ Side Yard (R)
Side Yard (L)
_... _
• Parking
Built Area
Lot Area per Family
• Cozies Lot / /
Other ( ) TS/. / // i f �f!( �/ 4 Cif. n a t �+G!'Gl l �! 07,
IV. REVIEW A EBORITY 0 °✓eG�
The Planning Director, or appropriate designee, must approve all plans, a crept
the following: (1) Alterations or interior work when the use is confo=ting and
when no change of use is proposed. (2) Maintenance items, e:g.-, siding, widows,
etc., when the use is conforming and when no change of Ise is proposed.
Instances where work complies with the above criteria, the peanut clam be reviewed
by the Building Inspector without referral to the Planning Director.
P APPROVED NDT APPIO7ID
Plan Commission Action Required
Variances) •1 - -
REVIDED Sr: DATA': d /0c
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