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CITY OF OSHKOSH No 01725
PERMIT — APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING - 1-146 - FLOOD PLAIN G9v1`" HEIGHT .A
ADDRESS 233 M I N EI€ /A ST PLAN NO.
OWNER p-u J Joy +1/4sso 0 S� a-3 5 ��� -a-.
DESIGNER
USE /NATURE OF WORK 6'0 c.. - F 0 4 N4 it Y ig 5/ 4 7 --/Lf -n NS 7`t':)
e0/ -A/V /2-7 /4 - A-01- O a..4 - 7zD 1 r9 - .
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BUILDING CONTRACTOR f CL), e-`
Siz /ZxZ1... Sq. Ft. 3 /Z— # Rooms / # Stories / Height i/.�
Foundation; 7 4�w //5 / ? b
Class of Const. � Occupancy Permit � )` �
HEATING CONTRACTOR mow / ii 4 41/GiS / / berl' 1 (,0—E W.44 -Arc 6
Heat ❑ A/C ❑ Vent El Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR w
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR get4t
BT WH Disp WSoft CBasin
_Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
I �00 i
FEES: Valuation urti�n S -s� / � Permit Fee Paid � �� dark Dedication $ ,41
ISSUED BY � --- Date /Q `ZZ 'W.. Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE A Z, /� _/ , ' / -2 7 `86
GEN OWNER DATE
ADDRESS
TELEPHONE #
ZONING /LAND USE COMPLIANCE CHECKLIST
I. GENERAL
Building Permit # Zoning/A0 Conforming Non
Conforming
Job Location —7355" /v` i d�J�,2� S, Lot Dimension
Property Owner (_ `t /2L (, J Q)C-/ J So JV Lot Area
II. CONSTRUCTION STRUCTIC DATA •
Describe Work: )0 ) OA 0 C.0 0 Q a("7.7-C-1<-
NEW CONSTRUCTION ADDITION ALTERATION
Accessory Building _ Pool / ingle Family
Fence Deck/Patio
— Tao- Family
Boathouse _ Sign Multi - Family
— Utility Structure — Porch Commercial
Other (specify) Manufacturing
III. COMPLIANCE CHECKS
Complies Deficient Deficiency /Catinents
Use
Lot Width
Lot Area
v _ Floodplain
Front Yard
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
- Pi _ Lot Area per Family
t - Corner Lot
Other (specify)
—
IV. REVIEW AUTHORITY
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 NOT APPROVED
Plan Commission Action Required
Variance (s) Required
REVIEWED BY: ✓ � - DATE: /4 2i !K
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