HomeMy WebLinkAbout0028024-Building (pool) CITY OF OSHKOSH N° 28024
PERMIT — APPLICATION AND RECORD
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TYPE: BLDG Or HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2 4 ( //74/1141.! PLAN NO.
OWNER /4.44, /le..w /
DESIGNER ''vv
USE/NATURE OF WORK iZ St / aeGQ- Ce �� " - -C e „ ,9 /
BUILDING CONTRACTOR O-(
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Size 7" I, r d-e a Sq. Ft. # Rooms # Stories r Height
Foundation f! Class of Const. C'S 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
FEES: Valuatio $ /6 & C` 0 O Permit Fee Paid $ D Park Dedication $
ISSUED BY / i t.(.l( Date 4/ Final /O.P. s' ? --
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 7' faV q - p — �jZ
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: ZS S'- � oit ZONING: 4
PROPERTY OWNER /CONTRACTOR: / A.ot-ef /6I/A1 ,
CONSTRUCTION DATA: /NEW CONSTRUCTWIN ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence. pool sign, deck, etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
A 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.
APPROVED DENIED
Plan Commission Action Required
Variance(s) Requir -d
REVIEWED BY: ' / " "' DATE: �-
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