HomeMy WebLinkAbout0024002-Building (deck) CITY OF OSHKOSH N° 24002
- PERMIT APPLICATION AND RECORD
TYPE: BLDG Y`Y HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING P FLOOD PLAIN HEIGHT
ADDRESS ` If1� PLAN NO.
OWNER 7 7 '/ x • C e-d
DESIGNER T�
USE /NATURE OF WORK i�; ! G
4 /
BUILDING CONTRACTOR e1�
Size no 1C ('( Sq. Ft. - 7-7- # Rooms # Stories / Height
Foundation !� Class of Const. O 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
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation / 0 0 0 . 0 0 Permit Fee Paid $ /o. O a / Park Dedication $
ISSUED BY /.t.e.,/,-- Date WI -7A / Final /O.P.
In the performance of his work I agree to • -rform all work pursuant to rules governing the described construction.
SIGNATURE - " . ° I
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� / ' • / NE R - \ DATE
ADDRESS (Q Q v -7f r fCic yv `, SI " .7 1 I L-P
TELEPHONE #
Revised: 8/89
ZONING /LANG USE COMPLIANCE CHECKLIST
JOB LOCATION: Z d ZONING:
PROPERTY OWNER /CONTRACTOR: ce�. Geo
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign,4007 etc.)
COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES EFICIENT DEFICIENCY /COMMENTS
Use
•
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (* 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.
PPROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: JJJ,gp% L- DATE: ‘q 7,4
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