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0008964-Building
CITY OF OSHKOSH N° 08964 PERMIT — APPLICATION AND RECORD TYPE: BLDG - HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONINGT\ FLOOD PLAIN ?HEIGHT ADDRESS I Z 0 ' - p 5 roc\ -- --- 4 -- PLAN NO. OWNER DESIGNER / �/r' USE/NATURE OF WORK C c J r r N( r D� r 7)(6 - i p I� �y -P 1 a -s cool L° ' f 7)(te(3-o -S �-/ ` >xfO ao- oiS13 ed reootti / ' L,r q r0©G4°l a 4r BUILDING CONTRACTOR j c) A-P 1 Size( 1 Sq. Ft. # Rooms # Stories `ii— Height �� -/ Foundation (- uh p� Class of Const. ej Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR OW iu° P' Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR airy e BT WH Disp WSoft CBasin Lav _ Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other ��� ors FEES: Valuation $ i Pe i Fee Paid $ r Park Dedication $ ISSUED BY �� �.. 1_r ..�..� / � Date (� z yrs- Final /O.P. In the performance of this work I agree f perform all work pursuant to rules governing the described construction. SIGNATURE % /OWNER DATE ADDRESS /I5b .. /•4C/5o.() ST c>3.5--//70- TELEPHONE # ZONING/LAND USE COMPLIANCE CHECKLIST I. GENERAL Building Permit # Zonis:gT \ Conforming rming Non-Conforming Job Location So V\ Lot Dimension Pity Owner Lot Area II. CCNS'1'IWI'ICN DATA Describe Work: /(P I` t° 4_1,— A I /1? �U r NEW CONSTRUCTION " ADDITION ALTERATION Accessory Building _ Pool si±9le Faxnily Fence Deck/Patio — Moo-Family Boathouse _ Sign _ Multi-Family Utility Structure Porch 03unercial Other (specify) — Manufacturing III. 0ISANCE CTS C °li. Deficient Deficiency/Comments Use Lot Width V Lot Area =v/ _ Floodplain Front Yard Rear Yazd _,,_ Side Yard (R) Side Yard (L) - Parking Building Area _ Lot Area per Family Corner Lot Cattier (Y) IV. REVIEW AUTFHDRITY 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 Arse is proposed. Instances where work oentolies with the above criteria, the pe=nt cwt be reviewed by the Building Inspector without referral to the Planning Director. APPROVED NOT APPROVED Plan Commission Action Required Variance (s) Required REVIEWED BY: dee • Q r 4 N . 1 1,..0 I n I P i /s niOa N i )° I I I i 0 VI 1 1 i / 1 ♦ j / 1 / 1 t g ` J` I ■ is p i 1 1 - t i I I i / ... I ti t 1 \ r ' " ' . I 1 v i