HomeMy WebLinkAbout0024119-Building (sign) CITY OF OSHKOSH N°_ 24119
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN ZONING (. FLOOD PLAIN HEIGHT
ADDRESS -& _c:D. BCD tg g ; r PLAN NO.
Fam . 6:2mffi g ie=i 4 :iti21,._
OWNS
DESIGNER ii, Q-r "t'sC e "—
USE /NATURE OF WORK r /. / ' a s.S / Z° 1".. X - - /'f /
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BUILDING CONTRACTOR ?�.
Size O/C/ G Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR�_�
Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTO
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 ' j Pe/ z , -e Paid $ Park Dedication $
ISSUED BY 1e ,,, Date /r ---- V Final /O.P.
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE t
AGENT /OWNER ATE
ADDRESS - / eteA f "( ,� OA) (
TELEPHONE #
Revised: 8/89
ZONING /LANG USE COMPLIANCE CHECKLIST
JOB LOCATION: 3S Q S. Ruze c ZONING: 2
PROPERTY OWNER /CONTRACTOR: ./ % 4
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
r
COMPLIANCE CHECKLIST (Check only those applicable)
COMPL ES DEFICIENT DEFICIENCY /COMMENTS
l( Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (frait 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
RE IEW AUTHORITY:
The Director of Community Development, or designee, must approve all plans, except the
fol owing: (1) Alterations or interior work when the use is conforming and when no change
in se is proposed. (2) Maintenance items, e.g. siding, windows, etc., when the use is
conforming and when no change 's proposed.
Instances where work lies with the above criteria, the permit can be reviewed by the
Building Inspe thout referral to the Director of Community Development, or designee.
APPROVED DENIED
Plan Commission Action R :.wire•
Variance(s) Requir :. ,
R � l � /!,►/
REVIEWED EWED BY : �� , ` �� DATE: AT F
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