HomeMy WebLinkAbout0018194-Building (det. garage) CITY OF OSHKOSH N° 18194
PERMIT - APPLICATION AND RECORD
TYPE: BLDGZ(HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - 7 .3 ' /Leo k tr ° e PLAN NO.
OWNER .. f'KVI natA..0
DESIGNER J
USE /NATURE OF WORK i _ / 56110 7e. ‘--a r'
k rkc.o to e ca 6 P -o e
BUILDING CONTRACTOR C'.' -Apt- .. c - •Ja .4 .
Size /(l2 7 ' 7 ° S q. F6 # Rooms r # Stories Height
Foundation 4(1'374 of 6-g-a, bow' Class of Const. Occupancy Permit 4-
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR nx ? F p
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: Valuation �4' P= 't Fee Paid $ l e: Park Dedication
ISSUED BY lie- . / ., / D ate G � C Final /O.P.
In the performance a . his work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 11" V c5 /�7 C /f
AGENT /0 R �`
• DAT
ADDRESS ( S � t-o ROc cc- c4 Ko5« IA)/ 5triS 1 (93S-05"'g`y
TELEPHONE #
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: -73a- ZONING:
PROPERTY OWNER /CONTRACTOR: a , 1-t Q �
CONSTRUCTION DATA: NEW CONSTRUCTION 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
Use
✓ Lot Width
Lot Area
/ -- Floodplain
`--- Front Yard
/11W Side Street (front yard)
Rear Yard
Side Yard (R)
Side Yard (L)
c_- 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.
- S APPROVED DENIED
Plan Commission Actio °-•t' ed
Variance(s) Required
REVIEWED BY: lt.:A , , _ ___ DATE: ® C
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