HomeMy WebLinkAbout0028402-Building _ CITY OF OSHKOSH N2 28402
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING l . FLOOD PLAIN HEIGHT
ADDRESS ?al /10 14- t1_a7 '"e ---.
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DESIGNER S f y `�
USE /NATURE OF WORK IC / 2 c cli -p — / ?N- -k (' p2 :.0 e>g AtZ . 47
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BUILDING CONTRACTOR S v `P 44 r r---
i x Z- Sq. Ft. # Rooms / # Stories ( Height
Foundation 4" ) ki--n ft Pcc, �'
Class of Const. S Occupancy Perm
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: Valuation $ Mk 00 1 P- , Fee Paid $ � i 11--S--- .0 Park Dedication $
ISSUED BY , . _A _ �..,. `/ Date -- '"' 7 Final /O.P. , -9 - 93
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
DATE
IP
ADDRESS L/ / A 33 .S - :?f3
TELEPHONE #
Revised: 8/89
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: 5d o ZONING: t z"
PROPERTY OWNER /CONTRACTOR: '/,�
CONSTRUCTION DATA: NEW CONSTRUCTKN �AOOITION 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
Side Street (frart yard)
Rear Yard
Side Yard (R) /flu il k ,w 4 cv
Side Yard (L) ) 2 0
Parking Spaces /!r Gv t z._ Sej2a o
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.
k.-/ PROVED DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: •� DATE: 4///1/2y/f4.-
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