HomeMy WebLinkAbout0035773-Building (misc. exterior) •
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CITY OF OSHKOSH N° 35773
PERMIT - APPLICATION AND RECORD
TYPE: BLD —FITG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 1 Z a O k ( — e.' a PLAN NO.
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OWNER 72 ,p (Gr p � 1 � -�1
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DESIGNER
USE /NATURE OF WORKL - -/ d-- q— k or 4 a� /
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BUILDING CONTRACTOR as `l L° p—
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit SC)
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
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FEES: Valuatio- �• d Permit Fee Paid $ -%"--
Park Dedication $ `
ISSUED BY t∎-!. � � � �' -.-
Date l3 Final /O.P.
1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE / M VVY- n A GENT /OWNER
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ADDRESS / 'l 77/071 , fr.--- Q S S1 V7
TELEPHONE #
Revised: as
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: )T�I� i t , ZONING: ,
PROPERTY OWNER /CONTRACTOR:
CONSTRUCTION DATA: NEW CONSTRUCT:{N ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fe e, ool, sign, deck, etc.)
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COMPLI NCE CHECKLIST (Check only those applicable) •
COMPL _S DEFICIENT DEFICIENCY /COMMENTS
Use
• Lot Width
Lot Area
Floodplain
Front Yard
Side Street (front yard)
Rear Yard
_ Side Yard (R)
Side Yard (L)
Parting Spaces
Building Area •
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off- Street Loading •
Vision Clearance
Height
REVIEW AUTHORITY:
The Di ctor of Community Development, or designee, must approve all plans, except the
follow ng: (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 wort complies with the above criteria, the permit can be reviewed by the
Building Inspector without referral to the Director of Community Development, or designee.
APPROVED _ DENIED
Plan Commission Action Required
Variance(s) Required
REVIEWED BY: l OATS: %'' .0 7
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