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0017003-Building
CITY OF OSHKOSH N°_ 17003 PERMIT - APPLICATION AND RECORD TYPE: BLDG) HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING g ( FLOOD PLAIN HEIGHTS ADDRESS ' 3 Z !" `ot E- S— C PLAN NO. € - I° - Of OWNER 07 -OS-I 14OU AL/T OR-t rvi DESIGNER �} IR DES 600 a, MA t J S a USE /NATURE OF WORK �a-OV P n/A. A- 6 0 < <<U/1 I i . A -Tf Tc 0 03 /1-0-0 --lg0t_ BUILDING CONTRACTOR FOX C TII-J 1 3Af5'✓IMC-4 u^' I Z-'T / / /3a -sue-" ICI I Size Z , x7061 Sq. Ft. of 6 .7 OV -f # Rooms 4 *NS x/ # Stories Height Foundation 8 f " t/0" focx� a .u,- (,,�Jra. LLS Class of Const. 46 8 Occupancy Permit Ue.€440 HEATING CONTRACTOR Q I?AL 14 C l Ai. Seta t Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR JAS 4 ' ©9 — A /-0k) Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR / 151- T Ol - BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other PERMIT FEE WAIVED r,� $y It Motion #2 of / } FEES: Valu- ion • 62 000 Permit Fee Paid qOnt�i Council, March 16. 19 ark Dedication $ „' / ISSUED B 1 v , .,. ,C Date / qt. Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE i' "" """ C 6PkiLtif l �-^ r -1 eizi< AGENT /OWNR DATE / ADDRESS ! IC G k/ ..3 -7-' 35 -- '.JG TELEPHONE # Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: \3 3 Z_ !Vt OJRO€ ZONING: PROPERTY OWNER /CONTRACTOR: C /e.'ocSbf J uJf J(, /}(r7 IO/&( ION CONSTRUCTION DATA: NEW CONSTRUCT <ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) ( ove ANO ft a,) 4 AL`rift/14, -a 0,,/r COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES DEFICIENT DEFICIENCY /COMMENTS C------- Use Lot Width Lot Area Floodplain Front Yard Side Street (front 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 REVIEW AUTHORITY: CC /Av639 The Director of Community Development, or design , 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. APPROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: /`�� --- DATE: / 90