HomeMy WebLinkAbout0028404-Building (concrete slab) . CITY OF OSHKOSH N° 28404
PERMIT - APPLICATION AND RECORD
TYPE: BLDG k ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS 2- Z o D /t'L o w T"A^i"-c4.._ PLAN NO.
OWNER &c _[4-.. /l P e r
DESIGNER AO a r
USE /N URE OF WORK ` /7T, �`Q Q a_ t� r--' ut- t'— €1..... ..
I AI 7c Z O ,5'h i
4-- / ( a r A t. C 4r^ -ciq e i- Al es e--1 Sr , �P ,
BUILDING CONTRACTOR ZC - - r' i■— Kee r
Size ( 4 )(a 19 Sq. Ft. # Rooms # Stories i� Height /a_
Foundation 471 rrS.z_c '( e r ( / /� Class of Const. 8 Occupancy Permit41D
p r - r 1 44 Sr P- (-r . h ikt°EC.,
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 .4A Permi Fee Paid $ l S Park Dedication $
ISSUED BY 41. f_ .. :''�,� . /�..4i Date ■���Q� 2.— Final /O.P. 6 /' 9„ �
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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0- S/ G/� Z-
A GENT /OWNER DATE
ADDRESS
TELEPHONE #
Revised: 8/84
ZONING /LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: h� � ZONING: 4V— Z
PROPERTY OWNER/CONTRACTOR: 9v-az-- (i)
CONSTRUCTION DATA: ✓NEW CONSTRUCTION ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY /COMMENTS
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
REVI 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.
(PPROVED DENIED
Plan Commission Action Required
Variance(s) Requir/
de
REVIEWED BY: / 1 .1.1jEic DATE: :5 Ze----
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OWNER er _ ADDRESS Z X
DATE /FL_ hRhIT # "{O USE
_ Work consists of
GENERAL CONTRACTOR 1 zf fC � o S�a ,
MASON CONTRACTOR ZONE
Width of lot DATE INSPECTIONS
REMARKS
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Front of lot
MAILING ADDRESS