HomeMy WebLinkAbout0014252-Building CITY OF OSHKOSH N2 14252
PERMIT - APPLICATION AND RECORD
TYPE: BLD , HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS - 7- 7 14 0"" �/ C . c e PLAN NO.
OWNER 0w� "Op
DESIGNER ----( �" /
USE /NATURE OF WORK r [�� f - c z . U.4 r ( 7o )(1-4/ L cti ( c G -, tt C
. \-- & Vs r P‘ r /4"
BUILDING CONTRA TOR r c,t..) C1 e (`
Size J Sq. .F�Ft. ( # Rooms / # Stories ( Height
Foundation � Class of
KC, - t-i �as { G Const. F Occupancy Permit [°
i _
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 =)� Per ' F e Paid $ �� ' -°25--)-- V Park Dedication $
ISSUED BY . - .�� _...._
Date 6 -::30 - c Final /O.P.
In the performance o is work I agree to .erform all work pursuant to rules governing the described construction.
SIGNATURE ) kb-k_k " . "
AGENT /0 NER
/� _ `] ` [ DATE
ADDRESS `° / `T G\ Q� \V 1 , ? —617 7
TELEPHONE #
ZCNItrI/LAND USE coimPLIArCE CiECMIST
I. GENERAL
Balding Penni& # Zonin; Conform:La; Nza-Confo=ing_
Job location -6 7.57 L c/ P c& zt DiMSTISiCin
Prcparty Cwner7c;c4.4 Noc, tf Lot Area
tr. caierRECTIEN ELVA
Deacribe (e X1 :ER GA PC7 r c-
CCBSTRUCELCIS f1iV1Ia1 ALTEMATICN
Accessory Buildirg Pool f - SEngla" Family
Pence Deck/Patio Moo-Family
Buathcuse Mai-Family
Utility Structure Porch
Commercial
°timer (specify) Menufacturing
=. C0t CEEB=
Lot W1
0:2,Les Deficiercy/Ccoments
WIN17
lot Area
44 1; Floodplain
• Front Yazd
— Bear Yard
Side Zard (R)
NIA
Side Yard' )
_-- • parking
M111•■• It Area per Fondly
Corner Iot
IV. REVIEW AMOR= •
The Planning Directcc, or appropriate designee, must approve aLl plans, except
the following: (I) Alterations or interior work when the use is confo=ing and
when no change of use is proposed. (2) Maintenance items, 4 8;4.-• adding. wizzimai
• etc., when the use is confccoing and when no change of use is proposed.
Instances where avec =plies with the above critturia, the porno& Oen be reviewed
by the Building= without referral to the Planning Director.
APPROVED Dryr APPROVED
Plan •-•.,-* • - ., Required •
Variance(s) - • ed
REV 3: 4 t-7
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