HomeMy WebLinkAbout0028550-Building (deck)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
28550
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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Size
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Sq. Ft. ;;}9 '--
# Rooms
I # Stori~_
Class of Const.. Y
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BUILDING CONTRACTOR
Foundation
I Height
Occupancy Permit
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New 0 Change 0 Temp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_Lav
_WH
_Sh
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_BT
_ San. Sewer
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
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o - Q ~o 0" y'
FEES, ValUatiO~ S. 0 . 0 P~'m;t Fee Prod $. !; ,
ISSUED BY - k-tL.t",-~ Date~ 3/9.2.-
( . I .
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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j~~ .
. . AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
/9 Lf ",--ZONING/LAND USE COMPLIANCE CHECK,LIST
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PROPERTY OWNER/CONTRACTOR: ' ~
CONSTRUCTION DATA: ~ CONSTRU ADDITION
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, Sign~~ etc.)
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COMPLIANCE CHECKLIST (Check only those applicable)
COM/I' DEFICIENT
JOB LOCA TI ON:
,
I
I
/
Use
Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fralt 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
Revised: 8/89
ZONING:
ALTERATION
PARKING LOT
DEFICIENCY/COMMENTS
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) t4aintenance items.. e.g. sid.ing, 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.
~PPROVE; . DENIED
Plan Commission Action Required
Variance(s) Required
REVIElIED BY: ~ )~'
DATE:
S/;3/77.--
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