HomeMy WebLinkAbout05368 - Bldg (single family residence) CITY OF OSHKOSH N°_ 05368
PERMIT - APPLICATION AND RECORD
TYPE: BLDG% HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING le 02-- FLOOD PLAIN 6-4.-3- HEIGHYC/
ADDRESS f(, I Z cs.,,i t.i c V (:)ti S c.' PLAN NO.
OWNER ''-,q----ca-. 4, CWQC 0
DESIGNER `
USE/NATURE OF WORK SYI NCo L. r� A. 1 L I NS OK-km-/'� /�E.�C.iC 0Ai47-7k CE-1,43
(40'24 .- C.,j"1<6� Le-'4i L R& C)VA 1-74(.0�.--J+ L: G t.
BUILDING CONTRACTOR C'''')(--e/4-1<-&--1'
Size Z41X 1' f Sq. Ft. 6 Z-ef- # Rooms I # Stores 1 Height lei
Foundation 016"QC R --C,E SLAB Class of Const. �) Occupancy Permit ¢ ` °
HEATING CONTRACTOR /(..ibru'e
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR G�G0,44v
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures — Switches Receptacles Circuits
PLUMBING CONTRACTOR X- rt/E
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuat L .° Permit Fee Paid $ " -" 'Park Dedication $
ISSUED B
f,e Date Cf _�-_. Final/O.P. 5 " 9 _ 8,S
In the performance(thi
s work I agree to perform all work pursuant to rules governing the described construction.
/
SIGNATURE ' ' �' - --�
AGENT OWNER DATE
ADDRESS ` 17 V`"‘t (-)-t 12 i-la "1 .2-31 - I S-05
TELEPHONE#
ZCXr.G/L ND USE COMPLIANCE caEcxLIST
I. (SAL
• Building Permit * 3� ' Zoning p-v Conforming Non-Conforming
Job Location, , M VIEQ,Qb/v S" Lot Dimension
Property Owner 6., o(-2,..(„i ( 611S"{ .4 U Lot Area . •
II. CCNSTftirria DATA ?
Describe Work: AC(z (AA] -z i—✓Ct-lie& (3 l4 R (:J /r L-(
L - &- N A c 1A 6.0 CC' 1
NEW CXNZTRUCZION ADDITION~ Ai TION
Accessory Building Pool Sinlë Family
Fence Deck/Patio Two-Family.
Boathouse Sign _I�].ti-Family
• *Utility Structure Porch • cia.1
—
Other (specify) Manufacturing
III. COMPLIANCE E CHECKS
Camlies Deficient Deficiencv/Camments
Use
tot Width
lot Area
lam/ Floodplain
Front Yard
{/ Rear Yard
Side Yard (R)
Side Yard (L)
- Parking
Building Area
yirj_—_ Lot Area per Family
Corner tot
Other (specify)
—
IV. REVI W AlJfl RITY
The Planning Director, or appropriate designee, Waist approve all plans, except
the following: (1) Alterations or interior work when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g.+siding,: windows.,
etc., when the use is conforming and when ro change of.'use is proposed..
Instances where work c xtpli.es with the above criteria, the. peixmLt can.b reviewed
by the Building Inspector without referral to the Planning Director.
'." APPROVED NOT APPROVED
Plan Conmission Action Required
Variance Cs) Reauired
REVI1WED eV: r ! DAIS:
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CITY OF OSHKOSH N° 05368
PERMIT - APPLICATION AND RECORD
4- WU'ck (Ai( 0 II
TYPE: BLDG HTG ❑ ELEC El PLBG ❑ SIGN ❑ ZONING �''� FLOOD PLAIN HEIGHT�1 11
ADDRESS i (4'1 a- r\-llctJ'd_- `/ c11"-V4 S i' PLAN NO.
`�E-v 2 c...4� r5A Q_CPZA.U
OWNER
DESIGNER
�t FMn ( L c� ICS (O 0 PC Ac+c OeV4 74 cE1Ko
USE;'NATURE OF WORK ---� ��- L � f
( 1Y?Aca4 EAJ(-7 e r./.:C.i & UkJA 4C112 5 GE
EBUILDINGC,O�NTRACTOR ,C/��"� iq
Size 1 ' / Sq. Ft. Z-4- # Rooms # Stores / H' t D
• r. 1 c_
CC ;lass of Const. v Occupancy Permit K rA44
Foundation_— ,