HomeMy WebLinkAbout029913 - Building (new SFR) CITY OF OSHKOSH N2 29913
PERMIT - APPLICATION AND RECORD
TYPE: BLDG X HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING /" / FLOOD PLAIN HEIGHT
ADDRESS /90 /77' / r� `�''-'` PLAN NO.4% /130792-4-
OWNER QaAl -te4".19i7' '
DESIGNER �,/
USE/NATURE OF WORK `'Z,�. C1 ,J `"
BUILDING CONTRACTOR Ozone.A. �`
Size,9 '- Sq. Ft. / € 1 # Rooms k---3/51--/ # Stories //2-' Height /.S
Foundation 6-71,— Class of Const. Occupancy Permit
HEATING CONTRACTOR 772C'C G -7,--
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR £ 7TLr7y
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ��'d'j24/
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 3 5 000` 0 0 Permit Fee Paid $ / /7 1J Park Dedication $
ISSUED BY C, .14417t7t-. Date 7,t,7 1f Final/O.P. /62 -If- 7Q
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU
/� AGENT/OWNER DATE
ADDRESS
TELEPHONE#
„4-(vp,2
Revised: 8/89
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ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: / / 0Y ��// l4°�� ZONING: ”
PROPERTY OWNER/CONTRACTOR: A
CONSTRUCTION DATA: /NEW CONSTRUCTI{4 ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc.)
Lt,v,-' /11) /(- lie/4/Ac elk--
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
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) 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 /s
REVIEWED BY: / / DATE: L`Z f