HomeMy WebLinkAbout015209 - Building (single family) CITY OF OSHKOSH N2 15209
PERMIT - APPLICATION AND RECORD
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING 1?---` FLOOD PLAIN HEIGHT
ADDRESS /9.0 ( "4: 1IN f"bl 0 C1 PLAN NO.
OWNER &c Fi' S"' 0
v Pk
DESIGNER
!
USE/NATURE OF WOR \- ..—. ..f-4.. � be .—,
I.
BUILDING CONTRACTOR F' ' Y- f c,i rn!
Size '?0--G
Sq. Ft. 1 2"' # Rooms r # Stories �, _ Height
/ r
Foundation 17.561 w �f ,-r`P+ Class of Const.( Occupancy Permit/Per e,
�'�"r.�-c 1.3e c4
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
r
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures — Switches Receptacles Circuits
PLUMBING CONTRACTOR____..------
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
)CC' CtYJ ..
FEES: Valuation' A '. •ee Paid $ „ a Park Dedication $`
ISSUED BY ��r s j /er
�/ Date ' `-�% / Final/O.P. `1` '"c2(� `-�
t
In the performance of this work I agree .. perform all work pursuant `o rules governing the described construction.
SIGNATUREZe,;(2,„a2
OW
O
NER DATE
ADDRESS 441:2 daer 19 10-/Lef .41 023S^/S.SS--
TELEPHONE#
MINIM/LAND USE CCr+PLIAt= GIECCLIST
I. GENERAL D
Building Permit $ / /Zonis; f� ( Conforming Non-Crnforing
Job location /9•e•)� -e"E?�,�` (/c"e-!ic c>c> lot Dunces r,.,
Property Owner r L >r:.0 (10 rot Area
a. OCNSTROCTICN DATA _
Describe ?brio al x 'o �e- .
•
NEW G_+s_Racriav __ADDIrIGN ALTERATICN
Accessory Pool 4_Single Family
Flocs Deck/Patio Toz:-Fassily
—Boathouse — Sign —MUlti-gamily
*Utility Struodas —Porch dial,
Other (specify) 24msniactucire
=. COMPLIANCE CRUCES
c=w ies Deficient Defici etx r/Ooammts
• lot Width
r/ tot Area ,
_ Ft pla{„
Fit Yard
—
1/
Rear Yard
Oit✓ Side Yazd (R)
Sits Yard CW
c -- _ Building area
e
_ tot Area per Family
— Gower lot
— Otter (specify)
IV. REVIEW AM OR=
The Planning Director, or appropriate designee, mast approve all plans, except
the following: • (1) Alterations or interior work when the use is coafenq sad
wiser nn change of uss is proposed. (2) Maintenance items, e.g.• siding, wind we,
• etc., when the use is conforming and when no dlange of use is proposed:
Instances where work =plies with the above criteria, the parapet tan be reviewed
by the Building Inspector without referral to the Planning Director.
APPRZVED NOT APPRNED
Plan Cession Action Required
re
Variance(z) _ ed .
REVIEWED BY: 4.,27,1 / DA= 14j: —C ----
•