HomeMy WebLinkAbout0021532-Building (rear enclosed porch) � CITY OF OSHKOSH N° 21532
,`' PERMIT - APPLICATION AND RECORD
+TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS ZZ� ���r/`�'' PLAN NO.
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OWNER C�� G=- ��G���2���
DESIGNER
USE/NATURE �W RK ��� i��-e(� � �G�L[ti✓ ,
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BUILDING CONTRACTOR
Size � Sq. Ft. # Rooms # Stories Z Height
Foundation ���- Class of Const.� Occupancy Permit
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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 � �� " � � Permit Fee Paid $ ���� Park Dedication $
ISSUED BY � Date // �� �O Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATUR � � a
A /OWNER DAT .
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ADDRESS :
TELEPHONE#
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Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
a06 LOCATION: � � � ��c�-,m� /`�G'v�• ZONING:
PROPERT OWNER ONTRACTOR: \i���-��.��� ��yy�G:�
CONSTRUCTION DATA: NEW CONSTRUCTION ✓ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc. )
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COMPLIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
�_ Use
� Lot Width �
� Lot Area
Floodplain
� Front Yard
� Side Street (frart 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
REV I EW AUTHOR I TY: V /�-�d�- Cu-�'�,�'/C�/In-i G�X/�-`N`� ,��lJ��i�� .�-,�����-�Gl/ /�J Cr�%o�S.�
. �
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) P�laintenance 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) Requir d
� y D
REV I EWED BY: �.�GL-�- � DATE:
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OWNER ADDRESS ZZ� �
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DATE PERMIT # USE �
Wo�rk co�sists of �:
GENERAL CONTRACTOR i
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MASON CONTFACTOR ZONE �
Width ot lot �
DATE INSP�CTIONS t
REMARKS
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Front of lot