HomeMy WebLinkAbout0019709-Building (utility room) � CITY OF OSHKOSH N° 19709
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG �J HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING �Z FLOOD PLAIN HEIGHT
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AD�RESS � �� w � � PLAN NO.
O�/NER •O�''� � �-
DESIGNER
USE/NATURE OF WORK` � l�X��" ^�- /�� �"�
,c.e� .�C�,�t.�.�GC� �r1-r�C
BUILDING CONTRACTOR L , �- /�Y�-/�/4�• � �
Size Sq. Ft. # Rooms # Stories � Height
Foundation �B'�'�- Class of Const. d Occupancy Permit
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 $ �occ�. o v Permit Fee Paid $ S�•'�o Park Dedication $
ISSUED BY � �• ,�Qs.�cti�-e�--.� Date�/��,/�v Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE s%���-�_.-��'-�"� /� !�/ Pl'/
AGENT/OWNER DATE
ADDRESS ��y� /��'r�c� '�'- �����fy
� TELEPHONE# �
Revised: 8/89
ZONING/LANO USE COMPLIANCE CHECKLIST
JOB LOCATION: ,3 ��,o L� ��� ZONING: - ��
PROPERTY OWNER/CONTRACTOR: c�'����� �� '
CONSTRUCTION DATA: NEW CONSTRUCTICN AODITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc. )
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COMPIIANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
Use
Lot Width
Lot Area
Floodplain '
Front Yard
Side Street (fra�t yard)
Rear Ya�d
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 �
REVIEIJ UTHORITY:
The Director of Community Oevelopment, or designee, must approve all plans, except the
following: (1 ) Alteratio�s 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
REVIEIJED BY: " � DATE: �U
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