HomeMy WebLinkAbout0018553-Building (erect truss gable roof) ,
• � CITY OF OSHKOSH N° 18553
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN HEIGHT
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ADDRESS / �-�� c'�i cp C_ K�TO � PLAN NO.
OWNER �
DESIGNER
USE/NAT RE OF WORK.�� '`-'e G �^ �s � � �vi
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BUILDING CON�'RACTOR Q+� �'�- �
Size � G� Sq. Ft. # Rooms # Stories Height
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Foundation Class of Const. � Occupancy Permit
HEATING CONTRACTOR -
Heat ❑ A/C ❑ Vent ❑ FueUSystem 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 $ Per it ee Paid $ d� Park Dedication $
ISSUED BY Date �� p Final/O.P.
In the performance of is work I agree t perform all work pursuant to rules governing the described construction.
SIGNATURE%''��`�� ���� v2l ��O
AGENT/OWNER DATE
ADDRESS ���� �6`S�L°G� l��� ��f`���/
TELEPHONE#
Revised: 8/89
r ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: - r ��C� �4��� ZONING:
PROPERTY OWNER/CONTRACTOR: (C��v�v� �� cr- (�
CONSTRUCTION DATA: NEW CONSTRUCTIqV 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
L-- Front Yard
S i de Street (frart yar�d)
�-- Rear Yard
t-- 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) Requir d
REVIEWED BY: DATE: � �/ f]
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