HomeMy WebLinkAbout0033395-Building (press box) Z2�
CITY OF OSHKOSH N° 33395
� PERMIT — APPLICATION AND RECORD
TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS � 2O ��'�'�'''� PLAN NO.
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OWNER �/"" +
DESIGNER
USE/NATURE OF WORK /�-4�L �� \ ���d �
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BUILDING CONTRACTOR
Size � Sq. Ft. # Rooms # Stories � Height ��
Foundation� Class of Const.� 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
/
l D o00 � o� s`�r�o v
FEES: Valuatio $ Permit Fee Paid $ Park Dedication $
ISSUED BY Date ��-L�� Final/O.P.
In the performance of i work I agr perform all work pursuant to rules governing the described construction.
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SIGNATUR '
AGENT/OWNER � D TE
ADDRESS v " � r �� �" /! �3 ���
TELEPHONE� /
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ZONING/LANO USE COMPLIANC� C;�E�KLIST
JOB LOCATION: ZONING:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION OATA: /NEW CONSTRUCTI{N AOOITION ALTERATION PARKING LOT
TYPE OF PROPOS� CDNSTRUCTI�N: (i.e. fence, paol, sign, deck, etc.)
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CDMPtIANCE CHE�ICLIST (Chetk anly thos2 applicable) �
CDMPtIES OEi ICIE�iT OEFICIE`ICY/COMME`iT5
/ USe
�- Lot Width
-
-
Lot Area
Floodplain
Front Yard
5 i de Street (fi�rnt yard)
� Rear Yard -
Side Yard (R)
Side Yard (l)
Par4cinq Spaces
Building Area '
Lct Area Per Fami.ly
Carner Lot
Landscaping
-
Transitional Yard
Off-Stre�t Loading
Yision Clearance
Height
REYIEIJ AUTHORITY:
The Oirectar of Camnunity Oevelopment, or designee, mus� a�prove all plans, except the
following: (1 ) Alterations or interior woric when tS�e use is confarming and when no ct�ange
in use is proposed. (2) �4aintenance items,� e.g. siding, windows, etc. , when the us2 is
conforming and when no ci�ange is proposed.
Instances wt�ere woric complies witi� tt�e above criteria, ti�e permit can be reviewed by the
Building Inspector withaut referral to tt�e Director of Cartmunity Oevelopment, or designee.
PPROVED DE3VIED .
Plan Cocrm�ission Action Required
Variance(s) Required
REYIFr1ED BY: t� ` OATE: S �