HomeMy WebLinkAbout0032514-Building (new building) ���
/� CITY OF OSHKOSH N°_ 32514
`' PERMIT - APPLICATION AND RECORD
TYPE: BLD TG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONW � OOD PLAIN HEIGHT
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ADDRESS � � (�,''�_ !iC/ + �E.�� /� PLAN NO.
OWNER i a �- �t°c �.G f�
DESIGNER
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USE/NATURE OF WORK�°L .� e P P I'�`-t c� � tti '—
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BUILDING CONT'RACT�R �l f
Siz Sq. d # Rooms �� a- # Stories ( Height �
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Foundation � Class of Const.�— Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR �_G�O��-
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR F' � � K � � �v
—BT _WH —Disp —WSoft —CBasin
—Lav —Sh —DW DF San. Sewer
—WC FDr SP —Ur —Storm Sewer
—Sink _LTub Eject —SS —Water
Other
FEES: Valuatio � erm� e Paid $ S � Park Dedication $
ISSUED BY Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ��� �� �
AGENT/OWNER ATE
ADDRESS ����` ��N ���-�'/ � ��l ���
TELEPHONE#
, , �
GATE / 7
NAME @�--U — �" �
AODRE55
LOT
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s ueo i v. '•r
ZCNE
STREET NO.�/7S''��� ��'� �
�' LOT �I MENS i Gr�S
SIOE'nALK EXISTING
YES � �VO
BUILDIVG GRADE ELEVATIONS STAKES SET AT SITE
FEE; , 19��Y � .
�i5.00 �
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DEPART�'•"C�:T OF ,�i,;d l(C 'NCr�K:
i , the undersignsd, owner or agent or the accve dascribed pr�per;y � ree t •�
grade estaa; is�tied befor3 excavation has commenced.
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ZONING/l.ANO USE COMPI.IANCE C4E�XLIST
JOB LOCATION: Z� 7� �� � (�� 1° ZONING:
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION OATA: NE�I CONSTRUCTKtV ADOITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.)
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COMPLIANCE CHE�KLIST (Check only t�os� applicable) � �
COMPt ES DEFICIE'iT OEFICIE`ICY/COhpNE�ITS
use
� Lot Width
Lot Area
_
Floodplain
Frortt Yard
5 i de Stre�t (frcnt yard)
� Rear Yard �
Side Yard (R�
Side Yard (L)
Parkinq Spaces
Building Area �
Lct A�-ea Per Fami.ly '
Carner Lct ���_
Landstaping
T�ransitianal Yard
Offi-Stre�t Lcading
Yision Clearance
Height
RF1(1 �J AUTHaR ITY:
The 0 rector of Comnunity Oevelopmerrt, or designe�, must approve all plans, exce�t the
follo 'ng: (1 ) Alterations or int�rior work when trie use is cartforming and when no change
in use is proposed. (2) Maintenance items; e.g. siding, windows, etc. , when the use is
conforming and when no ci�ange is proposed.
Instances where work complies witfi the above criteria, t?�e permit can be reviev+ed by ti�e
8uilding Inspector without referral to the Oirector of Conmunity Oevelopment, or designee.
.� ''�APPROVED DEiVIED
Plan Commission Action Required
Variance(s) Requir
REV I EiJED BY: OATE: / � �1��