HomeMy WebLinkAbout0023339-Building (sign) � 1
/� CITY OF OSHKOSH N° 23339
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN�ZONING � Z' FLOOD PLAIN HEIGHT
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' ADDRESS Z�3 7 �1 Q�f�G.S o tti PLAN NO.
OWNER��e Lv� lL C ` �dc �
DESIGNER
USE/NATURE OF WORK <��-� �� �e'— �� � � S''�
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BUILDING CONTRACTOR �oJ-At.P i� r
Size��S Sq. F # Rdoms # Stories Height �
Foundation Class of Const.� Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTnR� �,t�'-"
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: Valuatio �� � Pe i ee Paid $ Park Dedication $
ISSUED BY Date Final/O.P.
In the pertormance of th work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ���� �• `rl� l��
AGENT/OWNER DATE �
ADDRESS ���-� � � ����o ��
TELEPHONE# ��
• r �2V15�: 8��
ZONING/LANO USE COMPLIANCE CHECKLIST
JOB LOCATION: Z 3 3 7 � ZONING: � ` Z
PROPERTY OWNER/CONTRACTOR: �►�l�� � ? �� � K .
CONSTRUCTION DATA: NE1J CONSTRUCTICN ADDITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, paol , 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 (fra�t yard)
� Rear Yard
Side Yard (R)
Side Yard (L)
Parf�ing Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
REVIEW AUTHORITY:
The Director of Comrnunity 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) �4aintenance 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: � le
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