HomeMy WebLinkAbout0020150-Building (roof) � CITY OF OSHKOSH N°_ 20150
`' PERMIT - APPLICATION AND RECORD :
'TYPE: BLDG [� HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS / s 3 � ���`¢ � PLAN NO.
OWNER �c,�LO �-.Gli7'�-��
DESIGNER
USE/NATURE OF WORK ��� .7��- �
BUILDING CONTRACTOR
Size Sq. Ft. # oms # Stories Z Height
Foundation /�'�-Q*�''''``� 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
FEES: Valuation $ �5�� • �/ Permit Fee Paid $ �5��° Park Dedication $
ISSUED BY L���_,�T ` Date��5� Final/O.P.
In the performance of this work I agree to orm all work pursuant to rules governing the described construction.
�
SIGNATURE ����^ ��
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
Revised: 8/89
ZONING/LANO USE COMPLIANCE CHECKLIST
�JOB LOCATION: L,�� � (,f/ . / �//� ZONING:
� PROPERTY OWNER/CONTRACTOR: /J�Q �,,��� '
CONSTRUCTION DATA: NE1J CONSTRUCTICN ADOITION ��LTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc.)
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� /` � a/��<< 6-sc,�l.—
COMPLIANCE C}iECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
`� Use
Lot Width
Lot Area
Floodplain '
Front Yard
S i de Street (frait yarti)
Rear Yard
Side Yard (R)
Side Yard (L) ,
Parking Spaces �
- Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-StreQt Loading
Vision Clearance
�� Height �
REVIEIJ 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) �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 designe�.
L�PROVED OENIED
Plan Commission Action Required
Variance(s) Required
� �� ��
REVIEIJED BY: � � � ��-- DATE: 8/ �