HomeMy WebLinkAbout0028458-Building (fence) � CITY OF OSHKOSH N° 28458
`' PERMIT - APPLICATION AND RECORD
1
TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
-�,- - - - - - - -� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ADDRESS / z 3 J`�'��'f2f, ��� PLAN NO.
OWNER �f.� �./�� �r� --:L��"[�=�
DESIGNER
USE/NATURE OF WORK a / � / � � �Cl,
/� ,e �t-L_ it�r ,�.�r�
=-7--
BUILDING CONTRACTOR /��� /� �t2 ��
Size �(J / Sq. Ft. # Rooms # Stories Height
Foundation �ti�����f 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 $_ _���•v � Peqnit Fee Paid $ � ' � � Park Dedication $
i
ISSUED BY � � �'�'� Date S � � Final/O.P.
�_
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
� �
SIGNATUR�� z'�'��� � ���� � � �Z�
AGENT/OWNER DA E :
ADDRESS
TELEPHONE# �.
Re�V152d: S/�
ZONING/LANO USE COMPLIANCE CHEC.<LIST :
JOB LOCATION: CJ Z � �-�r:l` ZQNING:
PROPERTY OWNER/CONTRACTOR: �� �/�,G�@�J�l�/ -
CONSTRUCTION OATA: �✓NE1�1 CONSTRUCf'F{N ADOITION ALTERATION PARKING �OT
TYPE OF PROPOSED CONSTRUCTION: (i.e. nce, aol , sign, detk, etc.)
�0 � , . � �
COMPtIANCE CHECKLIST (Chetk only t�ose applicable)
COMPLIES OEFICIENT DEFICIE�CY/COMMENTS
USe -
� Lot Width _ _
Lot Area
Floodplain
Front Yard __
Side Stre�t (fr�crtt yard) _
� Rear Yard _
Side Yard (R)
Side Yard (L) �
Par�cing Spaces
Building Area _ �
Lot Area Per Family
Carner Lot
Landscaping �
Transitional Yard
Off-Street Loading
Vision Clearance
Height
REV I E�1 AUTHOR ITY:
The Oirector of Cortmunity Development, or designee, must approve all plans, except the
following: (1 ) Alterations or interior woric when the use is conforming and when no change
in use is propased. (2) �4aintenance items; e.g. siding, windows, etc. , when the use is
conforming and when no cfiange is proposed.
Instances where waric complies with the above criteria, the permit can be reviewed by t�e
Building Inspector without referral to the Director of CortQnunity Development, or designee.
�- APPROVED OENIED
Plan Commission Action Required �
Variance(s) Required
REV I E1JED BY: -� OATE: � � � Z— ,
i
�
� ��
� I
�
/ �