HomeMy WebLinkAbout0021677-Building (siding) CITY OF OSHKOSH N° 21677
� PERMIT - APPLICATION AND RECORD
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TYPE: BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS �` PLAN NO.
OWNER /�d�� e��/c%�
DESIGNER
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USE/NATURE OF WORK ��� � v ,
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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
FEES: Valuation ,��00. O O Permit Fee Paid $ -��'�v Park Dedication $
ISSUED BY Date ���-7/90 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE �, -������r
AGENT/OWNEfl DATE ��
ADDRESS o�xN '�e� / �
TELEPHONE# �
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Revised: 8/89 f
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ZONING/LAND USE COMPLIANCE CHECKLIST `
� J0� LOCATION: 0 �0 �� ZONING: �
PROPERTY OWNER/CONTRACTOR: ,(� ��L2/ti
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION �LTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , 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 (frnnt yard)
Rear Yard
Side Yard (R)
Side Yard (L)
Parking Spaces •
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height
REVIEW 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) P4aintenance 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
REVIEWED BY: ^ DATE: �/�Z����