HomeMy WebLinkAbout0023860-Building � _ CITY OF OSHKOSF� N° 23860
^ PERMIT APPLICATION AND RECORD
TYPE: 'BLDG � HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING � FLOOD PLAIN HEIGHT
ADDRESS Z� ��/ � PLAN NO.
OWNER �"�—�
DESIGNER
USE/NATURE OF WORK
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BUILDING CON��RACTOR /✓g�� .
Size ����L Sq. Ft. �' # Rooms � # Stories 2-- Height
Foundation �`Z�� 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 $ S O� , U � Permit Fee Paid. $ ��'�� � 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
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AGENT/OWNER DATE
ADDRESS
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TELEPHONE#
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� ZONING/LANO USE COMPLIANCE CHECK�IST
JOB LOCATION: Z� ���`- �/ ZONING: ��Z
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PROPERTY �CONTRACTOR:
CONSTRUCTION DATA: NE1J CONSTRUCTICN ADOITION . ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc.)
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COMP�.IANCE CHECKLIST (Check only those applicable)
COMPLIES DEFICIENT DEFICIENCY/COMMENTS
Use
� Lot Width
Lot Area
Floodplain
Front Yard
Side Street (fi^ait yard)
� Rear Yard
Side Yard (R)
Side Yard (L)
Parl�ing Spaces
Building Area
Lot Area Per Family
Corner Lot
Landscaping
Transitional Yard
Off-Street Loading
Vision Clearance
Height �
REV I E1J AUTHOR ITY:
The Oirector 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) Maintenance items, e.g. siding, windows, etc. , when the use is
conforming and when no change is proposed.
Instances where woric 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:
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OWNER ADDRESS Z-� (�C/ � _
DATE PERriIT # USE
WoYk consists of
GENERAL CONTRACTOR
MASON CONTFACTOR ZONE
Width of lot DATE ZNSPECTIONS
REMARKS
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Front of lot MAILING ADDRESs