HomeMy WebLinkAbout0020016-Building (siding) � CITY OF OSHKOSH N°_ 20016
` PERMIT - APPLICATION AND RECORD '
TY�E: BLDG [�J HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS
Z 3�° � �".�%f'�� PLAN NO.
OWNER �a�� ?�/.1����!�%y'�
DESIGNER
,. .
USE/NATURE OF WORK �/ � 1� � �
G�-o`�O�L �?
BUILDING CONT'RACTOR ������
Size 2� Sq. Ft. # Rooms � # Stories � Height -
Foundation ��}'n� 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
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FEES: Valuation ���• � Permit Fee Paid $ `�'� Park Dedication $
ISSUED BY �- ` Date �/���5� Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � vv '"%"�'��
AGENT/OWNER DATE
ADDRESS
TELEPHONE# -
Revised: S/89
ZONING/LAND USE COMPLIANCE CHECKIIST
JO$ LOCATION: � 3 (o Z l/�in.(�-�=� ZONING:
P��OPERTY OWNER/CONTRACTOR: ���/�C�uc..�t'9� '
CONSTRUCTION DATA: NEW CONSTRUCTICN ADOITION ALTERATION PARKING LOT
TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool , sign, deck, etc.) % �i �7
' �2 " y�'I o�o-�►-�
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COMPIIANCE CHECKLIST (Check only those applicable)
COMPLIES OEFICIENT DEFICIENCY/COMMENTS
�/ Use
Lot Width
lot Area
Floodplain '
Front Yard
Side Street (frcnt 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 �
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) 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.
PPROVED OENIED
Plan Commission Action Required
;
Variance(s) Required
REVIEIJED BY: �. �—�� DATE: � /7 d