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HomeMy WebLinkAbout0035845-BLDG. (satellite dish -roof mount) �� 4�L� /, CITY OF OSHKOSH N°- 35845 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG �J HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT �� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ���� �� ����-_����� I \; { � -' PLAN NO. OWNER I{�`� l ''�-ri��� 1� i.�` �I � DESIGNER '� �.�., -� r'� � _ i .� USE/NATURE OF WORK � '�' �� �-'- ' � � f1/ 'w h�r iJ.,.,,�.w ,/�I�%��%:.��L.�_! 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 ,.-� ,�_ G;>:�' >r f C� FEES: Valuation $ � -��1�-' ' Permit Fee Paid $ 1--� Park Dedication $ ISSUED BY ,,�a!f+;tiii�'t?, _>,�l°-�:F:L'� � �( ��.� f Date Fi nal/O.P. In the performance of th,,jg wor I agree to perform all work pursuant to rules governing the described construction. � � % �j � SIGNATURE ���'- �� �-}-c dE<" � /` �`�'� �� �� AGENT�OWNEF � DATE ADDRESS � TELEPHONE# + } ' );,i_�J ( a FDL �ESI N ELECTRONICS 318 Van Dyns Fi�ad NortN Fond du Lac,WI 54935 921 272-1-800-44z-5012 ww[ �v/ •/ o�a ���^� , /� �oor�ss /aZ 5� 4E�/"� � J �rr,r+o. m�JpNC � 33 ! O�.S em Q sr� zr 000E . 000 ME�MAKF �roos se�ua No. �� ❑ N ❑ STEREO ❑ VCR [].S+4TEC�E ❑ ANTENNA , run�nc or sc�vie[�auesr} � �• � DESCRIPTION � k � � � kG 6 ^ 4 /T � / r� '-,. � PAR15 � • � MODEL NO. LABOR SERIAL NO. � PICK-UP DEUVERY � ' SERVICE OUARANTEE � M wak p«lorm�d by qualllUd NeMdans. a�l matw4ls u��d M rpalr SUB-TOTAL � of tds�N w of ant quNMy and qu�nnlNd tor a p�rbd ol rYn�ry day� � aMr d�t�ot npdr W�purna« dl putr Install�d by w bu�do noe TAX € pur�ntN a pnnnd b pwrrNN ofw pM�in yaw Ht M rnw��pdn b�con»n�eawp M tr IuNr�dw b WMr lwlly pam In yax s�t.th�y w�ql p� dwpW la tl M npulr nbs. ANY 'SAME TROUBIE , p COMPtA1NTS' MU3T BE RECEIVED WITHIN 24 HNS. TOTA CUSTOMER SIC3NATURE TERMS:1 1/2%INTEREST PER MONTH AFTER 30 DAYS UNLESS OTHERWISE SPECIFIE� MINIMUM SHOP CHARGE S25 i S � �` 4��� �C �, , `I j .� V �� i i ` � � ��S 1 .� �� ����� � Reviszd: ?/� ZONING/LANO USE COMPLIANC� C:�fE�,tLIST JOB LOC�TION: �� � � �=: ��� � ��� • ZONING: ' Z'"� �. - � i � �, , �--`- �_- � PROP�RTY aWNER/CONTRACTOR: ,�'%�'����- `�5�.-'C-�� - ��- - T_ � CONSTRUCTION OATA: NEW CDNSTRUCi':{IV AODITION ;��ALTcRA',ION PARKING LOT � TYPE OF PROPOS� CDNSTRUCTIaN: (i.e. fence, pcol, sign, detk, etc.} � ,�" ) / —'—� �i �� i1 j c,�(l // %�r'),t �/�/� �'j'�-� (`�a''J/�'>�(C��- i'� :� /'V/ -�1% f��l�/� /� �i � ' '` CQMP!IANC� Ci�E�'(LIST (Chetk only thos� applicable) CDMPLIE� DE=iCIEyT OE:ICIE`ICY/COMME�TS - l�52 - LOt Width lot Are� - Flaodplain Front Yard 5 i de 5 treet (frrnt yar�) Re�r Yard Side Yard (R) Side Yard (L) Parl�ing SQaces Building Area � Lct Are� Per Fami.ly Carner Lot Landsca�irtg Transitional Yard Offi-Street Loading Vision Clearance Height REVIE�J AUTHORITY: The Dir�cror er Cen4nunity Oevelopmes�t, or designe=, mus� approve all plans, exce�t the following: (1 ) Alterations or interior wor�c when trie use is canforming and when no ct�ange in use is proposed. (2) Maintenance items, e.g. siding, windows, etc. , when the us� is canforming and when no ct�ange is proposed. Instances wt�ere waric CDtTIp1125 witl� tt�e above criteria, the permit can be reviewed by the Building Inspector witi�out referral to tt�e Direttor of CarrQnunity Oevelopment, or designe�. v APQROVE� DENIEt� Plan Cananission Ac�ion ReQuired Varianc�(s) Re�uir2� RE`lIcrJED 3Y: OATE: � �