HomeMy WebLinkAbout0034381-Building (fence) 2 S'( :
/� CITY OF OSHKOSH N° 34381
'`' PERMIT - APPLICATION AND RECORD
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TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS S^� � �� , PLAN NO.
OWNER � '
DESIGNER
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USE/NATURE OF WORK �� o �c�
BUILDING CONTRACTOR l/LU7l.li1
Size ��/k � Sq. Ft. # Rooms # Stories Height
Foundation Class of Const.—1L— 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 $ � '�`� Permit Fee Paid $ �a � � � Park Dedication $
ISSUED BY ^ Date� ��/� 3 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ''��v��
AGENT/OWNER DATE
ADDRESS
TELEPHONE#
. RE�I152Q: ��
ZONINC/LANO CISE COMPLIANC� C:�E�KLIST
JOi3 �OCATION: �So3 ��c.��� ZONING:
PROP��TY OWNER/CONTR.4CTOR: ,�.�c��.�-J�,�,�,�-- _
CDNSTRUCTION DATA: /fVE'�J CDNSiRUCi:{N ADDITION ALTcRATION PARKING LOT
TYPE QF PROPaS� CONSTRUCTION: (i.e. fence, pool , sign, decic, etc. )
f� ' b j ��t�i' /.��r� �aL��CA
CDMP!IANC� C:�E�:tLIST (Chetic on 1y tt�ose a�p I icab l e) �
CDMPLIE� OE=ICIcVT 0 rICIE�iICY/COMME�TS
� 1152
Lot Width
Lot Are�
Floodplain
Front Yard
5 i de Street (fr�srt yar�)
Rear Yard �
Side Yard (R�
Side Yard (L)
Pari�ing Spaces
Buildirtg Area �
Lat Area Per Fami.ly
Carner Lot
Landsca�ing
Transiticnal Yard
Offi-Street Lcading
Yision Clearance
Height
RFlIE'�1 AUTHORIi`'f:
The Oirecror of Conmunity Oevelopmerct, or designe�, mus� a��rvve all plans, excn�t the
following: ( t ) Alterations or interior woric when tt�e use is canforming and when no cf�ange
in use is pr�posed. (2) Maintenance items, e.g. sid.ing, windows, etc. , when tf�e us� is
canforming and when no cf�ange is praposed.
Instances whe*e woric cnrrtplies with the above criteria, tt�e pennit can be reviewe� by t�e
Building Inspector wit?�out referral ta t�e Direttor ef Con�unity Development, er designe�.
APQRflVE� OE�4I n
Plan Corrmzissiort Ac�ion Required
Varianc�(s} Re�uire�
RE'lIc�1ED 3Y: OATE: ����
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