HomeMy WebLinkAbout0017042-Building (sign) 1
� CITY OF OSHKOSH N° 17042
`' PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ❑ SIGN�ZONING� FLOOD PLAW�-r HEIGHT�
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ADDRESS ��� �b �a�n n :.� r' H PLAN NO.
OWNER � �'\h b�
DESIGNER
USE/NATURE OF WORK ° `� ` `� y `L ''�'
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BUILDING CONTRACTOR `e �
Siz �� Sq. Ft. # Rooms # Stories Height � �
Foundation �(C��� Class of Const.� Occupancy Permit 1!�
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 d mit 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.
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SIGNATURE 1 r7
AGENT/OWNER DATE
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ADDRESS � � � � �� �` ��4_)6 �1
TELEPHONE# �
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1 Revised: 8/89
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: �� �� /�o �cz� �j �J r— h ZONING: � �
PROPERTY OWNER/CONTRACTOR: _� oG��� J��•—��� ;
CONSTRUCTION DATA: NEW CONSTRUCTION ADDITION ALTERATION 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 (frorrt 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
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REV I EW AUTHORITY: �___- �`�` �� �� �-�� ��,L
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) �4aintenance 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.
�PPROVED DENIED
Plan Commission Action Required ;
Variance(s) Requi ed
REVIEWED BY: DATE: / i 7 9
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