HomeMy WebLinkAbout0134031-Building (raze mobile home)
OSHKOSH
ON THE WATER
Job Address 3746 GLENKIRK LN
Designer
CITY OF OSHKOSH
BUILDING PERMIT -APPLICATION AND RECORD
Owner WINNEBAGO DEALER INVENTORY
Contractor OWNER
No 134031
Create Date 11/17/2008
Category 161 -Wrecking Residential Dwellings __ Plan
Type ~ Building Q Sign Q Canopy Q Fence Q Raze
Zoning Class of Const:
Unfinished/Basement Sq. Ft.
Finished/Living Sq. Ft.
Garage Sq. Ft.
Foundation Q Poured Concrete Q Floating Slab
Q Cona-ete Block Q Post
Occupancy Permit
Park Dedication
__ _
Use/Nature Mobile home/ Raze
of Work
HVAC Contractor
Electric Contractor
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
Permit Voided
$25.00 Park Dedication $0.00
Date 11117!2008 Final/O.P.00/00/0000
Parcelld # 1278400000
101.65(1r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide anowner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654 (2) (a), the following consequences might occur:
(a) The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b) The Owner may not be able to collect from the contractor damages for any loss sustained by the owner t~ecause of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub. (1) (a), because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit applicati n within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to s re any n ssary approvals before starting such activity.
I have read and n rs r ed information. 1 /
Signature Q Date [ 6 ~~~
Agent/Owner
Address 3746 GLENKIRK LN OSHKOSH WI 54904 - 8514 Telephone Number Edison Estates
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry}, your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Rooms Height _ Ft.
Bedrooms Stories
Baths
Q Pier ~ Other
Q Treated Wood
Occupancy Fee $0.00 Flood Plain
# Dwelling Units 0
remove existing mobile home. Strong's Plumbing will be
Size
Projection
Canopies
Signs
Height Permit
# Structures 1
sewer and water.
Plumbing Contractor STRONG'S PLUMBING & HEATING INC
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
C~~HKC~/H
Building Permit Application E}N TFlE WATER
If you are a contractor participating in the Permit Fee Account System and have adeguate funds check here
if you want this processed through your account n
JOB ADDRESS ~ ~ ~~ ~~~~ ~ fir[ ! t^~~
UWNER~,S~ p~~~~~Pr~, ~h~ G-r~o~9
CONTRACTOR J D~G/~ SO~U7lOn s ~ ~, C-
I am the: Owner OR ^ Contractor
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Work being done:
^ Addition
^ External Remodeling
^ Handicap Ramp
^ Sign/Canopy/Awning
^ Swimming Pool
^ Other
^ Deck/Porch/Patio
^ Fence/Hedge/Kennel
^ Hot Tub/Spa
^ Stair/Handrail
Wrecking Permit
^ Driveway/Parking
^ Garage/Utility Structure
^ Internal Remodeling
^ Stove/Fireplace
Additional information, such as plan submittal and approval, maybe required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
• Full d~ scription of work being done: /`''1 G ~~ l ~o/~ ~°~ ~ o~ t~L ~~cG >Q ~~ O
A~nj_y~w'Iork not included in this application is not permitted.
Value of the job ~/ `-~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I~ackno/wle(dg~e and agree to these terms.
Name: UG7 ~ ( Y lC°~S~GL ~(
(Please print)
Signature: /
Date: ll ' l ~- ~
3/02