HomeMy WebLinkAbout0134030-Building (raze mobile home)CITY OF OSHKOSH
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3750 GLENVIEW LN
Owner DEALER INVENTORY
No 134030
Create Date 11/17/2008
Designer Contractor OWNER
Category 161 -Wrecking Residential Dwellings Plan
_- ----
Type ~ Building ~ Sign ~ Canopy ~ Fence 0 Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage
Sq. Ft. Baths
Foundation ~ Poured Concrete ~ Floating Slab ~ Pier ~ Other
(~ Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain
Park Dedication # Dwelling Units 0
Use/Nature
of Work
Signs
Height Permit
# Structures 1
obile home/ Raze and remove existing mobile home. Site shall be cleared of all debris. Strong's Plumbing will be capping the sewer
nd water.
HVAC Contractor
Electric Contractor
Fees: Valuation
Issued By:
Plumbing Contractor STRONG'S PLUMBING & HEATING INC
$600.00 Plan Approval $0.00 Permit Fee Paid
^ Permit Voided
$25.00 Park Dedication $0.00
Date 11/17/2008 Final/O.P.00/00/0000
Parcel Id #
101.65(1r) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner 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 properly 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 because 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 application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any n sary approvals before starting such activity.
I have read and ur~tan ore ned information. // /
Signature _ ~! Date `/-I
Address 3750 GLENVIEW LN
Agent/Owner
OSHKOSH
WI 54904 - 8506 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.
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 ""'- ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds check here
if you want this processed through vour account n
JOB ADDRESS ~ ~~Q GL ~n ~~ C~ ~-°J ~^/ /~
OWNER~.SS F'~ (~ N/~(O D''/i'L Nn~ ~/~~ v
CONTRACTOR ~ iCJ~f'I ,S(J~,~jQ/1 f ~ L 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/LJtility 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 description of work being done:_ /'? 4~l ~ /7v~'1 ~ CG/''1 ~ ~ ~t~ ~ P/~1 O
i
a I/~' L
Anv~'/work not included in this application is not permitted
Value of the job $ ~ ~ v (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. IQackno/wle(d~ge and agree to these terms.
Name: YRv ( V`~°~dC~
`~"l (Ple print)
Signature: /~
Date: C l ~ t' 7' Q V
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