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HomeMy WebLinkAbout0134033-Building (raze mobile home) OSHKOSH ON THE WATER Job Address 3772 GLENVIEW LN Designer Owner WINNEBAGO DEALER INVENTORY Contractor OWNER numbing will be Category 161 -Wrecking Residential Dwellings Plan Type ~ Building _ Q Sign Q Canopy Q Fence Q 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 Signs Foundation Q Poured Concrete Q Floating Slab Q Pier ~ Other Q Concrete Block Q Post Q Treated Wood Occupancy Permit Park Dedication Use/Nature Mobile home/ Ra: of Work ebris. HVAC Contractor Electric Contractor CITY OF OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ano remove existing Fees: Valuation $600.00 Plan Approval Issued By: ^ Permit Voided Parcel Id # 101.65(1 r) of the Wisconsin Statutes requires muniapalities 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 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 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 wi in an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to cur any necessa pprovals before starting such activity. I have read and nd tand e f information. ~~_/ ~ l Signature Date Agent/Owner Address 3772 GLENVIEW LN 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. Occupancy Fee $0.00 Flood Plain # Dwelling Units 0 No 134033 Create Date 11!17/2008 Plumbing Contractor STRONG'S PLUMBING & HEATING INC $0.00 Permit Fee Paid $25.00 Park Dedication $0.00 Date 11/17/2008 Final/O.P.00/00/0000 Height Permit # Structures 0 ~ the sewer and water. Site will be cleared of all City of Oshkosh Inspection Services Division POBox1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 C~~HK( /H Building Permit Application oN ~~E wnrER If you are a contractor Darticipatinr~ in the Permit Fee Account System and have adequate funds check here ~you want this processed through your account (~ JOB ADDRESS J 7 ? 2 (~' ~,~~ y` ~ G/ ~,~~'1 ~ DS, owNER_ ~~ .~° r4 SS~°"T ~ ~v~(o Pn~~~ T ~•-o~p CONTRACTOR ~ D ~ L ~ s(j ~, y 1'` G ~ ~ ~ ~, I am the: ~$-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/LTtility Structure ^ Internal Remodeling ^ Stove/Fireplace Additional information, such as plan submittal and approval, may be 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:/~ O ~ t ~ ~fo/h P C o/~ V~c7'~ ,~ ~lI/Yt d ~q-n ~ r e r~. c~ v,4 ~ Any work not included in this application is not permitted e o -' Value of the job $ dQ (Value for materials and labor is required to ensure consistency in accessing permit fees f'or 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 acknowledge and agree to these terms. Name: PC~~ I GZe s7o~ ~ ~" ~ (Please print) Signature: ~GU~,(~ Date: 6 ~ " 6 ~ ~ I~ 3/02