HomeMy WebLinkAbout0140051-Building (misc. alterations) 0 CITY OF OSHKOSH No 140051
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3786 GLENVIEW LN Owner DEALER INVENTORY Create Date 02/19/2010
Designer Contractor MOBILE HOME STUFF STORE INC
Category 141 - Exterior Remodeling Plan
Type 0 Building O Sign O Canopy 0 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 Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use /Nature MOBILE HOME/ Installing vinyl flooring & carpeting, 8 window replacements, replacing both exterior doors, installing vinyl siding, new
of Work counter tops and cabinets and interior doors, EIV signed by Jack Schomme(Electric "check 38773
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua 'on $12,700.00 Plan Approval $0.00 Permit Fee Paid $106.00 Park Dedication $0.00
Issued By: Valua
Date 03/12/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id #
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 necessary approvals before starting such activity.
I have read and understand the afore mentioned information.
Signature Date
Agent/Owner
Address N7428 OSBORN WAY FOND DU LAC WI 54937 - 8903 Telephone Number (920) 923 -0098
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.
02/18/2010 15:58 9209235935 MOBILE HOME STUFF PAGE 03/04
City of Oshkosh
inspection Services Division
P O Box 1130
Oshkosh, 2130
Phone: (920) 236-5050
Fax: (920) 236 -5084 uN rN► whrkR
Building Permit Application
I{ voy area cons act r arlici atin in the Pertnjt Fee Account Svslem and have ade wale a ds checic here
LLysle wan t, this grace , ed thror.rh vo_ur acc unl
JOB AADRESS 3q l® 6e/ vie/0 [i
OWNER ` litiI € .9 cI V! ire nc)
11 11
CONTRACTOR - '
I am the: ,Owner OR Contractor
M E CATEGORY
ingle Family ❑Duplex ❑Multi - Family ORental ❑Commercial ❑industrial
Work being done:
[ 1 Addition 0 Deck/Porch/Patio I.'1 Driveway /Parking
)xternal Remodeling i I Fence /Fledge /Kennel 1 I Garage /Utility Structure
I-1 Handicap Ramp L :I Hot Tub /Spa )(internal Remodeling
LI Sign /Canopy /Awning 0 Stair/Handrail I 'tovc ireplace
1 J Swimming Pool I. Wrecking Permit
Cl Other
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:TQU)�' ; to co 50 0
/j 11 j � !A 11
• I G W" � .L i r>ath
IFP
Anv work not included in this application is not !ermi ' ed.
tii? 1*r % y i ' •
Value of the job $ (:�.�' 1 � � �� (Value for materials And labor IS required to ensure consistency in Remains permit fees for all
opplicsnts.) fl DO ~ + 1 jth D . SIGN'& DATE:
I certtfr 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: �,,�
- (Please print)
Signature:
Date: - 1 3 •
3/02
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
OIHKOIH Office 920 - 236 -5050
ON THE WATER Fax 920- 236 -5084
Electric Installation Verification
I (We) J a `'e 5C -4p 1 4 1 P 4 -6,- ElcAz- G
(Electrical Contractor Name or Homeowner's Name)
'" / Jf r-cs4- )-AJ igxd Za e--- � t z sV s
(Address) (City) (State) (Zip Code)
accept the responsibili to perform the electric work as stated below, at the following address:
3 c l RO 4e. n I) 1 -e,(A) 004,n ,1-1 WI •
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
�/ Reconnection or new circuit for replacement Heating Plant and /or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
'/ Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
an latiarlageffr soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacegient of other permanently wired
appliances / fixtures. ( , �
(4„
New circuit for the addition of A/ to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ .
I hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
7 2(11 - i,<-1 S c l t.a,,,,, ter- 3 — 3 " /0
(Signature of Company Officer or Homeowner) (Print Name) (Date)
07/07