HomeMy WebLinkAbout0095410-Building g ) CITY OF OSHKOSH No 0095410
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3733 GLENKIRK LN Owner ROBERT /SARAH GUTJAHR Create Date 06/24/2002
Designer Contractor STEENBERG HOMES
Category 134 - New Mobile Home Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished /Basement 0 Sq. Ft. Rooms 0 Height 0 Ft. ❑ Projection
Finished /Living 0 Sq. Ft. Bedrooms 0 Stories Canopies 0
Garage 0 Sq. Ft. Baths 0 Signs 0
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Flood Plain No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature Mobile Home/ New mobile home - Liberty Homes - All setbacks per variance granted.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $40,110.00 Plan Approval $0.00 Permit Fee Paid $158.00 Park Dedication $0.00
Issued By: Date 0 6/25/2002 Final /O.P. 00 /00 /0000
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 2300 HOLY RD NEENAH WI 54956 - 0000 Telephone Number 1- 800 - 236 -8806
Jun 21 02 08:16a Oshkosh Inspections 920 - 230 -5084 p.1
CITY OF OSHKOSH BUILDING PERMIT APPLICATION
For 1 and 2 Family Homes
Owner's Name Mailing Address Phone No.
(VZc)
Ro Oe'Ft +5,4rAk 615111AINAr 3733 ( len Ir.-, K ,4e &3 /- 686/
Contractor's Name: Mailing Address Lic /Cert # Phone No.
5 1 evi (tlEvr /)minces ? - ' o i 4 ' 2 d kkewq l - t ( 970 ) 73 i - 1 2 2. Co
Plumbing Contrac or's Name: Mailing Address Lic /Cert # Phone No.
- -- 1 - "c 5 l 3 3 w cc des c ,f afcc-t. trio a3, ,2b77
Electrical Contractor's Name: Mailing Address r Lic /Cert # Phone No.
( )
HVAC Contractor's Name: Mailing Address Lic /Cert # Phone No. •
( )
PROJECT LOCATION
Building Address Subdivision Name Lot No.
3 7 33 6 lepi k', k l,-, oa e Ede 5 I &-s1• 5
Zoning District Setbacks: Front Rear Left Right
ft. ft. ft. ft.
PROJECT INFORMATION
OCCUPANCY AREA CONST. TYPE STORIES NUMBER OF
&Single Family Unfinished Basement sq.ft. ❑ Site Constructed ROOMS
❑ Two Family Manufactured L'7 -Story 1— Bathrooms
❑ Other Living Area sq.ft.
❑ 2 -Story
Garage sq.ft. FOUNDATION ❑ Bi -level 3 Bedrooms
USE ❑ Concrete ❑ Tri -level
❑ Quad -level 2- Remaining
❑ Seasonal 0 Masonry Finished Rooms
1 ermanent HEIGHT ❑ Treated Wood ❑ Other
❑ Other Height of the Structure (from final grade to the peak te
of the roof)
ELECTRICAL PLUMBING WATER BUILDING COST
Panel Size: Sewer Sale Price of the Project $ 1 /0 /10
00 Amps ❑ Municipal ❑ Municipal Utility (Final cost of house, lot & labor)
❑ 200 Amps ❑ Septic ❑ Private On -Site Well
MINUS -
Service: Permit No.
0 Underground The Cost of the Lot $ .
0 Overhead MINUS -
HEAT LOSS The Cost of the Mechanicals $
Envelope Btu/Hr EQUALS --
The Cost of Construction $ YO /10
Infiltration Btu/Hr . (Fair market value which includes labor)
ENERGY SOURCE HVAC EQUIPMENT
[forced Air Furnace
Choices: Natural Gas, L.P., OiI, Elec, Solid, Solar ❑ Radiant Baseboard or Panel
❑ Heat Pump
Space Htg ❑ Boiler
❑ Central Air Conditioning
Water Htg A ❑ Other
APPLICANTS SIGN ' T DATE: 6. ° t ()-
1111k / .