HomeMy WebLinkAbout0152123 - building (New Mobile home) CITY OF OSHKOSH No 152123
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1304 INDIGO DR Owner FLOOD HOMES INC
---_ — Create Date 08/21/2012
Designer Contractor FLOOD MOBILE HOMES, INC
Inspector Nicole Krohn — --- --- ---------
Category 134-New Mobile Home
Plan
Type Building ❑ Sign O Canopy ❑ Fence 0 Raze
Zoning Class of Const:
Size
Unfinished/Basement --------
Sq. Ft. Rooms Height Ft.
---- L] Projection
Finished/Living Sq.Ft. Bedrooms
—._-. Stories Canopies
Garage - - Sq.Ft. Baths -
- Signs
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
O Concrete Block O Post ❑ 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/Installation of a 16'x76'existing mobile home on the lot. The mobile home is required to be anchored per the plan
of Work submitted.
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation $29,900.00 Plan Approval $0.00 Permit Fee Paid
` — ----- $203.00 Park Dedication $0.00
Issued By: 1' ----- -- -------Date 09/0.5/2012 Final/O.P. 00/00/0000
❑ Permit Voided I Parcel Id# 1307310100
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 N7559 N PIONEER RD FOND DU LAC WI 54937 - 9714 Telephone Number 922-2222
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.
/� PO Box 1130
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City of Oshkosh/�G Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application titiWv.ci.oshkosh.Ki.us
Project
Address 13(Di( ( f ill to 0 Q/l.i U L. C'(i fr c S j WL , .-y 9 c)2_.
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name C ii✓t o
Tenant F iu Phone q Lei Z 7 - 9 byZ
Address . Email
Contractor Company Name FiWd tfontes
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Contact 14 erl !ll " P/LS Email K '�`
Ale7en s a ch-tAff p0414 c•cc
Address 'j S' . c
State Credential#'s q (c)p Z , g 1 6 i Z ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name
Designer Phone
Contact Email
_..._ .__ . ... . Address .. _ ...
Permit Type Residential Single Farnil J Residential Duplex Commercial Multifamily Industrial
Ca tagory New Addition Alteration
Project AJ S `t. S / el e 13 /a�4
• Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by K o1I/f 4i.1J aalumbi.ng by eeR/veld- C' . Heatin g by
Value of Job $ Z cb cN
y - (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # LH' R Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. 1 acknowledge and agree to these terms.
Name: / (?AI in e 9 Gnt (Please print) Date: W— / 7— ZO/Z
Signature: