HomeMy WebLinkAbout0153491 - Building (New Mobile Home) CITY OF OSHKOSH No 153491
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1203 INDIGO DR Owner VACANT
Create Date 11/08/2012
Designer Ken Myers _ Contractor FLOOD MOBILE HOMES, INC
Inspector Nicole Krahn
Category 134-New Mobile Home
Plan
Type • Building 0 Sign 0 Canopy ❑ Fence 0 Raze
Zoning Class of Const: 8
Size 16x56
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories
—- Canopies
Garage Sq.Ft. Baths -
Signs
Foundation • Poured Concrete 0 Floating Slab O Pier O Other
O Concrete Block O Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication — #Dwelling Units 0 #Structures 0
Use/Nature SFR/Installing an existing 16'x 56'mobile home per the site plan submitted. The mobile home is required to be anchored per the
of Work manufacturers installation instructions. **check#41698
L
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $28,500.00 Plan Approval $0.00 Permit Fee Paid $200.00 Park Dedication $0.00
Issued By: � � Date 11/12/2012 Final/O.P. 00/00/0000
❑ Permit Voided 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 un er nd the afore entioned information.
Signature Date 11.—/2--/ Z
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.
11/08/2012 10:22 9209227556 FLOOD HOMES INC
PAGE 02/06
i of Oshkosh P O Box 1130
Oshkosh,WI 54903.1130
Phone:(920)236-5050
Building Permit Application Fes:(920)236-5084 www.doshicosh.vri.us
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Project
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PP Owner Contractor Tenant
Other(describe)
Owner 1 Name / /C.1D
Tenant --z-40f c-r wive
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Contractor Ismail -0 4 parry Name j x-,G
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Address //7f Ai P.3 i.- /4" J
State Credential#'s 9 `
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Dwelling Contractor QnaliScr 11 ' Duelling Contractor 1!
ACltitect/ Building Contractor Rcgis�i�lY
Designer Company Name
. Phone
Contact
Email
Address._,.._..._...... _
i; sidential Sin:le Fami1
Residential Duplex Commercial Multifamily Industrial
Ca tagory New Addition Alteration
Project
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by '/�^' e4- Plumbing by r•,�I-I>o C . Heating b
Value ofJob g Y
(Value for materials&labor is req.to ensure consistency in accessing permit,fees for all applicants.)
Payment by: Check #
Cash Permit Fee Account
I eertffy the oboes ltforntatlotl lc complete and accurate. Any deriotiom from the aboiie submitted ftilpl•n,otlon ntayregHL•e additional
to be obroG�My l acknowledge and agree to these term:,
Name: permits
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(Please print) Date: /-' /-
Signature: Aft., —
Received Time Nov. 8. 2012 9: 04AM No, 1579