HomeMy WebLinkAbout0153221 - Building (Mobile Hme addition) CITY OF OSHKOSH No 153221
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1312 INDIGO DR Owner CAROL FRANK Create Date 10/11/2012
Designer Contractor BLAYLOCK CONSTRUCTION CO LLC
Inspector Nicole Krahn
Category 135-Mobile Home Addition Plan
Type • Building 0 Sign O Canopy O 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 O Floating Slab O Pier 0 Other
0 Concrete Block O Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature RES/Mobile home carport addition/relocation 24'by 12'(284 sq ft) **check#4563
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $70.00 Park Dedication $0.00
Issued By:?5n1 Date 10/26/2012 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 understand the afore mentioned information.
Signature Date
Agent/Owner
Address N7190 WINNEBAGO DR FOND DU LAC WI 54935 - 0000 Telephone Number 920-921-6216
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.
ZONING/LAND USE COMPLIANCE CHECKLIST
OSHKOSH
ON THE WATER
Name CAROL FRANK Address 1312 INDIGO DR Create Date 10/11/2012
Construction Data • New Construction 0 Addition 0 Alteration
Type of Construction (i.e.fence, pool, parking lot,sign,etc. Mobile home carport addition/relocation 24'by 12'
Compliance Checklist
Deficient Comments
J Use
H Lot Width
▪ Lot Area
Lot Area Per Family
▪ Flood Plain
▪ Front Yard
J Front Yard Side Street
H Rear Yard
_f Side Yard
• Building Area
• Parking Standards
• Off-Street Loading Standards
H Vision Clearance
_J Transitional Yard Standards
J Landscape Standards
Height J —
▪ Conditions of Approval
H Compliance with P.C.or BZA Conditions of Approve
J Signage Standards
▪ Drainage Plan-Storm Drainage-City Easements
Review Authority
As per Section 30-5 Enforcement of the City Zoning Ordinance,the Director of Community Development,or designee, must approve all plans,
except the following: (1)Alterations or interior work when the use is conforming and when no change in use is proposed. (2)Maintenance
items,e.g.siding,windows,etc.,when the use is conforming and when no change is proposed.
L• Approved Q Denied
Plan Commission Action Required
u Variance(s)Required
Reviewed By David Buck Date 10/11/2012 _
G P O Box 1130
City of Oshkosl L Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.c;.osnkosh.wi.us
Project
Address / 5/D3_Th 0/0"0 ,O
Applicant Owner Contra' c�/ Tenant Other(describe)
Owner/ Name e&'ot /---/?WX Phone oZ 77- ?0V
Tenant
Address /3/ a .il2 00/G--O ,Q ie. Email
Contractor Company Name ,6l )LOG/c Cp/'ST.T /. .i, C Phone
Contact Da(6- e'z4/ OC-X Email
Address /J'7/ (7 GA///Y/C646--0 02'
State Credential#'s A;a1,' -45113
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Fami1.?.7_..) Residential Duplex Commercial Multifamily Industrial
Catagory New CAdlit3n Alteration
Project
Description
1 )c 34 Cif ' Pc"(r
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job a�OC7
$ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # 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. I acknowledge and agree to these terms. ',l
Name: 0 G 1.46 , L' 'c (Please print) Date: /r1///e_
Signature: Allir
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