HomeMy WebLinkAbout0154283 - Building (new mobile home) CITY OF OSHKOSH No 154283
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3775 GLENSHIRE LN Owner STEVE ROBL Create Date 01/22/2013
Designer Contractor DANIEL UTECT
Inspector Andrew Prickett
Category 134-New Mobile Home Plan
Type • Building 0 Sign O Canopy ❑ Fence 0 Raze 1
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection i
Finished/Living 980 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab 0 Pier O Other
O Concrete Block O Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature 'Mobile Home/Install home*The interior may include new drywall and cabinets and countertop and other minor rehab.Seperate permits
of Work (will be required for Plumbing and Electric connections by lics contractors. **check#1092
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: ain Date 01/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1278400000
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 an derstand e fo_remeryi ned inf r � ,
Signature tJ —s L -- Date
I y
Agent/Owner
Address W5424 APPLE AVE MEDFORD WI 54451 - 0000 Telephone Number 715-748-6335
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.
9ELZ '°N Wd90 , 1 �10Z L utp awil pania°ad
P 0 Box 1130
lJ ofOshkosh City of Os Oshkosh,W1 54903-1130
llA ll Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.as
Project 31-15 Glcshire Lh l Lo- 1I 003r h u11 5 ` q0(¢
Address 1 L,� �`-'
Applicant Owner Contractor Tenant Other(describe)
Owner/ NameWisCOnsin MHP 6, LLC Phone 920-231-6374
Tenant
Address PO Box 457Cedaredge, CO 81413 Email EdisonMHP(a)gmail.com
Contractor Name Medford Countryside Homes Phone 715-748-635
Contact Daniel D Utecht Email
Address W5424 Apple Ave, Medford, WI 54451
State Credential#'s 1083801 ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential dential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory 6.e.:w Addition Alteration
Project Placement of mobile home. The home may have interior rehab, no walls moved.
Description
1SO J�
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ 4500 — -(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
t be obtainedlacrk�nowledge a d agree to these terms.
Name: I�' .Q 1 i (Please print) Date: 11at)
Signature: anj-CL Ptibtrthed