HomeMy WebLinkAbout0154286 - Building (new mobile home) CITY OF OSHKOSH No 154286
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 972 E SUNNYVIEW RD#42 Owner VACANT Create Date 01/22/2013
Designer Contractor DANIEL UTECT
Inspector Andrew Prickett
Category 134-New Mobile Home Plan
Type • Building O Sign 0 Canopy 0 Fence O Raze
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ❑ Projection
Finished/Living 980 Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab O Pier 0 Other
O Concrete Block 0 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, 00.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: arntAs Date 01/28/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#
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 andpcderstanfore r re0 oned ipfor )atio
Signature p1� _ �.Jk 'l l�C/ M'L) Date ; /—
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.
9E1 1 '°N Wd90 : 1 'l6 vet' aWil pania°a�
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P O Box 1 130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.cl•oshkosh.w•ius
Address
f?n V rid L 1 `/QA3
Addres
Applicant ti 'I! Contractor Tenant Other(describe)
Owner/ Name Wisconsin MHP 6,_LLC Phone 920-231-6374
Tenant
Address PO Box 457, Cedaredge, CO 81413 Email EdisonMHPt gmail.com
Contractor Company Name Medford Countryside Homes
Phone 715-748-6335
Contact Daniel D Utecht Email
Address W5424 A..le 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 Single Family Residential Duplex Commercial Multifamily Industrial
Catagory 40, Addition Alteration
Project Placement of mobile home. The home may have interior rehab, no walls moved.
Description
•
9e0
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ )4 1 (Value for materials&labor is mg,to ensure consistency accessing y'in g penult fees for all applicants_)
Payment by: Check # Cash Permit Fee Account
1 cern.*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: FfrL e_ ►! (Please print) Date: I j WI/ 3
Signature: