HomeMy WebLinkAbout0155105 - Building (install Mobile Home) (...D CITY OF OSHKOSH No 155105
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3765 GLENSHIRE LN Owner VACANT Create Date 04/08/2013
Designer Contractor MEDFORD COUNTRYSIDE HOMES
Inspector Adam Krause
Category 134-New Mobile Home Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. E Projection
Finished/Living 980 Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units _ 0 #Structures 0
Use/Nature Mobile Home/Install 14'x70'mobile home* Some interior rehab may be done but no walls will be moved. All work shall comply with
of Work applicable codes. "check#1289
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valua on $4,500.00 Plan Approval $0.00 Permit Fee Paid $201.40 Park Dedication $0.00_
Issued By: Date 04/18/2013 Final/O.P. 00/00/0000
0 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 a derstafrrRll�Il�je afar entioned i for atio �/� /
Signature - L'11 '� �/ 'L )/ 1 Date 17 118,1l`�
Agent/Owner c
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.
City of Oshkosh P o 90x 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ct.oshkosh.wi.us
Project S1(05 GIe ire Lace (:) 11<fish t vu 15 C14
Applicant caner Contractor ` Tenant Other(describe) I_
Owner/ Name IN i(O�1 Y1 M+t' L Phone(ga)) 4e0 l93/i-
Tenant ,t-y ym"
e
Address @& 4-D1 CQct � Email Edi son �e
Contractor Company Name iA 3.t*f a j�' 0 I II S 11 ILb P one(115) 714-2H.0 3
Contact 1,' Xniei 1) L,1-{echt Email •
Address VNI 51-04 Ap ..1 Mom" rel w i Di-P-1-ti
State Credential#'s tom f
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 ew Addition Alteration
Project
Description
.�. i IT 0i-- r t f . • (lig 5 r1 / ' •
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Pee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to a obtal ed I(`1r(owledge anti ogre to these terms. p
Name: Ho • `t',_ k (please print) Date: L//p//3
Signature: ,t�,
ZONING/LAND USE COMPLIANCE CHECKLIST
OSHKOSH
ON THE WATER
Name VACANT Address 3765 GLENSHIRE LN Create Date 4/16/2013
Construction Data 0 New Construction O Addition 0 Alteration
Type of Construction (i.e.fence,pool, parking lot,sign,etc. New MH per plan
Compliance Checklist
Deficient Comments
Lf Use
Lot Width
u Lot Area
H Lot Area Per Family
▪ Flood Plain
H Front Yard
_f Front Yard Side Street
H Rear Yard
H Side Yard
J Building Area
Parking Standards
▪ Off-Street Loading Standards
H Vision Clearance
▪ Transitional Yard Standards
▪ Landscape Standards
LJ Height
• Conditions of Approval
J Compliance with P.C. or BZA Conditions of Approve
H Signage Standards
H 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.
Idk
IF Approved Q Denied
LI Plan Commission Action Required
Variance(s)Required
Reviewed By Todd Muehrer Date 04/16/2013