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Home My WebLink About0155974-Building (mobile home & shed) � CITY OF OSHKOSH No 155974 OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3778 GLENHURST LN Owner TIMOTHY REWKE Create Date 06/04/2013 Designer Contractor OWNER Inspector Adam Krause Category 134-New Mobile Home Plan Type � Building � Sign � Canopy � Fence � Raze � 2oning Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection I Finished/Living Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths Signs Foundation � Poured Concrete 0 Floating Slab � Pier 0 Other � Concrete Block � Post � Treated Wood Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 UselNature SFR\Mobile home to be set on existing site along with new 8'X 10'shed according to attached site plans. of Work Installer-Bob Becker-Manufactured Housing Specialists-142921 -11-21-2014 � � � HVAC Contractor Plumbing Contractor UNKNOWN Electric Contractor UNKNOWN???? Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $62.00 Park Dedication $0.00 Issued By: Date 06/04/2013 Final/O.P. 00/00/0000 ❑ Permit Voided I Parcel Id# Cautionarv Statement to Owners Obtaininq Buildinq Permits 101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that: If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under s. 101.654(2)(a),the foliowing consequences might occur: (a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. (b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or death of others or damage to the property of others that arise out of the work performed under the building permit or because of any bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit. : 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 unde�ndyie aforementioned information. Signatur '� '' Date � AgenUOwner Address 3778 GLENHURST LN Oshkosh WI 54901 - 0000 Telephone Number Edison Estates 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. P O Box 1130 � Cit1 of Oshkosh Oshkosh, WI 54903-1130 � Phone:(920)236-5050 Fax:(920)236-5084 Building Permit Application w��.oshkosh.w�.�s Project ��"�� (�"I� ��.�r�7� .� lp✓� �� V ►� � �`-t'qC.�'L-�-' Address Applicant Owner Contractor Tenant Other(describe) Owner/ Name �udeth � S� � �� 1 U � Phone �w a�� g�� Tenant �• �..�--� Address �S ►`(�.�► 1 W ` �J`�'�� Email Contractor N�'�' -� s ��'� �S 7G Company Name Phone �� "� / /� Contact �� /�('��. Email Address 3��'J��D �p,�,�,Q�L,j G i�-. �n.et'.� �/��- LJ 1 State Credential #'s�/� , , T 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 .New Addition Alteration Project i Description P�'"�G r� �JD�j,c� l�""'� � ��5��7i �I�� r .� ,e � q��/a�� i �� (Y � �7�' ��5 r �(�� i�I ,�y� ' n e _ r►�4�. �� - l��►n,w. S� S1'Q r-� Mechanical Separate permits will be obtained for the following: Permits Electrical by Plumbing by Heating by Value of Job $ C�OD � (Value for m rials&labor is req.to ensure consistency in accessing permit fees for all applicants.) Payment by: Check #_� Cash Permit Fee Account /certifv the above informntion is complete and accurate. Any devrations from the above submitted information may require additional permits to be obtained. /ncknowledge and agree to thes terms. Name.'��/��/�� Lo-- 1/� �� (Please print) Date• � '� Signature: '