HomeMy WebLinkAbout0157517-Building � CITY OF OSHKOSH No 157517
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3747 GLENKIRK LN _ Owner WINNEBAGO VACANT Create Date 08/22/2013
Designer Contractor KLITZMAN INC
Inspector John Zarate
Category 134-New Mobile Home Plan
Type � Building 0 Sign � Canopy 0 Fence � Raze �
2oning _ Class of Const: Size
Unfinished/Basement _ Sq.Ft. Rooms _ Height Ft. ❑ Projection �
Finished/Living 1320 Sq.Ft. Bedrooms _ Stories Canopies
Garage _ Sq.Ft. Baths Signs
Foundation � Poured Concrete 0 Floating Slab 0 Pier 0 Other
� Concrete Block � Post � Treated Wood _ __
Occupancy Permit Required _ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature �MOBILE HOME/Moving a 16'x 70'mobile home onto Lot 75 of Edison Estates(3747 Glenkirk Dr.) Also constructing 12'x 16'workshoP;l
of Work on existing concrete slab(the slab is required to have a 8"x8"grade beam),8 feet from proposed location of home. Slab will need to be
lexpanded 4'to accomadate structure. Workshop will also need fire separation from home and meet minimum distance requirement from'
ladjacent homes. The home will be installed per COMM 21.40 installation standards. 'I
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,200.00 Plan Approval $25.00 Permit Fee Paid $262.60 Park Dedication $0.00
Issued By: �/�/`—�� Date 09/03/2013 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 and understand the afore mentioned information.
Signature Date
AgenUOwner
Address PLOVER WI 54901 - 0000 Telephone Number
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 ll30
� C�'lty �f�s���s� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fa�c: (920)236-5084
Building Permit Application �W���.oshkosh.W�.us
Aaaress �i`��-� �,I�V��,i(`� �,�,c �S�l�cdS� (,C�� � �`t-
Applicant Owner Contractor Tenant Other(describe)
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Tenant ��„e� �� � t 54a ( Q/� �
Address w d s � � �� Email (,�, ,y�
Contractor Company Name � YVI!�1 Vl Phone 'Z���--� ([(���p���p
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Contact �fr t 5 � ! ��,(YIOc� Email ��' d o �
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State Credential#'s qs�g6'7� ��p la�tj� , ��'�� , �� � �� ���a�f� ��'�� ;
Dwelling Contractor Qualifier# Dwelling Contractor# Building Coritractor Reg�stration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition � Alteration
Project �.DUL �� � ' T�lr'C�—�" C� � 0l�'lU°
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job //�j/�
$ "/pC1�(/ !0� (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 conaplete and accurate. Any deviations from the above subnaitted information may requir�e additional permits
to be obtained. I acknowledge and agree to these terms.
Name: � , (Please print) Date: �
Signatur • L,