HomeMy WebLinkAbout0126851-Building
o
OSHKOSH
ON THE WATER
Job Address 2035 S KOELLER ST
CITY OF OSHKOSH No 126851
BUILDING PERMIT - APPLICATION AND RECORD
Owner USPG PORTFOLIO TWO LLC Create Date 09/04/2007
Designer
Contractor CHAMPION ENVIRONMENTAL SERVICES INC
Category
285 - Wrecking (Industrial & Commercial Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Canopies
Finished/Living
Bedrooms
Stories
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
o
# Structures
o
Use/Nature RAzE- - Raze former Wal-Mart Building.
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$94,000.00 Plan Approval
$0.00 Permit Fee Paid
$370.00 Park Dedication
$0.00
Issued By:
Date 09/19/2007
Final/D.P. 00/00/0000
D Permit Voided I
Parcelld # 1323100000
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.
Signature
Date
Address 414 D' ONOFRIO DR, SUITE 310
Agent/Owner
MADISON
WI 53719 - 0000
Telephone Number
608-833-1244
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.
Au g. 31. 2007 7 : 19 AM
irspect ion services
~o. 47'7 p, 1
~
OJHKOfH
Building Permit Application ON THE W^TE~
Ifvou are a contractor r;articioatinJ! in the P~rmit Fee Account System and have adequate funds. check here
if'Vo'U want this processed through VOl/r account n
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903~1130
Phone; (920) 236-5050
Fax.: (920) 236-5084
JOBADDRESS 2-035 \<oe\\e-r- S-t I OsnKOSh t WI
oWNER~.d1es earo\J..--~
CONTRAC1'OR~Yn -p \ 0 h E. b 'I i yon. men -ro...-l Set 'l' c e..s / \ n c .
1 am the: 0 Owner OR)2( Contractor
USE CATEGORY
DSingle Fmrily DDuplex DMulti-Family DRental ~OIhmercial OIndustrial
Work being done:
o Addition
o DeckIPorchIPatio
o DrivewaylParking.
o External Remodeling
o Handicap Ramp
o SigDICanopylAwning
o Swimming "Pool
o Other
AdditiDnal information, sq:ch as plan submittnl and approval, may be required before issuance. Fliers,
located in the haUway, may be referenced to note if any additional information is necessary.
.:. Full description of work being done: demo\i tioh ot- furmer WaA Mcu--+
b\A\\cli (\~ Clt AV\C\tfoo tICl2.Cl .
o FcncelHcdgelKennel
o Hot Tub/Spa
o StairlHamfrail
.IwreCking Pennit
o Garag~tility Structure
o Internal RemodeliDg
o StoveIFireptace
StP 5 2007
DEPAR rMENT OF
Anv work not included in this application is not nermifiiltJMUNITY DEVELOPMENT
. INSPECTION SERVICES DIVISION
Value of the job ~ , 000 (Value for IllatmaJuno labor istequimd t<l =rec011Sistertcy in BccC!lslngpr.:rmitfeesfcfllll
appliclI!Its.)
PLEASE READ, SIGN. & DATE:
1 certify the above information is complete and accurate. Any tjleviations from the above submitted
information may require additional permits 10 be obtained. I acknowledge and agree to these terms.
Name: bo-t'\o~uc-\te-r-
. (pICl5e print)
Signature: ~~~
Date: ~ { :, \ \ 01
3/02
~HAMPION
(~",.,. NVIRONMENTAL
'-- <:5~ SERVICES. INC.
~ ..----:.,..tI."\.~,~.~.
- -
-"'''':f~~'~'':' :..:.~_~+;~,jl..~:r.
414 D'ONOFRIO DRIVE, SUITE 310
MADISON, \VI 53719
60R-1I33-1244 . FAX: 6011-1133-1264
September 4,2007
FAX: (920) 236-5084
Mr. Brian Noel
City of Oshkosh
Inspection Services Division
P.O. Box 1130
Oshkosh, VVI 54903-1130
RE: Demolition Permit
Dear Brian:
LD35 5 )~G:lLtt'''< S)
Enclosed, please find a completed demolition permit application and a deposit check in
the amount of$370.00. Please let me know if you have any further questions.
Sincerely,
CHAMPION ENVIRONMENTAL SERVICES, INC.
~~ ~
Barb Mueller
Business Development Associate
1JG1
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REC IVED
SEP 5 2007
DEPARTrVJENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
08/30/2007 08:35
877-572-7732
Champion Environmental
8/30/2007
Page 2of2
Wal-Mart. 2035 S Koeller St., Oshkosh, WI
Items included in above are:
RAPID RECOVERY
PAGE 03
REC
~I~
tVED
SEP 5 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
. EP A Certified Technician to perform service and complete EP A documentation as required by the EP A
- Clean Air Act.
. EP A Certified and ARI Certified equipment will be used to recover all refrigerant.
. Rapid Recovery will recover unit(s) to EPA required levels.
. Rapid Recovery will recover all refrigerant into DOT approved recovery cylinders.
Ii Rapid Recovery will provide for the transportation of cylinders, when applicable.
. Rapid Recovery will take responsibjJjty for the liability and disposal of refrigerant, when applicable.
. Rapid Recovery will provide complete EPA Documentation for your records and archiving.
I appreciate the opportunity to bid on the above project. Please feel free to call me with an~ estions or
comments. fh I'\. (\
Approved by: 'Ow \-- \
Sincerely,
Paul Rh}nard
Rapid Recovery
Telephone: 773.686.1325
Facsimile: 877.572.7732
orhvnard@raor~.com
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Date: 1-1301 01 PO#
Please list your insuran.ce certificate requests below:
(Or attach as necessary.)
f , 000 000
) J
&~L..
\J 01 \( c.. 0 IV'l € ~ t o---t- v-t 0 ('-Y
A~'.i()~ -.:t(\s,->(~.. C.hc-(Y')f~O(\ (t\"'I~Q(\M~td~ $e(l/ic:.c.,s
3<6 \J~ ~(\A 0(.
&'Ilbur\-f:, _Il, loOl?>~
J
Payment terms are net thirty (30) daysfrom the date of invoice. Champion Environmental shall be responsible
for a.ll costs incurrp.d hy Rapirl Rp.r.overy to r.oller.t any amounts due under this quote; including but not limited
to, court costs and reasonable attorneys' fees. Late payments are subject to $30 late payment jet:!. Late fee will
be incurred on first day past 30 day net terms and each 30 days thereafter.
An Independently Owned and operated Franchise Company .
REFRIGERANT ABATEMENT EXPERTS@
P.O. Box. 10845 Glendale AZ 85318 877.3RAPRE~