HomeMy WebLinkAbout2008-Building (abandon pool)
OSHKOSH
ON THE WATER
Job Address 1405 PIERCE AVE
Designer
Contractor STAFFORD CONSTRUCTION
Owner RONALD USANDRA ROTHE Create Date 10/09/2008
Category 162 -Wrecking Residential Accessory Structures
Type ~ Building ~ Sign ~ Canopy
~ Fence
~ Raze Plan
Zoning Class of Const: Size
Unfinished/Basement Sq. Ft. Rooms Height Ft. ^ Projection
Finished/Living Sq. Ft. Bedrooms Stories Canopies
Garage Sq. Ft. Baths Signs
Foundation !.,Poured Concrete 0 Floating Slab 0 Pier (.Other ,
Concrete Block ~ Post ~ Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature
of Work
CITY OF OSHKOSH No 133374
BUILDING PERMIT -APPLICATION AND RECORD
SFR/ Abondon swimming pool! The walls will be collapsed and the hole filled in with clean fill. The site will be graded level and seeded.
HVAC Contractor
Electric Contractor
Fees: Valuation $4,200.00 Plan Approval
Issued By:
$0.00 Permit Fee Paid
^ Permit Voided
$53.00 Park Dedication $0.00
Date 10/09/2008 Final/O.P. 00/00/0000
Parcelld # 1604160000
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 an~nderstand the afore 'one 'formation. ~/
Signature r nAZ ~ 0 > Data /n-Q.-~ Sf
AgentlOwner
Address ' ~ f/S F-.,~ p~ Q/~fQJ Oshkosh
WI 54901 - 0000 Telephone Number 232-9308
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.
Plumbing Contractor
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
C /~C !H
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account Svstem and have adequate funds check here
ifyou want this processed through your account n
JOB ADDRESS (~ lL~ ~1, D~VC,Q, ,~ V{'_~ D,Q,~1 ~~ ,~
owNER_~~~ ~C>~m~N~. ~ f 11 ~'
CONTRACTOR
I am the: Owner OR ^ Contractor
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Work being done:
^ Addition
^ External Remodeling
^ Handicap Ramp
^ Sign/Canopy/Awning
^ Deck/Porch/Patio
^ Fence/Hedge/Kennel
^ Hot Tub/Spa
^ Stair/Handrail
^ Driveway/Parking
^ Garage/C)tility Structure
^ Internal Remodeling
^ Stove/Fireplace
Swimming Pool ^ Wrecking Permit
^ .Other
Additional information, such as plan submittal and approval; maybe required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
• Full description of work being done:,
Any work not included in this application is not permitted.
Value of the job $ ~j~l~ J, ~ ~ (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
I certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to be obtained. I acknowledge and agree to these terms.
~i~.D- `~ ~ ~ 1 I ~( o
r~~
Name: ~OI.NL~('su ~' ItD~GLL~ Roy-/lE~
(Please print)
Signature: ~
Date: 10 - ~3'--D£~
3/02