HomeMy WebLinkAbout0143754-Building (raze) CITY OF OSHKOSH No 143754
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 669 JEFFERSON ST Owner CITY OF OSHKOSH REDEVELOPMENT AUTHOR! Create Date 10/21/2010
Designer Contractor TOM VAN HANDEL CORP
Category * 161 - Wrecking Residential Dwellings Plan
Type 0 Building 0 Sign 0 Canopy 0 Fence • Raze
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 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 SFR/ Raze buillding' The site shall be made level and free of debris.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $7,000.00 Plan Approval $0.00 Permit Fee Paid $0.00 Park Dedication $0.00
Issued By: Date 10/21/2010 Final /O.P. 00 /00 /0000
❑ Permit Voided Parcel Id # 0402320000
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
Agent/Owner
Address 1830 E EDGEWOOD DR APPLETON WI 54913 - 7757 Telephone Number (920) 735 -1221
*Raze See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500 -113 on the DNR Asbestos Program website;
http: / /dnr.wi.gov /air /compenf /asbestos /. For additional information on hazards present in buildings see the Pre - Demolition Environmental Checklist at
http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
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.