HomeMy WebLinkAbout0146761-Building (raze barn, garage & chicken coop) CITY OF OSHK No 146761
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 4344 JACKSON ST Owner CLARENCE /CHARLO EICHSTADT Create Date 07/11/2011
Designer Contractor L.G. KIENAST UTILITY
Inspector John Zarate
Category * 162 - Wrecking Residential Accessory Structures Plan
Type • Building O Sign 0 Canopy 0 Fence 0 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
O 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 barn, garage& chicken coop" No utilities are involved
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuat' • $7,700.00 Plan Approval $0.00 Permit Fee Paid $74.00 Park Dedication $0.00 Issued By: `�� Date 07/11/2011 Final /O.P. 00 /00 /0000
\i ❑ Permit Voided I Parcel Id # 1532420000
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 unders nd the of entioned information.
Signature D � Date 7
Agent/Owner
Address 765 N WASHBURN Oshkosh WI 54904 - 0000 Telephone Number 920 - 231 -0898
* 162 - Wrecking Residential Accessory Structures 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.
City of Oshkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OJHKOIH
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account fl
JOB ADDRESS < 3 I ( P.deCG'in )I\
OWNER C lOf PA C , "\- kit SLd c '
CONTRACTOR r6 _ / (7
I am the: ❑ Owner OR c ontractor
U E CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ligWrecking Permit
❑ Other
Additional information, such as plan submittal and approval, may be 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: "kik ze. ct /x4 t L.' e bety A j
j'a r a j -2 0 A, c ems e_ado D
Ni o v--r c ri >E 7
Any work not included in this application is not permitted.
Value of the job $ 790 a4 (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.
Name: / /,t6j1
/ (Please print)
Signature: /►- ' /
Date: 7/i /
� i/ %.'• 3/02