HomeMy WebLinkAbout0146978-Building (raze structure) No 146978
CITY OF OSHKOSH
.)6HKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1633 NEBRASKA ST
Owner JUSTIN K ESLINGER Create Date 07/26/2011
Designer
Contractor ZILLGES EXCAVATING
Inspector Nicole Krahn Plan
Category * 161 - Wrecking Residential Dwellings
Sign Type • Building ❑ g 0 Canopy ❑ Fence 0 Raze
Zoning
Class of Const: Size
Hei ht Ft. ❑Projection I
Unfinished /Basement Sq. Ft. Rooms g
Finished /Living Sq. Ft. Bedrooms
Stories Canopies
Signs
Garage • Sq. Ft. Baths
Foundation 0 Poured Concrete 0 Floating Slab
Pier 0 Other
0 Concrete Block O Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication
# Dwelling Units 0 # Structures 0
Use /Nature SFR\ Razing residential structures
of Work
HVAC Contractor
Plumbing Contractor ZILLGES EXCAVATING
Electric Contractor
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $25.00 Park Dedication $0.00
Issued By: /9rk__ Date 07/26/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided I Parcel Id # 0305730000
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 a ecessa provals before starting such activity.
I have read and understa t tinned information.
Date
Signature ,
Agent/Owner
Address 1800 FOUNTAIN AVE OSHKOSH WI 54904 - 0000 Telephone Number 920 - 231 -1994
* 161 - Wrecking Residential Dwellings 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. p df
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
P Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050 01HK01H
Fax: (920) 236 -5084
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
f you want this processed through your account fl
JOB ADDRESS 1 6 / / V b✓ t S, Cf S
OWNER
CONTRACTOR 7 ` ( C, P S ei -'-e v' (t IS
I am the: ❑ Owner OR E Contractor
USE CATEGORY
PSingle 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 0 S/Handrail ❑ Stove/Fireplace
❑ Swimming Pool Ef Wrecking 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: Gap S 4,n,u
Any work not included in this application is not permitted.
Value of the job $ kfC0 • PO (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:
(Please print)
Signature:
Date:
3/02