HomeMy WebLinkAbout0152632 - Building (raze building) CITY OF OSHKOSH No 152632
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 118 HIGH AVE
-- — Create Date 09/27/2012
Project razing commercial building
Project Number 0
Owner KINGS LAUNDRY INC
_ Plan
Contractor FOUST EXCAVATING
Inspector John Zarate
Designer
Category 285-Raze Structure(s)-Commercial
- — Type of Plan
Zoning C-3D0 ---- ---
Square Footage
Major Occ
- Const Class
Fire Protection ❑ Sprinkled 0 Unsprinkled
- - Sprinkler Design
Occupancy Permit -
Flood Plain Height Permit
Park Dedication
-- #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
COMM/razing biulding
AC Contractor --
- Plumbing Contractor - -
Electric Contractor
Fees: Valuation $80,000.00 Plan Approval $0.00 Permit Fee Paid $328.00 Park Dedication
Issued By: — — $0.00
Date 09/27/2012 Final/O.P. 00/00/0000
❑ Permit Voided
Parcel Id#0100870000
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 unde sta d entioned iryfprma ion.
Signature
Date /1Y/2----
Agent/Owner
Address 2824 CLAIRVILLE RD OSHKOSH WI 54904 - 9151 Telephone Number
-- - - (920)426-5808
* 285-Raze Structure(s)-Commercial 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 P Box 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050
Blllldlri Fax:(920)236-5084
Building Permit Application WWWci oshkosh.wi.us
Project
Address -
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Applicant Owner ontract
Tenant Other(describe)
Owner/
Tenant Name , .,C)c,\
Phone
Address
Email
Contractor Company Name
� � Phone . —Yee _
Contact r -eiCir-
'K Email • - T c) 1 .it l.-,
Address a..-• I' "/e f)
State Credential#'s
Dwelling Contractor ualifier# '
Q Dwelling Contractor# Building Contror Registration 4
Achitect/ Company Name � /
Designer �. /h. ✓-y^g r L�.sz.. - Phone .�v' -.- ) .-2�t(�/'
cre,f�ry Contact '1. b _ ----
c''' Email
Address
Permit Type Residential Single Family Residential Duplex p Commerci. Multifamily Industrial
Catagory New Addition Alteration
Project !-Q �
Description = �• _ ,�; `., t'
• v L1 (...✓a! .r- *AA - ,c c le-6J c IBC t ...L AIL
Mechanical Separate permits will be obtained for the following:
Permits Electrical by /
Plumbing by ■ uiti h • Heating by
Value of Job t
$ 6 G9 ).Cc) (Value for materials&labor is req.to ensure consistency in accessing
Payment by: g permit fees for all applicants.)
Y: Check # Cash Permit Fee Account
I certiA the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtain . I acknowledge and agree to these terms.
Name: ..."3—E' Ru -
(Please print) Date: SI 77 .012t1
Signature: 1,/ '.Ziff