HomeMy WebLinkAbout153003 - Building (garage) CITY OF OSHKOSH No 153003
...44-OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER Create Date 10/17/2012
Job Address 1602 BO_W_EN ST
Owner RICHARD A/LAURIE M WEBER
Contractor WALLY SCHMID EXCAVATING
Designer --. -- ------ --- -
Inspector John Zarate _— —---- Plan
Category * 161 -Residential Raze --—
J
Type 0 Building 0 Sign 0 Canopy 0 Fence Raze— ----- --- ----- —
Class of Const: Size
Zoning R-�_ --
Unfinished/Basement Sq.Ft. Rooms
Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms
Stories Canopies
Signs —_
Sq.Ft. Baths —
Garage —
Poured Concrete 0 Floating Slab O Pier O Other
Foundation g
❑ Concrete Block ❑ Post
Treated Wood --- —
Occupancy Fee $0.00 Flood Plain Height Permit --
Occupancy Permit
0 #Structures
Park Dedication #Dwelling Units -- —
UselNature IRES/ Raze house and garage. Obtained writ to have the structures razed.
of Work
Plumbing Contractor _ — _--- —
HVAC Contractor —. ---
Electric Contractor Fees: Valuation $4,800.00__ Plan Approval $0.00 Permit Fee Paid $53.00 Park Dedication $0.00
Date 10/17/2012 Final/O.P.-00/00/0000
Issued By:
❑ Permit Voided] Parcel Id# 1510960000
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 ctivity.
I have read a�u de__rsnttan�_.ttt afo entio a inf mation. Date f ��
Signature V\ �C/v,/� - �
Agent/Owne
Address 7821 SWISS RD Oshkosh WI 54902 - 0000 Telephone Number 688-2496 —.
* be -Residential Raze See Chapter NR 447 of nc�oWisconsin
enf/asbestos/Administrative additional information at on on hazards present in the buildings gs see
Asbestos Program website;http://dnr.wi.gov/ / p
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,
a dypeo of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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.
40'1 //� j///�' P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
( G 1,
Address l 1I„, 6 (A/F rl/ S
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name e- 1`ty 0 f' O c i(G S l-( Phone
Tenant
Address Email
Contractor Company Name Wit-( (i/ S—C if VTt I j g X(' INC Phone C7 2 0 - 6 ls'cr- 1. V9 I-
Contact C L / S` C ( Vn I D Email (.(/SCSI v7l i c a l e Y C )y Lo,ci)lr
Address / W r�( S ct I S S' re 0
State Credential #'s ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
—
Permit Type (Residential Single Famit, Residential Duplex Commercial Multifamily Industrial
Catagory New Addition . Alteration ��
Project A Z E I( OU Sc i- 1/' vl-C 4 e r<_
Description
0 f S Q. 0 w ry c c-- 56 c*/ E K 4- U/6°1E r;
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ L 1 80 0 (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
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: tkl A-(f ;� e . Sc_/l/11/0 5k (Please print) Date: /D 17-12_
Signature: (,,d G�, k (Z s ✓ x,-)-i✓i«�