HomeMy WebLinkAbout0154357 - Building (raze building ) CITY OF OSHKOSH No 154257
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 400 CEAPE AVE Create Date 01/17/2013
Project RAZE BUILDING Project Number 20130303
Owner OSHKOSH HOUSING AUTHORITY Plan
Contractor W&D NAVIS INC
Inspector John Zarate
Designer
Category 285-Raze Structure(s)—Commercial Type of Plan
Zoning C-3 Square Footage _
Major Occ _ Const Class _
Fire Protection O Sprinkled 0 Unsprinkled J Sprinkler Design
Occupancy Permit Flood Plain _ Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Projection Canopies Signs
Use/Nature
of Work
Comm Raze building*The site shall be cleared of all building elements and brought to a clean and level surface. Seeding shall be done upon
completion of the project.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $75,240.00 Plan Approval $0.00 Permit Fee Paid $356.00 Park Dedication $0.00
Issued By: Date 01/23/2013 Final/O.P. 00/00/0000
Permit Voided i Parcel Id#0800280000
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 PO BOX 48 WAUPUN WI 53963 - 0048 Telephone Number 920-324-9541
* 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.
�i
� bO O , ° P O Box 1130
City of Oshkosh !, ;I ',` t I rt6re x^4 "5 " Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application www•ci.oshkosh.wi.us
t
Address 460 dcare., Aven u.e Os ),r, , (f � ) 54 q�a
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address VV I Inc mail (}
Contractor Company Name Y- b I vO-V'l /
S'l ' Phone qAo) ..3 j- gqq c
Contact ben fl 1 6 I tLV I S Email girl Gjd Jet/iS • 1
Address N21-'-)1 S e Ad. L' Ro. 6>c �, L0ap�, W 15'7&
State Credential#'s , I(0149 "1
Dwelling Contractor Qualifier 4 Dwelling Contractor 4 Building Contractor Registration 4
Alt hitect/ Company Name Phone
Designer
Contact Email
Address _
Permit Type Residential Single Family Residential Duplex ----, Multifamily Industrial
Category New Addition Alteration
Project " ra. e `'' rom a V i✓ 1 S T7 12W l , !< .-'r - 'el
Description i
JAN22 2013
L) f'Mi i C'1 :sNI i ,._t'_
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INS-PE-9V' :tIC'" '_`.'': ,Tn°
Mechanical Separate permits will be obtained for the following: �� ( j� (�� •
Permits Electrical by Plumbing by V t/ t "�'�l�I Heating by
Value of Job
$ si p\i1 D, (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # IS i g I 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 acknowwledge and agree to these terms. 1
Name: ��eY1�� ! v 1'�� l r$s�i derv-I- (Please print) Date: I• 15- e O 13
Signature: `'-�-� ,