HomeMy WebLinkAbout0154448 - Building (Raze garage) CITY OF OSHKOSH No 154448
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1715 DOTY ST Owner MYRA MISLES-KRHIN _ Create Date 02/13/2013
Designer _ Contractor SUSTAINABUILD LLC _
Inspector Nicole Krahn
Category * 162-Residential Raze Accessory Structure Plan
Type 0 Building O Sign O Canopy O Fence • Raze _
Zoning R-2 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 O Pier O Other
0 Concrete Block O Post O Treated Wood —
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature DUPLEX/Razing the detached garage due to a fire. The garage is falling over currently. The owner is required to obtain a permit for
of Work reconstructing the garage and/or providing a compliant off-street parking area by June, 1 2013. The existing concrete slab is required to
be removed when the garage is razed.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid _ $37.00 Park Dedication $0.00
Issued By: L �--1 Date 02/13/2013 Final/O.P. 00/00/0000
Permit Voidedl Parcel Id# 1400300000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and and tand a afo mentjon$d information. `s=--D2--1 -z°1--3
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Signature �/� � JG
Agent/Owner
Address 540 E BLACKWOLF AVE OSHKOSH WI 54902 - 9185 Telephone Number 920-420-5020
*Raze 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.
P O Box
Oshkosh,WI 54903-113 1130 0
Phone: (920)236-5050
111..-.--114111111r114) City f Q Oshkosh J Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project r 1y5— jTy $f, /( t7 t��5w
Address ( I
Applicant Owner Contractor:.---) Tenant Other(describe)
Owner/ Name 1-)Aoki t(bi+r,--)
Phone 120 27? ZW6I
Tenant
Address
Z y61 I New P,,r� Email
Contractor t Phone�9Z"�`1� 502
Company Name .5J`-)i-^� ^�'i QF1, 1 41 � ►.t'[
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Contact gr-e,,-1— �v�tie.AA"- Email S--)S ,,'ti-‘,.,:'id; C-LC_
Address 7 (/(2 C g(A-ikt„mftr A-v
State Credential#'s '
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family (%Residential Duplex mmercial Multifamily Industrial
Catagory New Addition Alteration
Project Rte-ter de- - f-r Ai= 6,14-1 4-eic a 6 ! Gec2T
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ U (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # at, Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
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obtained. I acknowledge and agree to these terms.
Name: 2/�.:./ C�`t (Please print) Date: 2 ° �3 Z /3
Br- ' - L. ►. 4,1,1,r—
Signature:_