HomeMy WebLinkAbout0154618 - Building (razing house) CITY OF OSHKOSH No 154618
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 235 IDA AVE Owner CITY OF OSHKOSH REDEVELOPMENT AUTHOR'. Create Date 03/05/2013
Designer Contractor TOM VAN HANDEL CORP _
Inspector John Zarate
Category * 161 -Residential Raze Plan
Type • Building O Sign 0 Canopy 0 Fence 0 Raze
Zoning R-2PD 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature SFR/Razing the existing 2 story house. Leveling the
lot and seeding.
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation : 00.0. Plan Appri. $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: / lL , Date 03/05/2013 Final/O.P. 00/00/0000
Permit Voided Parcel Id#0703630000
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 1830 E EDGEWOOD DR APPLETON WI 54913 - 7757 Telephone Number (920)735-1221
* 161- Residential 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 Box 1130
Cityof Oshkosh G L Oshkosh,WI 5 54903-1130
.J Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application ww.vci.oshkosh.wi.ns
Address c2 3 ,S 0 J /U1 O f Au F
Address /Y
Applicant Owner Contractor Tenant Other(describe)
Tenant/ Name Ci7 d s /� - Phone
Address J Email
Contractor Company Name Ton Ue-4, )4,14 6. Phone 2090, 73S- I a� I
/' / C-�41SC-�-
Contact Email
Address /8 3 F ,.L,aeorel G, 4pph:Li
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 Commercial Multifamily Industrial
Catagory New Addition Alteration
Project
Description J 1-).-7 ,,�,, C--
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heatin g by
Value of Job $ yk j bC.
(Value for materials&labor is req.to ensure consistency in acce permit fees for all applicants.)
Payment by: Check # Cash �13ermit Fee Account
I certi&the above information is complete and accurate. Any deviations from the above submitted in ormation may require additional permits
to be obt fined I aclledge and agree to these terms.
Name: /'4 / n ,Sr 3- 5 )�
(Please print) Date:
Signature: 6V i