HomeMy WebLinkAbout0154813-Building (raze building) � CITY OF OSHKOSH No 154813 :
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1745 W 7TH AVE Owner 9TH AND 7TH STREET LLC _ ___ Create Date 03/21/2013
Designer Contractor EGBERT EXCAVATING INC
Inspector Nicole Krahn
Category * 161 -Residential Raze __ _ __ _ Plan
Type � Building � Sign � Canopy � Fence � Raze ;
Zoning R-1 _ 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 � Floating Slab � Pier � Other
� Concrete Block � Post 0 Treated Wood __ :
Occupancy Permit _ Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature SFR/raze building - -----
of Work I
,
,
I` --- ---- _ _ I
HVAC Contractor _ _ _ _ Plumbing Contractor
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval _ $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
ISSU@d B�/: �1w� ___ _ _ . —. ___ .
Date 03/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0613190000
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 nd the afore � ned� formation.
Signature ���1���
Date
AgenUOwner
Address PO BOX 462 GREEN LAKE WI 54941 - 0000 Telephone Number 920-294-6668
* 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-Demolitio�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 1130
C'lty �f OS���S� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fa�c: (920)236-5084
Building Permit Application ����.oshkosh.W�.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name
( �� �(/1 Phone
Tenant -
Address S (,i� f Email
Contractor Company Name � � Phone� ���
�� ��
Contact — Emai1G�,��(/1���G , ��'��/f(`�(?y `
Address + � �,�/�, ��G : �C�
State Credential#'s , �
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registr•ation#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project � ,
Description -
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job O O
$_SQ��. (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
1 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: � (Please print) Date: ,� — ,2 /-'��
Signature: