HomeMy WebLinkAbout0154809-Building (raze 4 unit bldg) � CITY OF OSHKOSH No 154809
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1723-1729 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 � Treated Wood — _ __
Occupancy Permit __ Occupancy Fee __ $0.00 Flood Plain Height Permit
Park Dedication ____ #Dwelling Units 0 #Structures 0
Use/Nature ,MULTI/raze building — —� --
of Work 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
Issued By: J ••1�r- Date 03/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0613030000
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 u tand the a ntio d information.
Signature Date �— ,Z,r V!�
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-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 1130
� l�'lty �f OS��OS� Oshkosh,WI 54903-1130
� Phone: (920)236-5050 :
F�: (920)236-5084
Building Permit Application ��ci.oshkosh.wi.us
Project
Address
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name S' Phone
Tenant
Address 3- • �s' � - � ,2 Email
Contractor Company Name Phone__� cJ y ��rg
� �
Contact Email � - � G � (�(��_
/ l/� ' � i�'G NC-
Address�,(lt��oZ�� /�,�-c�� b' l�t�� �7�.�O�� �AI-p
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Regish•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 �
$ ��� � (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cerlify the above info��mation is complele and accurate. Any deviations from ihe above submitted information may reguire additional permits
to be obtained. I acknowledge and agree to these terms.
Nan1e: ' �7 �� ` (Please print) Date: 3 ' 2 l �/�
Signature: `