HomeMy WebLinkAbout154811-Building (raze duplex) � CITY OF OSHKOSH No 154811
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1735 1737 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 0 Canopy � 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 � Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood —_
Occupancy Permit _ _ Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units __0 #Structures 0
Use/Nature !DUPLEX/raze building -- - ,
of Work ' '
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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: _ Date 03/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided, Parcel Id#0613200000
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 app ovals before starting such activity.
I have read and u stand the afore m i�nformation.
Signature Date J J r � �
AgenUOwner
Address PO BOX 462 __ GREEN LAKE _W� 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
� �'Lty �f Os���s� Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fa�c: (920)236-5084
Building Permit Application �'�'N'•ci.oshkosh.wi.us
Project
Address
Applicant Owner Contractor Tenant Other(describe) `
Owner/ N�e S ` Phone
Tenant
Address /�,3�- �r13 � (,�l• � T H .(�/� Email
Contractor Company Name Phone Z� �{- � ,� :
Contact � Email�����,�'(', Q� ��/L)Z Y�?
Address LU 0.3 i 1. �L . ��rz_H./:')G1L- � ��G • /lI E Zr
� ,���CT � � 111r2�
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type esidential Single Family x 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 0 CI
$���Q�� (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above information is complete and accurate. Any deviations from the above submitted information may requii�e additional permits
to be obtained. I ac�-nowledge and agree to these terms.
Name: ./ .�i C� (Please print) Date: 3��, ` �` �
Signature: