HomeMy WebLinkAbout0154800-Building (raze office bldg) � CITY OF OSHKOSH No 154800 :
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1746 W 9TH AVE _ __ Create Date 03/21/2013
Project raze building
- _. _—_ _ Project Number 20130384
Owner 9TH AND 7TH STREET LLC Plan
Contractor EGBERT EXCAVATING INC
Inspector Nicole Krahn
Designer
Category 285-Raze Structure(s)-Commercial Type of Plan
Zoning C_1 _ Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled
� Sprinkler Design ___
Occupancy Permit __ _ Flood Plain Height Permit
Park Dedication _ _ #Dwelling Units 0 #Structures 0
� Projection Canopies Signs
Use/Nature
of Work
ICOMM/raze building --- - ------- ---- -- -
,
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: _ ��� Date 03/21/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#0613180000
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 fore starting such activity.
I have read and u er and the afor ioned' rmation. � � I /��
Signature Date
AgenbOwner
Address PO BOX 462 GREEN LAKE _ WI 54941 - 0000 Telephone Number 920-294-6668
* 285-Raze Structure(s)-Commercial 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�y �f OSlL�OS� Oshkosh,WI54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application ����.oshkosh.W�.�s
Project
Address '.
Applicant Owner Contractor Tenant Other(describe) '
Owner/ N�e /� ��S �D� �,� Phone
Tenant —�� :
Address 1 7 � 6 (,(�. � l��{,�f Email
Contractor Company Name r _ , Phone L q � ���G'�_
Contact Email !Q` C
Address / �
' f E� : �/E`�
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 R
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Vatue of Job �- /7 � a
$ � �al,� . (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 1he above informatiora is complete and accurate. Any deviations fi�om the above submitted infornaation may regui��e additional permits
to be obtained. I ac�-nowledge and agree to these terms.
Nanle: .��{/,,� /EG �6�F� � (Please print) Date:� �—��
Signature:
/�� , � �_