HomeMy WebLinkAbout2013-Building (raze) � CITY OF OSHKOSH No �ss3s2
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2200 WITZEL AVE Owner DK PROPERTIES OSHKOSH LLP Create Date 04/30/2013
Designer Contractor L.G.KIENAST UTILITY
Inspector Nicole Krahn
Category * 161 -Residential Raze Plan
Type � Building 0 Sign � Canopy � Fence � Raze �
Zoning C-1 PD 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 0 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 SFR\Raze residential structure
of Work
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HVAC Contractor Plumbing Contractor C SWEETING PLUMBING LLC
Electric Contractor
Fees: Valuation $4,000.00 Plan Approval $0.00 Pertnit Fee Paid $58.00 Park Dedication $0.00
Issued By: � Date 04/30/2013 Final/O.P. 00l00/0000
❑ Permit Voided i Parcel Id#0614210000 :
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshko has no Gthority to enforce easement restrictions of which it is not a party, if you perform the work
described i i�p a i n within an easement,the City strongly urges the permit applicant to contact the easement
holder(s and e u cessary approvals before starting such activity.
I havf read the afore mentioned information.
Sign�tu Date � /
AgenUOwner :
Address 765 N WASHBURN Oshkosh WI 54904 - 0000 Telephone Number 920-231-0898
* 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 ll30
� �lt � OS���s� Oshkosh,WI 54903-1130
y ,f Phone:(920)236-5050
` FaY:(920)236-5084
Building Permit Application WWW���.oshkosh.W;.us
Project ��� � r�L� �
Address l �V��
Appticant Owner Contractor Tenant Other(describe)
Owner/ Name�, �� � 11J,a%✓�'�-S Phone 2� �—�SCSQ /
Tenant
Address � Z-I � (�i ��� � _ Email G�SIt�� (',Y1G--�7�-, n �
Contractor Company Name � �I Phone
Contact �(yJ'"� ��)C� �C�e �� Email
Address
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
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job '
$ `�,�_ �— (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I cert' the above information is complete and accurate. Any deviations from the above submitted informatio may require additional permits
t obta ned. I ckno ledge and gree to these terms.
Name• / � (Please print) Date: �U
Signa re:
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