HomeMy WebLinkAbout0156006-Building (raze misc. buildings) � CITY OF OSHKOSH No �ssoos
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 421 523 OREGON ST Create Date 06/05/2013
Project Raze buildings Project Number 20130481
Owner SIX RIVERS INVESTMENTS LLC Plan
Contractor BEAVER WRECKING
Inspector John Zarate
Designer .
Category 285-Raze Structure(s)—Commercial Type of Plan
Zoning C-3PD Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled ( Sprinkler Design
Occupancy Pertnit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
� Projection � Canopies Signs
Use/Nature
of Work
Raze buildings numbered 1-2 north and 9-12 south west and 1-3 south east and 13-15 south east and all buildings in the 4-7 and 19-18 south east
portions of GIS system.
HVAC Contractor Piumbing Contractor
Electric Contractor
Fees: Valuation $30,000.00 Plan Approval $0.00 Permit Fee Paid $195.00 Park Dedication $0.00
Issued By: �1� Date 06/05/2013 Final/O.P. 00/00/0000
❑ Permit Voided� Parcel Id#0900010000
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 re me oned information.
Signature � Date �j�5�f3
AgenUOwner �
Address W 8031 HWY 33 BEAVER DAM WI 53916 - 0000 Telephone Number 887-7030
*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 specifed 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
� �'lt''�,/ �f OS���S� Oshkosh,WI 54903-1130
J J Phone: (920)236-5050
� Fax: (920)236-5084
Building Permit Application �W��i.oshkosh.wi.us
Project � /
Address ��� --� ��i 3 �2 F Co0(N S�
Applicant Owner __ cr� to� Tenant Other(describe)
Owner/ Name S 1� �\ U C fZ S �.�G. Phone
Tenant
Address Email
Contractor Company Name (��(�v�2 SE�Z f/(G c S r N� Phone 92 0– a(OU 3 0 2_
Contact ��Qih� R���e�` Email
Address c,U $0 3 l H f�3 3
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 dustrial
Catagory New Addition Alteration
Project p cm c���i io,r/
Description
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by n(� �-I ANSF',¢� Heating by
Value of Job ..�—
$ ���(�d� (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 require additional permits
to be obtained. 1 acknowledge a agree to these terms.
Name: n ' � (� �� :
1J`(��k�� �n Q (Please print) Date: _ �'j— ��20��j
Signature: �