HomeMy WebLinkAbout2013-Building (raze building) � CITY OF OSHKOSH No 156946
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 670 W 3RD AVE Create Date 07/29/2013
Project Raze Building Project Number 0
Owner CITY OF OSHKOSH Plan
Contractor CITY OF OSHKOSH
Inspector Nicole Krahn
Designer
Category 285-Raze Structure(s)—Commercial Type of Plan
Zoning M-2 Square Footage
Major Occ Const Class
Fire Protection � Sprinkled � Unsprinkled � Sprinkler Design
Occupancy Permit Fiood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection � Canopies Signs
Use/Nature
of Work
CITY OF OSHKOSH/Raze building located at 670 w 3rd Ave as part of the central garage project.
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $0.00 Park Dedication $0.00
Issued By: Date 07/29/2013 Final/O.P. 00/00/0000
❑ Permit Voided'i Parcel Id#0603790000
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 n enforce easement restrictions of which it is not a party, if you perform the work
described in this pe ' plication within an ent the City strongly urges the permit applicant to contact the easement
holder(s)and secure any necess o be or ing such activity.
I have re and understand the af re n ed i ormation.
Signatu Date 3
AgenUOwner
Address Oshkosh WI 54901 - 0000 Telephone Number
*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/publicaUons/a newpub/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
� �lLy �f OSlL��S� Oshkosh,WI54903-1130
� Phone:(920)236-5050
FaY: (920)236-5084
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State Gedential#'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 � �� ��
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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 certify the above information is complete and accurate. Any deviations from the above subn:itted information may require additional permits
to be obtained. I ac/uaowledge and ogree to these terms.
Name: (Please pr;nt) Date: :
Signature: