HomeMy WebLinkAbout2013-Building (raze school) � CITY OF OSHKOSH No 156839
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 112 VIOLA AVE _ _ _ Create Date 07/22/2013
Project raze building ______ _ Project Number 20120223
Owner OSH AREA SCHL DIST OAKLAWN Plan
Contractor OSTRENGA EXCAVATING INC
Inspector John Zarate
Designer
Category 285-Raze Structure(s)-Commercial Type of Plan
Zoning R_1PD ___ 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
UselNature
of Work
COMM/raze old school building for new construction
�"ck#47393`*
— �
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $21,000.00 Plan Approval $0.00 Permit Fee Paid $163.50 Park Dedication $0.00
Issued By: , ��- Date 07/23/2013 FinallO.P. 00/00/0000
❑ Permit Voided� Parcel Id# 1514850000
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 authorit to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application w� in n easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secu a y neces ry pprovals before starting such activity. '
1 have read and un erst d the o entioned information.
signature l Date � Z� / 3
Agent/Owner
Address 336 ILLY LAKE RD GREEN BAY WI 54311 -0000 Telephone Number 920-863-8389
* 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/pubiications/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.j,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.
Catagory New Addition Alteration
Pro j ect
Description
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� Phone:(920)236-5050
Fa�c: (920)236-5084
Building Permit Application "'"'"'�".°S"'`°Sh.`"'.°S
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name Phone
Tenant
Address Email
Contractor Company Name U�'l`R��(��� �j�c�¢-�,�f��.-�� Phone `� Z�� ��3 -- �53��
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Address ���� �sC y L.�Kc� /`Z/ti� � � �r ��j��
State Credential #'s ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai 1
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Proj ect
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ ��, !�O C1,c�c: (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 subntitted informati n may r quir�e additional per•mits
to be obtained. o ledge and agree to these terms.
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Name: �-.l�K— � � ��^-� ��-�'---� (Please print) Date: 2' �
Signature: - �_.