HomeMy WebLinkAbout0157254-Building (raze warehouse) � CITY OF OSHKOSH No 157254
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OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 421 523 OREGON ST Create Date 08/15/2013
Project Commercial Raze Project Number 20130481
Owner SIX RIVERS INVESTMENTS LLC Plan
Contractor FRIENDSHIP DAIRY FARM .
Inspector Nicole Krahn
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 Permit _ Flood Plain Height Permit :
Park Dedication #Dwelling Units 0 #Structures 0
� Projection ; Canopies Signs
Use/Nature
of Work
COMM\Removing warehouse in the parcel's center.Foundation removal by others. �
HVAC Contractor __ Plumbing Contractor :
Electric Contractor
Fees: Valuation $14,250.00 Plan Approval $0.00 Permit Fee Paid $130.00 Park Dedication $0.00
Issued By: � Date 08/16/2013 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 understand the afore mentioned information.
Signature Date
AgenUOwner
Address PO BOX 482 MARION WI 54950 - 0000 Telephone Number 920-883-9750
* 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�l!,y �f OS!l.��S� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application ����.oshkosh.W�.�s
Project /1� r s�-3 �2 D N J ✓ -
Address '� �j
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name�,(�QI.S (�I ' f 1 X-4 Phone ���-" 7 0/ ' r �'��}"-"'
Tenant ���. �d,
� Address �S� Email
Contractor Company Name , S ��� . Phone �� `' �3 '� ��S� "�
Contact Q� ��� ��1 — Email � ���q�e�((/��'��Q (,t�,o�- ,a�
Address � SS-� l �T� J�� _ �/��✓11.G'� LeJ�
State Credential#'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
� Contact Email
NAddress
Permit Type Residential Single Family Residential Duplex Commer ' Multifamily Industrial
Catagory New Addition Alteration
Project �.�jM n(�-?�'v,.� 1 oi.c�c� �2c,�� �,�N i' �-- 1 �D y� �5 i:�r� y�S�S 7 �S-ave>
Description / ��
�� � / " / �a U-�!X � ����/p ��.
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job
$ (Value or materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # j� Cash Permit Fee Account
ce ify the above inforn:ation is ca�aplete and accurate. Any deviations from the above submitted information may requir•e additional permits
to be btai d. I acknow dge and agree to these terms.
Name. ��i-i���-� (Please print) Date: 3
Signature: