HomeMy WebLinkAbout0157514-Building VOID VOID VOID � CITY OF OSHKOSH No 157514
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD V O I D
ON THE WATER
Job Address 638 W 9TH AVE _ Owner INVESTMENT PROPERTY SOLUTIONS LLC Create Date 08/29/2013
Designer Contractor OWNER
Inspector Andrew Prickett
Category * 161 -Residential Raze _ Plan
Type � Building � Sign � Canopy � Fence � Raze I
2oning R-2 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms _ Height _ Ft. ❑ Projection I
Finished/Living _ Sq.Ft. Bedrooms Stories Canopies
Garage _ Sq.Ft. Baths _ Signs
Foundation � Poured Concrete � Floating Slab � 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 house and accessory structures" Because this property is subject to the pending raze order/circuit court lawsuit,additional i
of Work onditions would be placed on these permits, including: 1)all demolition work must be completed within 60 days(from the date the �
�permit is issued);2)if all demolition work is not completed within 60 days,then the raze order will be automatically reinstated;3)no
�existing structure may be occupied and no occupancy permit will be issued for existing structures;and,4)no building'ermits will be
lissued for the property until all demolition work is completed.All foundations shall be removed.
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HVAC Contractor _ Plumbing Contractor
Electric Contractor
Fees: Valuation _ $4,000.00 Plan Approval $0.00 Permit Fee Paid $0.00 Park Dedication $0.00
Issued By: Date 09/03/2013 Final/O.P. 00/00/0000
0✓ Permit Voided � not doing work Parcei Id#0601190000
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
Agent/Owner
Address _ __ Oshkosh WI 54901 - 0000 Telephone Number
* 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 buildinys 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.
�� CITY OF OSHKOSH No 157514
OSHKOSH BUILDING PERMIT -APPLICATIt�N AND RECORD
ON THE WATER
Job Address 638 W 9TH AVE Owner INVESTMENT PROPERTY SOLUTIONS LLC Create Date 08!29l2013
Designer Contractor OWNER
inspector Andrew Prickett
---_
Category * f61 -Residential Raze P�an
Type � Buiiding O Sign (,) Canopy ,(j Fence �i ftaze
Zoning R-Z Class of ConsL• Size i
Unfinished/Basement Sq.FL Rooms Height Ft. ( � Projection
Finished/Living Sq.FL Bedrooms Storles Canopies
Garage Sq.Ft, Baths 5igns
Foundation � Poured Concrete O Floating Slab (� Pier (� Other
(_) Concrete Block Q Post (1 Treated Wood -
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedicatlon #Dweliing Units 0 #Structures 0
UseJNature SFR/Raze house and accessory structures` Because this property is subject to the pending raze order�circuit court lawsuit,addi;ional
of Work conditions wouid be piaced on these permits,inctuding: 1)ail demolition work must be completed wilhin 60 days(from the rate ihe
permit is issued);2)it ail demolition work is not compieted within 60 days,then!he raze order will be automatically re;nstated;3)no
�existfng structure may be occupied and no occupancy permit will be issued for existing strucwres;and,4)no buiiding permits wil(be
�issued for the property until ail demolition work is completed.All foundations shall be removed.
HVAC Contractor Plumb(ng Con[ractor
Electric Contractor
Fees: Vafuation $4,000.00 Plan Approvai 50.00 Permlt Fee Paid S0.00 Park Dedication SO.OG
Issued By: ��_`' Date 09/03/2013 Finai/O.P. 00%00/O�OC
i Permit Voided Parcel Id k C601199p00
in the pertormance 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 ihe work
described in this permit application within an easement,the City strongiy urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and nderstand the afore mentioned information.
Signature � �rv�crl-r,�,,,..-} � �„- v ; C.t(pate �f���-j .?�
AgenUOwner
Address Oshkosh WI 54901 -0000 Telephone Number
* 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
�
,
i
I
I
To schedule inspections please cail the tnspection Request line at 236-5128 noting the Address, Permit Number,Type of
I�spection(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 Box1130
� �Lty �f OSG��SlG Oshkosh,WI 54903-1130
� ��' Phone:(920)236-5050
Fa�c:(920)236-5084
Building Permit Application �w•ci.oshkosh.w�.us
Project
Address �2j� '�►� �"� ��I rL
Applicant wner Contractor Tenant Other(describe) :
Owner/ Name �v i � �c�n,.r_.�._-,� Phone gao �a�s^ ��1Q
Tenant �r�c����k �lQ�}�
Address � `�to�7 ..�' ,,..,:,,, .r- Email l.J� �,c15����-h..,�., ,.
Contractor Company Name_� Phone
Contact Email
Address
State Credential #'s , ,
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Emai I
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 $ Lj� �a �j (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certifv the above information is complete and accurate. Any deviations from the above submitted information may requir•e additional per�mits
to be obtained. I acknowdedge and agree to these terms.
Name: ��r;� �c���,�,r (Please print) Date: �-_�� — �,�
Signature: `��..�