HomeMy WebLinkAbout2013-Building (raze house). � CITY OF OSHKOSH No 158313 '
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1841 PLYMOUTH ST Owner DANIEL J/BARBARA J RICHARDSON Create Date 10/17/2013
Designer Contractor DAVE RABE EXCAVATING
Inspector John Zarate
Category * 161 -Residential Raze Plan
Type � Building � Sign 0 Canopy � Fence 0 Raze �
Zoning R-1 ____ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ,
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab 0 Pier 0 Other
� Concrete Block � Post � Treated Wood -- —
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
UselNature SFR/razing house/laterals were capped already I
of Work
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $2,000.00 Plan Approvai $0.00 Permit Fee Paid $44.00 Park Dedication $0.00
Issued By: �g', Date 10/17/2013 Final/O.P. 00/00/0000
❑ Permit Voided' Parcel Id# 1216850000
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 r an derstand the afo ntioned information. ����.�
Signature L{t.-�/ Date
� AgenUOwner
Address PO BOX 3521 OSHKOSH WI 54903 - 3521 Telephone Number 235-3907
* 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
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
� City of O.S!L��s� Oshkosh,WI 54903-1 L.iO
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application �W��l.oshkosh.wi.us
Pro�e�t `�
Address 7� �� p I%' ^
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name��vt �� i� �I G � ,S a vt Phone
Tenant
Address Email
Contractor Company Nam�,�(t� K�.+�-c, �'!c 'l/ .E!'f ��l i Phone ��-��7� � ��
Contact Email �,�,`�� J��:,,�it �'G�L ;{?"�
Address �U � o,�� 3�� �����?/���'�° !il/�• r c �-ti
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State Credential#'s , , �.5�,}�LI :
Dwelling Contractor Qualifier# Dwelling Contractor# Building ConU•actor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily lndustrial
Catagory New Alteration
Project
Description
, /
� F' j?��� �i�7�"i'''%' � !�1�'��e_
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �7 � ��L� �a
$__ _Vl.� (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 informarion is conzplete and accurate. Any deviations fro�n the above submitted information mav require additional permits
to be obtained. 1 acknowledge and agree to these terms.
N3me: _���� �/��-2 (Please print) Date: �d ^/ � /� ;
Signature: �../�-_._ ���