HomeMy WebLinkAbout0159172-Building (raze house) ;
� CITY OF OSHKOSH No 159172
�
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 424 N EAGLE ST Owner JACOB I PIETERICK Create Date 12/30/2013
Designer Contractor WALLY SCHMID EXCAVATING
Inspector Nicole Krahn
Category * 161 -Residential Raze Plan
Type � Building 0 Sign � Canopy 0 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 � Pier � Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee _ $0.00 Flood Plain Height Permit
Park Dedication _ _ #Dweiling Units 0 #Structures 0
Use/Nature SFR\Raze house-abandon sewer and water - --�
of Work
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HVAC Contractor Plumbing Contractor WALTER R SCHMID JR
Electric Contractor
Fees: Valuation $7,200.00 Plan Approval _ $0.00 Permit Fee Paid _ $86.00 Park Dedication $0.00
Issued By: l�T� Date 12/30/2013 Final/O.P. 00/00/0000
❑ Permit Voided�� Parcel id# 1609190000
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 ecessary approvals before starting such ctivity.
I have read an n erst n the af inentione info tion.
Signature Date � .Z '-�j()—1 3
AgenbOwner
Address 7821 SWISS RD Oshkosh WI 54902 - 0000 Telephone Number 688-2496
* 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 speci�ed 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.
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P O Box 1130
� �.Lty �f OS��OS� Oshkosh,WI 54903-1130
� Phone:(920)236-5050
F�:(920)236-5084
Building Permit Application ����.oshkosh.w�.us
Project ��' / � /_ � / ��
Address y � �Q
Applicant Owner Contractar " Tenant Other(describe)
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Tenant
Address '�t �t-( �� �/��v� � I Email
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State Credential#'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 �— U S �
Description
----� i S�c�ruN � c� s ��w� � � �ir/���:� � l��a. �r/_
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job � �`
$ ��Q, (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 i complete and accura . Any deviations from the above submitted information may require additional permits
to b obtai�y I ackwQwledge a ee to thes er s.
Nan1e. � ��r- -_.(Please print) Date: �a — �(�`� 3
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Signature: �� � � ,