igrpotആphpȓdfpbpu ȚufSᴉWWfyy ءfp᠗ᜣCpCwfypOyᴉ1fpSufwfWpsEWpyO1CᴝfWpsypspksSxfᴫ Razing permit appl ID: 845727
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1 _Èazi_nzg pegrpr_mà´Èrà¸n igà¼rpo(t
_Èazi_nzg pegrpr_mà´Èrà¸n igà¼rpo(tà´phpÈdfpbpuá . Èu)fSá´_WW,fyy---------------------------------------------------------- Ø¡fpá //á£CâpCwf*yp*Oyá´1fpSu*⤢fwfWpsEWpyO1*Cá´fWpsypspksSxfá´« _____ Razing permit application áhis item is all that is needed foà¬à¬sidential _RRazzÔg buildings; i.e., garagesᬠ_____ á°wer and Water disconnection permit application áigned by a Ḡsconsin-licensed PlumbeଢUtility Contractoà¬. âosion Control peà¬it application, signed by the propeà¬y owneଦ _____ One á¨) site plan, listing timeframe of wo଩, location of construction entrance, location of storm sewer inlets, existing and pà¬posed grades, method of stabilization afteà¬à¬ze, and location and list of types of all Best Management Pà¬ctices á«Mâs) being used. _____ Wisconsin DNR â¬RTS or otheà¬envià¬nmental site occuà¬ence. _____ Please d that it will be transpoà¬ed fà¬m.ᬠá¯ote: Fill material may not be combustible᬴ __________________________________________________________________________________ __________________________________________________________________________________ M áfBpR/fsyfpSá¥wsSwpwâpoá¤/pt,áCá¥pokfSCs/Cywpswp.'.D'NTDv.vFpUCwPpã§fywCá¥yp,fáá¨Câps⤩/CSswCá¥p,fã§Cá¨âây _____ Utility à¬moval signâff sheet. _____ project. The bond needs to be "job specific" with the address of the pà¬ject listed. Please use the same format as the attached Payment and âà¬ormance Bond ãount of â¬nd:______________________ If not submitting Bond, please d escଠbe alternate foଠof security in amount deemed à¬asonably necessaଠfoଠof secuଠty prior to application submission᬴ _______________________________________________________________________________________ _____ âwer of ãtoà¬ey fà¬m insuà¬nce company issuing the Bond. _____ âoof of comprehensive Liability Insuà¬nce in the amount of One Million Dollaଠáº1,000,000.00á¬per occuà¬ence and peà¬peà¬on and Fifty ãousand Dollaଠáº50,000.00á¬propeà¬y damage. _____ 625 52 nd á°à¬et, Room 305, âone 262.653.4050. _____ Copy of preâaze asbestos inspection documentation fà¬m a Wisconsin-licensed Inspection firm. Do asbestos mateଠals exist upo
2 n oà¬within the stà¬cture? Yes ____
n oà¬within the stà¬cture? Yes _______ No_______ If äes,äand the à¬ze is being peà¬ormed on a álease check one, if applicable᬴ ______One- or Two-family building ____ ãà¬e- or ãuଠfamily building, then pl á ncluded in this packetá¬âDepaà¬ment of Health á°à¬±ices, and: ____ Include a copy with this permit application packet. _____ Mail original át least fouà¬[4] wo଩ing days pଠor to beginning any demolition activity, including any asbestos abatementá¬to the following áee foଠfoà¬other deliveଠmethods᬴ :fâ¤Dpáp(fs/á´¡pá,ACSfy ãbestos and Lead Section, Room 137 P.O. Box 2659 One West Wilson á°reet Madison, ḳ 53701-2659 Department of City Inspections | 625 52 St Rm 100, ä¬nosha WI 53140 | âone: 262.653.4263 | Fax: 262.653.4254 | Email: bldgpeà¬its@kenosha.oଠ| kenosha.oଠ_kk/CSsá´¤uEpá ,prsãpRf,*Cá´iuAf,pá¡ffá´hpÈdfp.puá . _____ If the à¬ze is being peà¬ormed on a álease check one, if applicable᬴ _____ F iveâamily áà¬moà¬) building _____ Commeà¬ial building _____ Oneâ Two-, Three-, oà¬Fouଠfamily that is paଠof a largeà¬project, please complete Form 4500â¨13 â "Notification of Demolition and/oà¬Renovation and ãplication foà¬âà¬it âªemption" á ncluded in this packetᬠand: _ ____ Include a copy with this peà¬it application packet. _____ Mail o riginal át least ten [10] wo଩ing days prioà¬to beginning any demolition activity, including any asbestos abatementá¬to the addresses below áee form for otheà¬deliveଠmethods᬴ :fâ¤Dpáp sá´§,s/prfyá§á¨fy :fâ¤Dpáp(fs/á´¡pá,ACSfy sbestos Cooà¬inator, ã¬/7 ãbestos and Lead Section, Room 137 uà¬au of ã r Management P.O. Box 2659 P.O. Box 7921 One West Wilson á°reet Madison, ḳ 53707-7921 Madison, ḳ 53701-2659 Method of deliveà¬:_________________ Date delivered:_________________ _____ Will the City take title to the pà¬peà¬y? Yes______ áttach copy of agà¬ement) No______ ppppppppppppppp uá´Bppp Only propeà¬y foà¬which the City will be taking title is eligible foà¬exemption à¬quests. âªemption Requestá᬴ Foundation of Razed Building: Yes______ No______ Dr
3 iveway Approaches, Sidewalks, and á°abs
iveway Approaches, Sidewalks, and á°abs: Yes______ No______ Site Gà¬ding: Yes______ No______ ppeRarmzar tlgc tjf*kwCuEypwup1fpskk,uAfWp1"pRDtD Citá¼to ta⤠title (Agreement attaà¼ed) Y_______ N______ Foundation Eâ¨mption 9.17 B.3______ N______ Driãwaá¼Approaà¼, Sidewal⤠and Slab Eâ¨mption 9.17 B.4______ N______ Site Grading Eâ¨mption 9.17 B.5______ N______ Fill Approãd Y_______ N______ ãr à¨,*pਹ$$$vbpã¤:fâ¤á¨*fâpáp(fs/á´¡páᨵCSfy , please see: http://www.dhs.wisconsin.gov/asbestos/index.htm ãr à¨,*pvN$$LbbTp㤠áCá ¤Ssá´¤uEpá ,p:f*á¢Cá´¤á¥psEḻáprfEáµswCuEpsâp_⤩/CSsá´¤uEpá ,pRfᨦCwpà´·f*ká´¤uEp fà¬m the á°ate of Wisconsin, Depaà¬ment of Natural Resouà¬es, please see: âw⤫00WâDUCDáA0á´â¤¤S0Wf*u0sy1fywáDâ*/ gn(trp(taRe5apz egrl_nzg B náPf/â¤â¤¢sEp"uâpWf*uá´¤uââ¤áfSá´½pk/fsyfpyffB http://dnr.wi.gov/topic/demo/asbestos.html For information on the 2Oá¨sOpá ,prf*fWCsá´¤á¥psâprfá¸Af/á©*fâpn,sSxCEdpo"ywf*p 32rrno4 , please áe: PwwkB00WE,DUCDduA0wukCS01,uUE;Cf/Wy01uwUDPw*/ ____________________ Department of City Inspections | 625 52 St Rm 100, ä¬nosha WI 53140 | âone: 262.653.4263 | Fax: 262.653.4254 | Email: bldgpeà¬its@kenosha.oଠ| kenosha.oଠ_______ _Èazi_nzg pegrpr_mtpã¼´tà¸aznzg äÈrà¸n pppeu,*p?:izb..p 3á¨ADp$.0.$44 You will be notified when á¼ur permit iáreadá¼ pleaá do not ábmit paá¼ent with permit applià¼tion. Pleaá uá a áparate applià¼tion for ea༠prin༠pal building that will be raÐd. gntBpp_pkf,*CwpCypEuwp,fIOC,fWp;u,pWf*u/CwCuEpu;psEpsSSfyyu,"pyw,OSwO,fpN$$pyIOs,fp;ffwpu,p/fyypCEpyCãD ======================================================================================= pRrgYtinpz egrl_nzg Proje༠Addreá_______________________________ Propertá¼Owner_______________________________ Co ntraà¼or _____________________________________ Mailing Addresá______________________________ Mailing Addreá_________________________________ Citá¼_________________State_______ Zip________ Citá¼_____________________State_______Zip_______ Phone (_______)_____________________________ Phone (_______)_______________________________ Contraà¼or e-mail__________________________________ p_SwOs/piuywpu;prsã ______________________ Building(s) to be raÐd: Prin༠pal Building ______ Number of Unitá(fo
4 r Multi-familá¼ ____________
r Multi-familá¼ ____________ Aà¼eáorá¼Building ______ ( ༠rà¼e one : garage, áed, other___________________ ) Square Footage of Prin༠pal Building to be RaÐd_________________ ======================================================================================= _RazinnRg Rp ermà´lcgoRammRarrmcà¤(mnRà¤hnáRáagfgnsdRabhR ihcbabpnáRabhRlcgoRgonRà¤bhcgc bá uRgocárniecg;RfbhniáabhRgoagRgon cáfabpnR uRgonRrniecgRpinagnáb RmnzamRmca(cmcgtdRná¤inssR iRcermcnhdR bRgonRáagnR iRefbcà¤ramcgà´RabhdRpnigcutRgoagRammR uRgonRrniecg cbu ieagc bRonincbRcsRaà¤fiagn,RR_Rná¤insátRziabgRgonR(fcmhcbzRcbánठidR iRgonRcbsrnpg iá¬Rafgo icSnhRaznbgdRrniecsá bRg Rnbgni gonRrinecsnsRu iRlocà¤RgocsRrniecgRcsRáfzogRagRammRinas ba(mnRo fisRabhRu iRabtRri rniRrfir áRg Rcbánà¤RgonRl iwRlocà¤Rcs (ncbzRh bn,R Contraà¼or'áSignature___________________________________________ Date_______________________ Property Owner's Signature_______________________________________ Date________________________ oinr ppeRarmzar tlgc ___________________________________________________________________________ DESCRIPTION FEE QUANTITY Raze Prin༠pal Building $ 90.00 Ea. __________ Raze Aà¼eáorá¼Building $ 60.00 Ea. __________ Raze Prin༠pal Building (per-á¶uare-footage fee) $ .12 per á¶. ft. __________ z;pUu,xpCypyws,wfWpUCwPuOwp;C,ywpu1wsCECEdpspkf,*Cw6pspkfEs/w"p;ffpUC//p1fpSPs,dfWpCEpsSSu,WsESfpUCwPpiPskwf,p âD$Fipu;pwPfpiuWfpu;pâfEf,s/pg,WCEsESfy zá sá´sâ¸pá´¤*fpWâCEdpápsá fá¨á´¡fps⤩á¨As/pâ¤áfyyp"uOpá¸á´,*CEfpá´¡swp"uOpUC//pâá´â¤uSffWpUCwâá´¡Cypâ¤áfSá´½ please contact our office at 262.653.4263 to avoid paying the entire cost of the peà¬it. ãministà¬tive and/oà¬plan review fees will be chaà¬ed. ãy/all unpaid peà¬it fees, along with an additional $100.00 Administà¬tive Fee, will be processed as a special chaà¬e against the real estate upon which the se଱ice was peà¬oà¬ed. Department of City Inspections | 625 52 St Rm 100, ä¬nosha WI 53140 | âone: 262.653.4263 | Fax: 262.653.4254 | Email: bldgpeà¬its@kenosha.oଠ| kenosha.oଠà¨à¬Üà¨Ô़áà¤à H Date________________________ Pe
5 rmit #_____________________ NeedáAppro
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11 :pR_äà´np2g : ]7pppppppppppppppppD$$
:pR_äà´np2g : ]7pppppppppppppppppD$$9 Rf,â¤wp á®----------- RrgYtinp:toirzRØg B-------------------------------------------------- |RtrlzØt:pKgr@G 2HBp|RᨤâCâ¤/ä´--------------------- ná_âpà¨á¨Ø¡fp2fâ;Cwpg; ØtpizÙ pgà¨@t go(_6pKzoig oz @ gKp_Ìplt p2HpØtotpRrtot Ø6pØ_npKt6 {Companá¼Name} {Addreá} as Principal, and _______________________ {Suretá½, are held and firmly bound unto the City of Kenoáa, Wiáoná n, a muni༠pal corporation aáObligee, in the full and just sum of___________________________ Dollars and /100 à¼nts [$ ], lawful moneá¼of the United Stateá to the paá¼ent of whi༠ám, well and trulá¼to be made, the Prin༠pal and Surety bind themselveá their and each of their heirá eâ¨cutorá adminiáratorá successors and aáigná jointly and seãrally, firmly bá¼theá preánts. K(trt_o6p the Principal haáapplied for a raze permit with the Obligee for the aboã projeà¼, whi༠Permit iá herebá¼referred to and made a part hereof aáfullá¼and to the áme extent aáif à¼pied at length herein. gK6pØtrtà¨rt6pØtpig :zØg pgà¨Øtpg2Ìâ_Øg pzopo5i( that if the Prin༠pal áall faithfully perform the Permitted Work in aà¼ordan༠with the Code of General Ordinanà¼áfor the City of Kenosha and all other ãderal and State lawá ruleáand regulations, and aná¼amendmentáthereto, pertaining to the Permitted Wor⤠and áall promptlá¼paá¼all peránáápplá¼ ng labor or material to the Principal for uá in the proseà¼tion of the Permitted Work under áid Permit, then thiá obligation áall be ãid; otherwiá it áall remain in full for༠and effeà¼. Subject to the named Obligeeâ´ priority, all peránáwho have ápplied labor or material directlá¼to the Prin༠pal for use in the proseà¼tion of the Permitted Worâ¤under the Permit shall haã a dire༠right of action under thiáBond. Prin༠pal áall saã and hold harmleá the Obligee from all loáeá damageá à¼ááand expenseáwhi༠Obligee maá¼ááain or for which Obligee maá¼beà¼me liable ariá ng from the iáuan༠of the Permit and the performan༠of the Permitted Wor⤠ãe Suretá¼áaggregate liabilitá¼hereunder áall in no event eâ¨eed the amount set forth aboã. Signed and dated at Kenosha, Wiáoná n, thiá_____ daá¼of _______________, 20___. _________________________________________ {Pri
12 n༠pal} _______________________________
n༠pal} __________________________________ BY:______________________________________ [Witneá] Name:_________________________________ Title:__________________________________ _________________________________________ {Suretá½ __________________________________ BY:______________________________________ [Witneá] Name:_________________________________ Title:__________________________________ Examined and approãd aáto form thiá_____ daá¼of _________________. 20___. ____________________________________________ Citá¼Attorney Department of City Inspections | 625 52 St Rm 100, ä¬nosha WI 53140 | âone: 262.653.4263 | Fax: 262.653.4254 | Email: bldgpeà¬its@kenosha.oଠ| kenosha.oଠâ5z:taz topegrpr_mz âponr5in5rto _//prsãpRf,*CwypyPs//p1fpyO1)fSwpwupwPfp;u//uUCEdpSuEWCwCuEyB bD Rf,*Cwpnf,*Dpp The raÐ ng of a building áall be à¼mpleted within thirty (30) daá¼ after the date the permit waáiáued. The à¼de offi༠al may at hiá¢her diáretion eâ¨end the permit term for à¼uá. âCauáâ áall mean the inability of the permittee to a༠due to ༠rà¼máanà¼s beá¼nd permitteeâ´ reaánable à¼ntrol upon the eâ¨r༠á of due diligenà¼. .D zEykfSwCuEpu;pKu,xD Work done under a raÐ permit iáábje༠to ináeà¼ion bá¼the à¼de offi༠al who áall haã the authority to order à¼rreà¼iã wor⤠Failure to follow the orders of the à¼de offi༠al, or to à¼mplete the raÐ in aà¼ordan༠with thiáà¼de, áall giã the à¼de offi༠al authority to áek reáitution from the required bond. TD euOEWswCuEpu;prsãWp2OC/WCEdD Unleá otherwiá approãd bá¼the Code Offi༠al, wheneãr a Building has been raÐd, the foundation, if aná¼ áall be remoãd and filled in with à¼ean fill material approãd by the Citá¼ Engineer with the top two feet (2â) of fill material being dirt or ánd. No à¼mbuáible material may be uád for the fill material. vD :,CAfUs"p_kk,usSPfy6poCWfUs/xypsEWpo/s1yD Remaining driãway approaà¼es áall be remoãd and replaà¼d with à¼rb and gutter; damaged public á dewal⤠áall be replaà¼d; and driãway aproná remaining áabáand priãte á dewal⤠áall be remoãd from the á te prior to final approãl. See Citá¼ of Kenoáa, Public Wor⤠Department, for permits and à¼náruction áandardá ND oCwfpâ,sWCEdD Wheneãr a building has been raÐd, the á te áall be graded
13 with a minimum of three inà¼es (3â)
with a minimum of three inà¼es (3â) of topáil, with áed and mul༠or ád applied to à¼ãr the entire diáurbed area. 'D :Cykuys/pu;p:f1,CyD The permit holder áall diáoá of all building debris in a lià¼nád landfill, eâ¨ept for álãged materialá At any time, the lià¼ná holder áall produ༠to the à¼de offi༠al reà¼ipts and/or an itemiÐd liá of debris diáoád of bá¼dumping or álãge. FD oCwfpos;fw"psEWpofSO,Cw"D The permit holder áall, during the raÐ ng proà¼á, maintain the raÐ ng á te in a áfe and áà¼re à¼ndition, and the lià¼ná holder áall promptly report aná¼peránal injury and property damage to the à¼de offi༠al. The à¼de offi༠al may require additional áfety and áà¼rity methodá inà¼uding fen༠ng and gating, aádeemed neà¼áary to prote༠the á te and reári༠aà¼eá to the publi༠gwPf,pzE;u,*swCuEB Subárfa༠tan⤠or pits that are no longer uád aáa priãte áwage ááem áall be abandoned by à¼mplá¼ ng with ALL of the following: Diáonnecting all piping to tan⤠or pits Sealing all diáonneà¼ed piping in aà¼ordan༠with Wiáoná n Department of Safety and Profesá onal Serã ceá (DSPS), SPS 382.21 (2) (h) Pumping and diáoá ng of à¼ntentáfrom all tan⤠and pits Remoã ng all tanâ¤, remoã ng à¼ãrs of tan⤠or pitá and filling with áil, graãl, or inert álid material The á te áall be graded with a minimum of three inà¼es (3ã of bla༩ dirt The á te áall be áeded and mulà¼ed (or ádded) oãr the entire area that has been diáurbed zEykfSwCuEp_kk,uAs/yprfIOC,fWB 1. From the Department of Citá¼Ináeà¼ions (Room 100) at 262.653.4263: Sewer and water abandonment (prior to à¼mmenà¼ment of raÐ ng of áruà¼ure) Storm áwer abandonment (prior to à¼mmenà¼ment of raÐ ng of áruà¼ure) unleá otherwiá approãd bá¼the Department of Public Wor⤠Septic ááem/tank abandonment (prior to à¼mmenà¼ment of raÐ ng of áruà¼ure) Foundation (after brea⤠ng walls down and prior to ba༩filling) Final ináeà¼ion (after grading, áeding and mulà¼ing, or ádding iáà¼mpleted) 2. From the Kenoáa Water Utility at 262.653.4300: Well abandonment (prior to à¼ãring) Department of City Inspections | 625 52 St Rm 100, ä¬nosha WI 53140 | âone: 262.653.4263 | Fax: 262.653.4254 | Email: bldgpeà¬its@kenosha.oଠ| kenosha.oà¬