HomeMy WebLinkAbout2011-Building (antennas) CITY OF OSHKOSH No 146804
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1471 S WASHBURN ST Owner WIS PUBLIC SERVICE CORP Create Date 07/12/2011
Designer Contractor TENANT
Inspector Brian Noe
Category 250 - Satellite Dish /Antennas Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning 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 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain No Height Permit Not Required
Park Dedication Not Required # Dwelling Units 0 # Structures 0
Use /Nature Add 3 panel antennas, six runs of coax, and associated work to existing tower as per plans * *check #18221
of Work
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $15,000.00 Plan Approval $0.00 Permit Fee Paid $118.00 Park Dedication $0.00
Issued By: Date 07/13/2011 Final /O.P. 00 /00 /0000
❑ Permit Voided i Parcel Id # 1311700000
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
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
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 OJHKOJH
Building Permit Application ON THE WATER
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account n
JOB ADDRESS 1471 S. Washburn Street, Oshkosh, WI
OWNER Cellcom RECEIVED
CONTRACTOR US Cellular JUN 2 7 2011
I am the: ❑ Owner OR ® Contractor DEPARTMENT OF
COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
Mingle Family ❑Duplex ❑Multi - Family ❑Rental ElCommercial ❑Industrial
Work being done:
❑ Addition ❑ Deck/Porch/Patio ❑ Driveway/Parking
❑ External Remodeling ❑ Fence/Hedge/Kennel ❑ Garage/Utility Structure
❑ Handicap Ramp ❑ Hot Tub /Spa ❑ Internal Remodeling
❑ Sign/Canopy /Awning ❑ Stair/Handrail ❑ Stove/Fireplace
❑ Swimming Pool ❑ Wrecking Permit
XOther Installation of additional antennas & coax
For External Remodeling, Wrecking Permit, and Internal Remodeling please see Chapter NR 447 of the Wisconsin Administrative Code and
Notification Form 4500 -113 on the DNR Asbestos Program website; http: / /dnr.wi.uov /air /compenf /asbestos /.
For additional information on hazards present in buildings see the Pre- Demolition Environmental Checklist at
httu://dnrwi.caw/org/aw/wm/publications/anewDub/WA651.Ddf.
Additional information, such as plan submittal and approval, may be required before issuance. Fliers,
located in the hallway, may be referenced to note if any additional information is necessary.
❖ Full description of work being done: US Cellular will be adding three (3) panel antennas, six (6) runs of
coax, and one (1) down tilt line to its existing antenna rack at the above mentioned rooftop location.
Any work not included in this application is not permitted.
Value of the job $ 15,000 (Value for materials and labor is required to ensure consistency in accessing permit fees for all
applicants.)
PLEASE READ, SIGN, & DATE:
1 certify the above information is complete and accurate. Any deviations from the above submitted
information may require additional permits to b obt i e . 1 ac :• • wle ' ge and agree to these terms.
Name: • ► ,O.A1Aktk 6-11dCri
Signature: / F IST* OE*
Date:
1-'F 1 a aa1 3/02
41 It *. 00