HomeMy WebLinkAbout0153455 - Building (satelittle Dish/ Antenna) CITY OF OSHKOSH No 153455
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2885 ALGOMA BLVD Owner OSHKOSH AREA HUMANE SOCIETY INC Create Date 10/04/2012
Designer Chris French Contractor TENANT
Inspector
Category 250-Satellite Dish/Antennas Plan
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze
Zoning M-3 - 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 Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ommercial---install 3 new LTE antennas and associated equipment on existing tower for"AT&T". DPW approval rec'd 10/5/12 "check;
of Work 130211
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $288.00 Park Dedication $0.00
Issued By: Cnu Date 11/08/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1200010800
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.
UV 1 & 615 GRECEIVED _
P O Box 1130 t'�'"�-8e.-
OCT 0 3 2012 Oshkosh,WI 54903-1130
City of Oshkosh Phone: (920)236-5050 -
DEPARTMENT OF Fax:(920)236-5084 C ti
COMMUNITY DEVELOPMENT h wi.us k
Building Permit A � RVICES DIVIS "'ci.oshkos .
g P
Project
Address Rq 5 AL3 Dc' c c;,tk.LeUDk (4) OS 6i i( o;L?j (J/ 5 Li 9 01
Applicant Owner Contractor Tenant Other(describe)
Owner/ Name .S I3 A C DNl'1'114 1 C 4 f. 0 45 C09 0- Phone
Tenant
Address 5 00 /3CP4'e/ SD u rI t( Pr/l w , i3.cq R41 /Email
Contractor
Company Name I k7 b Phone
Contact Email
Address
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 ns•i vt a new e c;55 04 U T I� Ca b i n -J,' tt 4 i e4.yed
Description
c rPok_ . 7r),54-0,J ( 3 n etv 1_T q,n-cn i S w, `f h
3 .few L7e kkus ,
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �� rte}
$_ �f; (Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certi/i the above information is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained. I acknowledge and agree to these terms. Q
Name: C (�C� S fte n C i) 0 " C I/Ci i t or �i�(Please print) Date: CI///�
Signature: G i......---
Please ,C;eink pe(pi: ' L- to 1070 L✓. )-7, 'q5/ 775 !Qc _SO -iC' 60.
i. ,DSE (►c) 0n1-, TI 6 ocJg.