HomeMy WebLinkAbout0153424 - Building (dish/Antennas) CITY OF OSHKOSH No 153424
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 129 W 28TH AVE Create Date 10/03/2012
Project NEW ANTENNA Project Number 0
Owner PATRICIA WILSON SURVIVORS TRUST Plan
Contractor TENANT
Inspector Nicole Krahn
Designer
Category 250_Satellite Dish/Antennas - - Type of Plan
Zoning M-2 Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled O Unsprinkled 1 Sprinkler Design -
Occupancy Permit Not Required Flood Plain Height Permit
Park Dedication Not Required #Dwelling Units 0 #Structures 0
❑ Projection Canopies Signs
Use/Nature
of Work
Commercial--install new LTE cabinet and associated equipment on existing cell tower inside leased area per plans. **check#130212
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: Date 11/07/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1413230000
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.
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RECEIVED POBox 1130
City of Oshkosh OCT 0 2 2012 Oshkosh,WI 54903-1130
Phone:(920)236-5050
D PARTMENT OF Fax:(920)236-5084
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Building Permit Appl;t �m DEVELOPMEir"`` ci.oshkosh.wi.us
Ifrf is-rio. ccPV1CFc nIVISION
Project A \J(.), (14 e � OsG�/(nb/j� �.1 I 5 C 0c),
Applicant Owner Tenant Other(describe)
Owner/ Name 5)3.4 Cor rl tfoiCvl ∎0i 5 Cr!r, (C14/0 '1 Phone
Tenant nn�
Address 5900 131'oKe4 �G�tI' �ci r Kti Alel IU W Email
Contractor ^'
Company Name I [ j 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 c-) (1, Ne w of cSSoi LTt C' b:. e)-•L4t tA1 f teo S C'c�
Description
ch� r . 5-(-)54c11 new 6e-if- ran K I)G
cc/L.6 ' b kQS •17 kit i n S;400( 3 nc
wkk e n A Dv 5 0/ 3 n e (-1 s
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job r�
$ 0 9 (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 is complete and accurate. Any deviations from the above submitted information may require additional permits
/too be obtained. I acknowledge and agree to these terms.mss.
Date: V /
Name: C ('5 -F ren C6 �n lie'-rIiA-r �'! f- (Please print)
Signature: � �/
ale e, �c' C\ Pefpn 7oO i4. '99 ,is Atd - Su 4e
+f.o SC-; c) ,r0- L Goo t g ,
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DO NOT WRITE BELOW THIS LINE-Office Use Only
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Application received by: X11: / 1/1.4'7?
Zoning Approval & Review Required: Yes No
Engineering Approval&Review Required: Yes No
Zoning:Approv Approved with Conditions Denied
Zoning Reviewed by: Date: rci 3//Z_
Conditions of Approval:
Engineering: Approved Approved with Conditions Denied
Engineering Approved by: Date:
Conditions of Approval: