HomeMy WebLinkAbout0154563 - Building (tower modifications) CITY OF OSHKOSH No 154563
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3475 COUNTY RD A Owner MADDAM AERIALS CORP Create Date 02/19/2013
Designer Sean 0 Connell Contractor NEXIUS
Inspector
Category 250-Satellite Dish/Antennas Plan
Type • Building 0 Sign 0 Canopy O 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 O Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature ,Commercial--telecom tower modifications on existing tower: Remove 6 antennaes&replace w/3; Remove 2 cabinets/install 2 cabinets
of Work Lw/in existing leased area; install 6 RRU's; install 3 fiber cables for"Sprint".
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $15,000.00 Plan Approval $0.00 Permit Fee Paid $330.00 Park Dedication $0.00
Issued By: Date 02/26/2013 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id# 1519607100
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 6737 W WASHBURN ST SUITE 2265 WEST ALLIS WI 53214 - 0000 Telephone Number 773-275-5712
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.
PO Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project
Address (01 LO`-{ Ai 01 0) 3L0 S Cow 20, 0 P
Applicant Owner Contractor Tenant the (describe) riciti�r
Owner/ Name .SGA1j Cc; /Ai,4...:7. 4.5 .S4,:,,3i 3?t,L1-2wr Phone ?)3-Z)5-J712 ZqQ
Tenant
Addressi}t,iq rJ « 6410Emai1Sc«k;3 CJAI
Contractor Company Name r),.y-,J 5 Phone 14H 312 ( t3 3
Contact (v-)%v-t_ Ico Email In 1L t. 1W LLo- iK, �cy,�J-∎.%M
Address ( ?v.) ti o--tiz OTh- Zzt.c w c a: Pcu-+) W 532 t t
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 Commercia Multifamily Industrial
Catagory New Addition lteratio
Project LA M 'Cc L 1 5
Description
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job $ j D`cat) (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
to be obtained. I acknowledge and agree to these terms.
Name: 5Li,c, O -— . �. (Please print) Date: 2/ l l/ Zo,zj
Signature: Cat 3(...„