HomeMy WebLinkAbout0155378-Building (cell tower) � CITY OF OSHKOSH No 155378
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 460 MARION RD Owner CITY OF OSHKOSH Create Date 04/30/2013
Designer Sean O'Connell Contractor TENANT
Inspector
Category 250-Satellite Dish/Antennas Plan
Type � Building � Sign � Canopy � Fence 0 Raze I
Zoning C-3PD Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection j
Finished/Living Sq.Ft. Bedrooms Stories Canopies .
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
0 Concrete Block � Post 0 Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dweiling Units 0 #Structures 0
Use/Nature Commercial/cell tower'Telecommunication modification on existing tower for"Sprint".Remove/install 2 cabinets 8�remove 6 antennae
of Work nd insta�l 3 per plans.
,
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 05/01/2013 Final/O.P. 00/00/0000
� ❑ Permit Voided� Parcel Id#0102490000
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
AgenUOwner
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. '
� P O Box 1130
Clt�of Oshkosh Oshkosh,WI 54903-1130
� Phone: (920)236-5050
Fax: (920)236-5084
Building Permit Application �������.oshkosh.�ri.�s
Project
Address __!��`� /�'1�42 r;;�J S;2ti�,—
Applicant Owner Contractor Tenant Other(describe) f{C tiN�
Owner/ Name . �.y� � F �
Tenant S�� GC�.�N���� , ��,,4 � �,�� 5����2��-. Phone ��s-z>s-S�;z �x� Z�tc
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Address_yG,�r ,•� n,�,,��,iLJCf_ij� �•.���, �;� -� Email J�G�}-J C"�L.L:rr�c�L C n/i f+w.r t�ts i.C:,-v-t
Contractor Company Namef.i�X.,,., Phone
Contact ^��,��. �W`�,,�,,;�, Email
Address (�3l � W�tJH,J�'h-� ,J1Urti:— Svs��c `ZZ�� LriS— � �5 '>> 1j32ry
State Credential#'s
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Dwelling Contractor Qualifier# Ihvelling Contractor# Building Contractor Re�stration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Sin'le Family Residential Duplex Commerci�'�.; Multifamily Industrial
Catagory New Addition (Alteration �
Project
Description
i���-w�, -��,.��"z ,�.e��:-�c.n-ne�r°
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Mechanical Sepazate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value ofJob $ �����,�
(Value for materials&labor is req.to ensure consistency in accessing permit fees for all applicanu.)
Payment by: Check # 3 j�f� Cash Pemut Fee Account
I cer��jhe above information rs comple�e and acc:rrn�e. A���devialions frorn the obove submitted rnformatiaf nray require addidonal pern�its
10 be obtained. I acknowledge and ogree!o�hese Iernrs.
Name: 5`«� 6�-���%'-�- �-<- (Pleaseprint) Date: ��Z3/L��'�
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Signature: �-- �)�__.�
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