HomeMy WebLinkAbout0157559-Building (antenna) � CITY OF OSHKOSH No 157559
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 522 530 N MAIN ST Create Date 09/04/2013
Project Telecommunications Antenna Project Number 0
Owner OSHKOSH HOUSING AUTHORITY Plan
Contractor OWNER
Inspector
Designer
Category 250-Satellite Dish/Antennas Type of Plan
Zoning C-3D0 Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled Q Unsprinkled � Sprinkler Design
Occupancy Permit Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
❑ Projection I Canopies Signs
Use/Nature
of Work
COM/Install multiple telecommunication antenna*and cabling for US Cellular,Verizon and AT8�T on the wall of the rooftop penthouse and the north
side wall of principal building all below roof lines. All conditions of CUP permit approved July 23,2013 shall be a condition of this permit. All unused
qupiment shall be removed upon installation and activation of new equipment no later than 30 days after completion of new work. '"check#2512
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $100,000.00 Plan Approval $0.00 Permit Fee Paid $640.00 Park Dedication $0.00
Issued By:��� Date 09/05/2013 Final/O.P. 00/00/0000
� Permit Voided I Parcel Id#0401220000
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 derst nd t a rr�entioned in tion.
Signature ti � Date q l — �
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.
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11 i
nn P O Box 1130
{�ii'of os�tosh Oshkosh,WI 549Q3-1130
� Phone:(920}236-5650
Fax:(920)236-5084
Building Permit Application wWW-��.oshkosh.,�.us
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Applicant Owner Contractor Tenant Other(describe)
Owner/ Name�lli� C 3Y�.�f..S V��1,L�"(�`��(�1�'�1(�,�Li ."�"phone q����L".")�i�D
Tenant , T--��
Address 2�1(��v�11�� 1 �,1[ " �1 � � Email i V l � 1Y ' ! ,C ,C'
Contractor CompanyNametQlL��I���[�L,��r'�1��'�:,t�_Phone� ��j—r ,�--� f
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Contact �.��9� Email
Address � �,1{ �Y'� �
State Credential#'s , , ����j���
Dwelting Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name C.c7iL�W��,L1�1Y1(1� �j�(All1Q�4':�, Phone ���—�����i�i"'!
Designer , <
Contact '� �. Email �1 ".�LYYI
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Permit Type Residential Single Family Residential Duplex €Commercial Multifamily Industrial
Catagory New �Addirion AEteration
Project 1�L..�d11 �. n�s�i 1f'7t'#1Gr_f� Qa�ru.1C-< t�`I CC��C.
Description
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Mechauical Separate permits will be obtained for the following:
Permits Electrical by Plunnbing by Heating by
Value of Job �
$ ���J_�� (Value for materials&labor is req.to ensure consistency in accessing permit fees for a]1 applicanu.)
Payment by: Check # Cash Permit Fee Account
!cerlify the above information rs complete and accurate. Any deviations from the above submitted information may require additiona!permits
to be obtained. I acknowJedge and agree to these rerms.
Name: `\�,�_� �(�1V1�1�{XU TIaV � `l 1 (Please print) Date: �i�f �,'7,[)� '�,
Signature: ( '
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