HomeMy WebLinkAbout0158177-Building (replace 3 antennas) � CITY OF OSHKOSH No �sa��7
OSHKOSH COMMERCIAL BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 300 W PACKER AVE _ Create Date 09/24/2013
Project ANTENNAS
_____ _ Project Number 0
Owner LYNN C/RUTH E RETZLAFF LIVING TRUST Plan I
Contractor OWNER
Inspector John Zarate
Designer '
Category 250-Satellite Dish/Antennas __ Type of Plan
Zoning M-2 Square Footage
Major Occ Const Class
Fire Protection 0 Sprinkled � Unsprinkled
� Sprinkler Design
Occupancy Permit Not Required Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
❑ Projection ! Canopies __ Signs
Use/Nature
of Work
COMM/Replace three existmg antenna and add three remote radio heads to existing cell tower "check#21100,21645 —�
'
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HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation _ $10,000.00 Plan Approval $0.00 Permit Fee Paid $300.00 Park Dedication $0.00
Issued By: Date 10/09/2013 Final/O.P. 00/00/0000
❑ Permit Voided '' Parcel Id# 1519600102
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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P O Box 1130
� Cit�of Osh�o�h oshkosh,WI 54903-1130
� Phone:(920)236-5050
Fax:(920)236-5084
Building Permit Application �•�•oshkosh.�.ns
Project /� p
Address �0(� G�(JCS} f�C�'C•�Q-!� �!l e�1 L�-C�
Applicant Owner Contractor enant Other(describe)
Owner/ Name ✓Qvi'2�r� �U�r2�PSS L/�1 .L�3�'� ��-t�� Phone �(�Y �l0 3�/�3
Tenant
Addr s���h�'✓'�vsl�Ad Q- f.t�Q�S�' S�•/�q U ( m� Emai� //�SC� �',��'�t < �' -
Contractor Company Name t�2-/'�fi'CG�� /L-���I �' Phone � 7� �l� /`/0��
Contact� SCd� � Li�O�r—� Email��'1�O��i ��C1 IIQY��'C�J�1�r►'1/' '
Address �o? �7 �v'G� ,.,4r�P v��-1 � W GI +rl al rr�i•-i G�� �'yl� S� �f� �
State Credential#'s , ,
Dwelling Coauactor Qualifier# Dwelling Contractor# Building Cotttractor Registration#
Achitect/ Company Name �' C l' Phone COd�Q�l`-� �y�r /
Designer
Contact I�G C�I I /►'t0/�'�U� Email_f1r✓10/i�'CC�o�9�('(�lS(�i�� •C•b'
Address �Po��� �61�Y cS'�Y�Q.Q� �rA I i�i � .��S R� w 1 �..3 57 �
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition Alteration
Project 1/QY i�✓� 1�11 tr'-e-�P� C.l c�r�v11t�/ �t Cd� fi�'l.e f✓� �l�I�Ch/7 OI o1�
Description :
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Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heating by
Value of Job �0, U e� �
$ (Value for materials&labor is req.to enswe consistency in accessing pertnit fees for all applicants.)
Payment by: Check # Cash Permit Fee Account
I certify the above injormation is complete and accurate. Any deviations from the above submitted information may require additional permits
to be obtained I acb►owledge and agree to these terms.
Name: �-/',5 � e I Cc� ��/� (Please prin[) Date: q Q �/
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Signature•