HomeMy WebLinkAbout0123582-Electric (receptacles/lights)
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OSHKOSH
ON THE WATER
Job Address 206-212 W 12TH AVE
CITY OF OSHKOSH
No
123582
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner DALE M/SHERRY L HOTOVEC Create Date 02l19/2bo7
Category 643 - Commercial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits 5 Luminaires 9
Switches 4 Receptacles 14
Contractor M&M ELECTRIC
Service
:0 New
120/240
Volts
Amps
200
Appliances
Use/Nature of ICOMM (#212) - adding receptacles and lights to open room.
Work
Issued By:
$2,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Date 02/21/2007
o Permit Voided I
Parcelld # 0901240000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address
175 MC KINLEY AVE
Omro
WI 54963 - 0
Telephone Number 920-572-0253
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THf WATER
ELECTRICAL PERMIT APP~ICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be proce$Sed.
. AppIication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
[(vou are a contractor participatinr: in the Permit Fee Account System and have adeq.uate funds. check here
ifvou want this processed throuf!h your account D. . .. . .
a.6~ -: ~ I ~
JOB ADDRESS ,.2 I;).
.
OWNER . D~/~
CONTRACTOR M J fV1
DATE C:??,... 9- dl 7
WId. ft.. live
(Sl:;k h,U'1).
E /-eck/ c
CHECK fa ALL APPUCABLE
USE CATEGORY
OSingle Family
DDuplex
DMulti-Family
DRental
TYPE
1frcommercial o Industrial
DOverhead ~ot Applicable
OUnderground .
'SERVICE DNew
OChange
OTemporary
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts
:phase
f\mps
j2() I 2"10
I
l.eo
Receptacles #
fJ
r
Circuits #
~
'1
Switches #
FIXtUres #
CHECK fa ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFumace
DGas Pumps
OGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
-:to 0.. '" A (J.t n T (1 <NY) .
IfJd/hj r-er~J "c ( ~') +
J ~ {,.1-.5
. . VALUE (Including labor and all materials including light fIxtures) $ ;}. (J () 6
rJ--'
MASTER ELECTRICIAN
0---:7
CI-u# I () if ft
... $) 7 J r ()(!J
3/02
Amps
Use/Nature
of Work
200
Switches
Contracto M&
. N/A I Type 0 Overhead o Underground . N/A
5 Luminaires 9
4 Receptacles 14 Value $2,000.00
reate Date 2/19/2007
Electric Permit Work Card
Job Address 206-212 W 12TH AVE Permit N
Owner DALE M/SHERRY L HOTOVEC
Service b New 0 Change 0 Temp
Volts 120/240 Circuits
43 - Commercial-Addition/Remodels COMM (#212) - adding receptacles and lights to open room.
Inspections:
Date 02/23/2007 Type Rough In Inspector Kevin Benner
>REQUEST LINE / READY FOR A ROUGH ELECTRICAL INSPECTION
approved
DatelTime requested: 02/23/2007 08:28 AM Notice Type:
Access: Key lock box #427
Requested by: M&M ELECTRIC - Jeremy
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Ready DatelTime: 02/23/2007 08:28 AM
Phone Number: none given
- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -.. -- - --
Date OS/22/2007 Type Final Inspector Kevin Benner
Request line / To get into electrical room, go outside by garbage cans and use screwdriver to pry door open.
not approved
DatelTime requested: OS/21/2007 06:06 AM Notice Type: FC Ready DatelTime: OS/21/2007 06:06 AM
Access: Key on door #427
Requested by: M&M ELECTRIC - Jeremy Marks Phone Number: 920-572-0253
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - --
Date 06/25/2007 Type Re Final Inspector Kevin Benner
REQUEST LINE / READY FOR A FINAL REINSPECTION
DatelTime requested: 06/22/2007 07:53 PM Notice Type:
Access: use a screwdriver to pry the door open
Requested by: M&M ELECTRIC - Jeremy
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Ready DatelTime: 06/22/2007 07:53 PM
Phone Number: none given
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