HomeMy WebLinkAbout0127017-Electric (ATM sign)
G
OSHKOSH
ON THE WATER
Job Address 2725 JACKSON ST
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
127017
Owner
MERCY MEDICAL CENTER OF OSHKOSH Create Date 09/28/2007
Contractor
ELMSTAR ELECTRIC CORP
Category 643 - Commercial-Addition/Remodels
Plan
Service
:_ New
120/240
Circuits
Luminaires
o Change 0 Temp
o N/A~
Type Q Overhead
___~Qnderground ____J
Volts
Amps 100
Switches
Receptacles
----------- .-------- -------.------------------1
"
Appliances
Use/Nature of ICOMM / NEW SERVICE FOR AN ATM SIGN IN THE PARKING LOT "check #52164
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Fees: Valuation
$1,258.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 10/01/2007
o Permit Voided I
Parcelld # 1219810300
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
Agent/Owner
Address
8..QQ_E_I,!I'-I~.BQ____________ !St\iJ!SUAN.t\_ \I'fl...~J}..9_ - .!.!Q~_ Telephone Number (92.QE~~8100 _________
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
I
SEP 2 7 2007
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(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
normal permit fee, which ever is greater.
OR
If yOU are a contractor varticivatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account 0
DATE q-e:Rtp --cJ7
JOB ADDRESS d 7 as' $t;L.s;t),-., s-l
OWNER /11 /..-,..d ::r .6"",., "-
CONTRACTOR D/I1S7l1/Z Eat:-r/2-/~
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE~ew
o Change
DDuplex
DMulti- Family
o Rental ~Commercial Dlndustrial
TYPE DOverhead DNot Applicable
.8(Jnderground
o Temporary
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / ;;20 /t:2t/O
Phase /
Amps ~ eJD
Receptacles #
Circuits #
I
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
o Motors
o Dishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
o Other
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
4+ 5 ' IYt +111'
eM:
VALUE (Including labor and all materials including light fIXtures) $ ~c:--<,~. ~o
MASTER ELECTRICIAN / "1 tJO<; 8-..,
3/02
Electric Permit Work Card
Permit Number 127017
Job Address 2725 JACKSON ST
Owner MERCY MEDICAL CENTER OF OSHKOSH II
Service . New 0 ChangeO Temp 0 N/A
Volts 120 / 240 Circuits 1
Amps
Use/Nature
of Work
100
Switches
43 - Commercial-Addition/Remodels COMM / NEW SERVICE FOR AN ATM SIGN IN THE PARKING LOT .'check
52164
Receptacles
Value
$1,258.00
Create Date 9/28/2007
Contractor ELMSTAR ELECTRIC CORP
I Type 0 Overhead . Underground 0 N/A
Luminaires
Inspections:
Date 10/01/2007 Type Service Inspector Kevin Benner
Permit was not procured at the time of the inspection, Jeff stated at the time of the req
10/1/7
DatelTime requested: 09/28/2007 09:25 AM
Access:
approved
he check is in the mail.! FAXED TO WPS
Notice Type:
Ready DatelTime: 09/28/2007 09:25 AM
Requested by: ELMSTAR ELECTRIC CORP
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Phone Number: 419-5409 Jeff LaSage
- - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - .-. - --. - - - - - - - - - -- - - - ---..- - - - - .-. - - -- - - --
Data Communications:
Tele/Data cabling &
Equipment
Phone & Voice
Mail Systems
Fiber Optics
Security Systems
Fire Alarm Systems
ccrv
Electrical Contracting:
ARC Flash Analysis
High & Medium
Voltage Cable &
Equipment
Under~round:
Parking Lot &
Street Lighting
Traffic Signals
Duct Banks
Also Offering:
24-Hour
Emergency Service
Design Build
Preventive
Maintenance
Electric Corporation
September 28, 2007
City of Oshkosh
Division of Inspection Services
PO Box 1130
Oshkosh, WI 54903-1130
RE: Electrical Permit
2725 Jackson Street
To Whom It May Concern:
800 Eastline Road
Kaukauna, WI 54130
Business: (920) 766-8100
Fax: (920) 766-8109
www.elmstar.com
Enclosed please find our check in the amount of $45.00 per our phone
conversation this morning regarding an additional amount needed for the
above-mentioned permit.
If you have any questions, please call.
Sincerely,
ELMSTAR ELECTRIC CORPORATION
Julie Schuh
Project Coordinator
Commercial * Industrial * Institutional
R
I
ED
OCT 0 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPf\1ENT
INSPEcrION SERVICES DIVISION
Providing Solutions