HomeMy WebLinkAbout0143256-Electric (low voltage) i CITY OF OSHKOSH No 143256
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 555 W WAUKAU AVE Owner JACK W SCHLOESSER Create Date 09/22/2010
Contractor ADT SECURITY SERVICES, INC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances Cameras, Fire Alarm, Security, Burglar Alarm
Use /Nature of COMM / LOW VOLTAGE WIRING TO INCLUDE 7 DOORS OF ACCESS CONTROL, 6 CAMERAS, 1 DVR, 1 MONITOR, 13 MOTION
Work DETECTORS, 9 HORN STROBES, 5 PULL STATIONS * *check #3295763
Fees: Valu n $3,558.16 Plan Approval $0.00 Permit Fee Paid $111.00
Issued By: Date 09/22/2010
❑ Permit Voided Parcel Id # 1413620200
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 ?'0
Agent/Owner
Address 2500 N LYNNDALE DR APPLETON WI 54914 - 0 Telephone Number (920) 720 -6172
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.
City of EIII......... •
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050 O.IHK01H
Fax (920) 236-5084
ON THE WATER
LOW VOLTAGE 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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE g- 2 4—ID
JOB ADDRESS J S'S IN• kif au K 4 4ve / ofv„ wl Sygb 3
OWNER arc ('gfhk f
CONTRACTOR ,tD i f e c
ELECTRICAL CONTRACTOR
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Multi - Family (number of units ) Commercial ❑Industrial
CHECK 10 ALL APPLICABLE
Cameras ❑Motion ❑Telephone ❑Video ❑White Noise Systems
❑Data CRSecurity ❑Television ❑Voice
®Fire Alarm ❑Sound gother $tir j Jat Al
DESCRIPTION OF ALL WORK BEING DONE tDT Sear/ 1-) vti')1 6f , 1 5 /z 740,-1
0f 4c(P S S ( 6kI 1-nt , �o � a �y.. ✓45 f ) - h �/R ) 1- h, 0,4 'iv v- , /.1 Ivri1`o h (kit t C 's 1 q hoop
Sikikf5 /)N'1 f444 �1 ofIQvc47s Or /OW Voi te..
VALUE (Including labor and all materials for cable installation(s) $ 3 »'.'C
APPLICANT SIGNATURE G�
08/09