HomeMy WebLinkAbout0144370-Electric (lift station) e l) CITY OF OSHKOSH No 144370
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2155 HICKORY CT Owner JON P/THERESA L GRUENSTERN Create Date 12/10/2010
Contractor EXCELLENCE ELECTRIC Category 652 - Industrial -New Building Wiring Plan
Service • New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of Provide the power to a new pre - fabricated building for a lift station and re- locate the existing control panel. *(otherwise know as 2069
Work Hickory Lane)
Fees: Valuation $21,000.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: ?5YYIr-- Date 12/14/2010
❑ Permit Voided I Parcel Id # 1526190000
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 1412 E MAIN ST LITTLE CHUTE WI 54140 - 2319 Telephone Number (920) 687 -2442
•
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 Oshkosh
R E c , 7 ,,,. c_ „ ,,,,...„ „.„„,„,,
Division of Inspection Services DEC 02 2010
P.O. Box 1130
Oshkosh, WI 54903 -1130 DEPARTMENT OF
Phone (920) 236 -5050 COMMUNITY DEVELOPMENT
Fax (920) 236 -5084 INSPECTION SERVICES DIVISION OJHKOJI
ON THE WATER
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 ❑
)6 CiIC DATE 12/02/10
JOB ADDRESS 2069 - Hickory time
OWNER City of Oshkosh
CONTRACTOR Excellence Electric Inc.
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑ Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial . Industrial
SERVICE 15tNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable &Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120 /240 Receptacles # Circuits #
Phase Single
Amps 100 Switches # Fixtures #
CHECK 0 ALL APPLICABLE
D Range DDishwasher ❑Garbage Disposal ❑Dryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑ Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE Provide power to new prefabricated building and relocate
existing control panel.
VALUE (Including labor and all m rials including light fixtures) $ 21,000
MASTER ELECTRICIAN /ICS /'7( % '
Excellence Electric Job number 9898
Per specification section 01060 - Regulatory Requirements - line 1.04, Owner will waive fees associated with the permit. 3 /02