HomeMy WebLinkAbout0146117-Electric (pool) CITY OF OSHKOSH No 146117
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2371 SHORE PRESERVE DR Owner JAKOB H /KIMBERLY J IVERSEN Create Date 05/31/2011
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR/ Wiring for the pool/ Pool, Patio & Fence *Installing a 16'x24' inground pool in the rear yard with a concrete patio around a portion
Work of the pool. A 48" high fence will be installed around the pool with a self closing and self latching gate. A maximum spacing of 4" is
allowed for the fence spindles. The fence installation is approved with the condition that an encroachment agreement is signed once
the engineering department drafts the agreement. The fence will have 2" clearance under the fence along the eastern property line and
3-4" clearance along the south property line.
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: `IA Date 5/31/2011
[i Permit Voided Parcel Id # 1281420000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11 -22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
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 secu i any - s ary p royals before starting such activity.
Signature • Y` Date l/'1 3 )7/
Agent/Owner
Address OSHKOSH WI 5490 - 7785 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.
City of Oshkosh
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
41)
Phone (920) 236 -5050
Fax (920) 236 -5084 Of HKOJH
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 ❑ /
DATE - / i
JOB ADDRESS 23 - -
Rr n
OWNER -..SR st V 4 l
CONTRACTOR
CHECK B( ALL APPLICABLE
USE CATEGORY
BSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 11 a / Receptacles # 2- Circuits # 1
Phase
Amps 20 Switches # Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors El Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE e loc c j.. { co-
- 7 Qc96 J , mob,- ; y 0 G>U
VALUE (Including labor and all materials including light fixtures) $ .
MASTER ELECTRICIAN
3/02