HomeMy WebLinkAbout0145962-Electric 0 CITY OF OSHKOSH No 146962
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1222 OTTER AVE Owner ANDREW MERTENS /P &R MERTENS MGM Create Date 07/25/2011
Contractor KRUEGER ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service p New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 5 Luminaires 7
Amps Switches 9 Receptacles 9
Appliances
Use /Nature of SFR / Master bathroom and bedroom remodel* a hard -wired SD /COD will be installed * *check #23923
Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $111.00
Issued By: Date 07/25/2011
❑ Permit Voided I Parcel Id # 0204940000
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 1409 VANDENBROEK RD LITTLE CHUTE WI 54140 - 1032 Telephone Number (920) 788 -7118
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 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 O�HKO.IH
Fax (920) 236-5084
ON THE WATFR
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 7 - 22 - 11
JOB ADDRESS 1222 Otter Ave
OWNER Andy Mertens
CONTRACTOR Stark Construction
CHECK 10 ALL APPLICABLE
USE CATEGORY
EC] Single Family ❑Duplex ❑Multi - Family [Mental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead tNot Applicable
❑Change ItNot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # 9 Circuits # 5
Phase 7
Amps Switches # 9 Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
tlFan OR Blower ❑Furnace ❑A/C DElectric Sign
t]Motors (WP) ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Wi ri ng f or Bedroom /Bathroom
Remodel
VALUE (Including labor and all materials including Ii ht fixtures) $ 4000. le o f `�, 9 i. va
MASTER ELECTRICIAN t/u /I '4
3/02