HomeMy WebLinkAbout0152496 - Electric (service upgrade) CITY OF OSHKOSH No 152496
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 100 STONEY BEACH RD Owner STEVEN C/APRIL S STEFFEN Create Date 09/20/2012
Contractor HOMEOWNER _ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New • Change 0 Temp O N/A Type 0 Overhead • Underground
Volts 120/240 Circuits
Luminaires
•
Amps 400 Switches Receptacles
Appliances
Use/Nature of SFR/SERVICE UPGRADE-CITY IS REPLACING FROM ROAD TO HOUSE, REPLACING 100-400 AMP **check#2121
Work
Fees: Valua ion _ $1,700.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued B
Date 9/20/2012
❑ Permit Voided ! Parcel Id# 1414710000
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 ap•lication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se - e ar necess ap roval-- before s . ing such activity.
Signature / Date )�--
Agent/Owner
Address OSHKOSH WI 5490- 7243 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 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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 ❑
7 DATE 67/zo/i
JOB ADDRESS 160 an,, �7� ' ' E c
OWNER A
CONTRACTOR
CHECK IRE ALL APPLICABLE
USE CATEGORY
bSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New DTemporary TYPE ❑Overhead ❑Not Applicable
11\Change ❑Not Applicable 'Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 12 o /2'-IC.' Receptacles# Circuits#
Phase S N-Sl E
Amps L iNzetza '-IOD Switches# O Fixtures#
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 5—Q-1 r i A Ce e
r.e (oad kDaS KY/0 —7 T1h 7
/Qv— 400 rz2 .
VALUE (Including labor and all materials including light fixtures) $ / l`J)O
MASTER ELECTRICIAN ' � �
3/02