HomeMy WebLinkAbout0153534 - Electric (cable) CITY OF OSHKOSH No 153534
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 855 N WESTHAVEN DR Owner AURORA MEDICAL CENTER OF OSHKOSI• Create Date 11/13/2012
Contractor CC&N Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits
-- --__ Luminaires
Amps _ Switches Receptacles
Appliances 7
Use/Nature of COMM/INSTALL(1)CATEGORY 6 DATA CABLE TO EACH OF(150)NEW WIRELESS ACCESS POINT LOCATIONS(PROJECT
Work 215379) **debit acct
Fees: Valuation $37,500.00 Plan Approval $0.00 Permit Fee Paid $327.00
Issued By: Date 11/13/2012
Permit Voided Parcel Id# 1621520000
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 N27W23588 PAUL RD PEWAUKEE WI 53072 -5790 Telephone Number (920)830-6706(Don)
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 1 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJi IKOf H
ON THE WATFR I I
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 X
DATE:11/13/2012
JOB ADDRESS: 855 Westhaven
OWNER: Aurora Oshkosh Medical Center
CONTRACTOR: CC&N
CHECK ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK H ALL APPLICABLE
❑Range DDishwasher OGarbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other Data Cable for 150 Wireless Access Points
DESCRIPTION OF ALL WORK BEING DONE: Install(1)category 6 data cable to each of 150 new
Wireless access point locations. CC&N Project#215379
VALUE (Including labor and all materials including light fixtures): $37,500.00 Permit Fee: $327.00
Communications RCDD: DoKald C 7ollet
3/02