HomeMy WebLinkAbout0155154 - Electric (finish basement) CITY OF OSHKOSH No 155154
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 360 FOSTER ST Owner DANIEL J KECLIK/ERIN M WALEN Create Date 04/19/2013
Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type O Overhead O Underground
Volts 120/240 Circuits 7 Luminaires 28
Amps 200 Switches 15 Receptacles 37
Appliances
Use/Nature of SFR\Finishing basement-see application-all work will be according to current code
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 4/19/2013
❑ Permit Voided Parcel Id#0608702000
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 --sement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secureny n cessa a•*royals 'efore starting such activity.
Signature \ Date l 2
Agent/Owner
-
Address OSHKOSH WI 5490- 5718 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 Ofv -K. f
N 7!-ir WAT R
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 Li
/I 7/2-1)/3
JOB ADDRESS 3� Fq(¢ee - St' -
OWNER 1J.4N1LL KeJ1il-
CONTRACTOR OtAiat -
CHECK El ALL APPLICABLE
USE CATEGORY
Wingle Family ❑Duplex DMulti-Family DRental DCommercial ❑Industrial
SERVICE lew ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts VI 0 4 Old Receptacles# 3 7 Circuits#
Phase 5,r,i(e cWkset JJ
Amps god A*15 Switches# Fixtures#
CHECK El ALL APPLICABLE
DRange DDishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE Ee4AL i nl Use w4-d- t-Ai"-,- Zoe--
154a4 w. �lFr�c t-1 r I_.v/1 cal Li avv,r•
VALUE (Including labor and all ,ter':Is in di't light xtures) $ 7ooO 01:$
MASTER ELECTRICIAN
6/7) 3/02
� 7;5
0 CITY OF OSHKOSH No 155155
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 360 FOSTER ST Owner DANIEL J KECLIK/ERIN M WALEN Create Date 04/19/2013
Contractor HOMEOWNER Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap _ 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int GreaseTrap 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR\New bsmt.bath-all work according to current code
of Work
Size Material Type # Conn.Type
Storm Water
Parcel Id#
0608702000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By ,i. Date 04/19/2013
The undersigned,in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned,hereby acknowledges,per Wisconsin State Statutes,ss 145.06,that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performan =of thi rk, I -•ree to perform all work pursuant to rules governing the described construction. 1
Signature
MIN) , ,,,k Date 4/i 1 2--1"�
Agent/Owner
Address 360 FOSTER ST OSHKOSH WI 54902 5718 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.
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
1(.11D11414dllir
Oshkosh,WI 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084 Oft K011 1
Cni THF WAIT R
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
• 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 El
**Advisory-For applicable projects, an Electrical Installation Verification(ETV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. `f f)
Job Address 3c0 F011-.0 :S . Value (Including labor and materials) L t'0- v" Date /7hJ1 3
Owner Dipwtel KeGlntt✓ Contractor Alf--
OSingle Family ['Duplex ❑Multi-Family ['Rental (Commercial ❑Industrial
Number of Fixtures:
Bathtub . Sump Pump Plaster Sink Roof Drain
Shower I San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory 1 Standpipe Rec Shamp Sink Site Drain
Toilet _ I Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher Breakrm Sink Bidet Int Grease Trap
Floor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink Dipper Well Deduct Meter
, Gas Elect PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work - AS1 Pr i-(.IYv . :%"\-fit r.A.L k 3'y;It L,i4^,,
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09