The URL can be used to link to this page

Home My WebLink About0155568-Electric (service change & misc. wiring) /�"� CITY OF OSHKOSH nto 155568 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1235 MOUNT VERNON ST Owner RYAN R PEISSIG/LAURA M BAENEN Create Date 05/10/2013 Contractor HOMEOWNER Category 634-Residential-Service Change Plan Inspector Adam Krause Service New � Change � Temp � N/A � Type � Overhead � Underground — Volts 120/240 Circuits Luminaires Amps 100 Switches Receptacles Appliances � Use/Nature of FR/Service change and wiring due to lifting the house and installing a 4'frost wall with footings. A 5'wood framed wall will be 1 Work onstructed so that the basement will be usable space. The existing garage will be razed and a 22'x24'attached garage will be I onstructed. ; Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00 issued By: Date 5/10l2013 � Permit Voided � Parcel id# 1506710000 The undersigned,in applying for an Electric Permit to perform electrical work within a single family home,owned and occupied as the pri�ciple 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 secure any necessary approvals before starting such activity. Signature Date AgenbOwner : Address OSHKOSH WI 5490- 3859 Telephone Number ph 232-1627 or cell 4 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 I� �F D ELECTRICAL PERMIT APPLICATION All infotmarion after bold categories must be provided. MQY �9 20�3 Incomplete applications will not be processed. DEPART�?s!T OF • Apptication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Se�L�3;tE�OC�ox��12�,�tE�rr Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being��'''�'007}:��'� normal permit fee,which ever is greater. OR �you are a contractor partici�ating in the Permit Fee Account Svstem and have adeguate funds, check here �vou want this processed through vour account ❑ DATE S ` 7 — ]o� JOBADDRESS �a3J N`�un} Uernon 5�-�ce}- qao_yao_ e : �/ 9 � OWNER Q�/an an a� La u �a }�� i t S i �, CONTRACTOR I�o,n,�� owne,r �Pe�SS i��Cry�, 1 •CO� J CHECK 0 ALL APPLICABLE USE CATEGORY �Single Family �Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ONew ❑Temporary TYPE �Overhead ❑Not Applicable �(Change �Not Applicable �Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts o2 a O / Receptacles# Circuits# Phase � Amps Switches# Fiztures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal �Dryer OWater Heater �Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign �Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE �rb I� - �'� ; - rci C3 �1 ✓ VALUE(Including labor and all materials including light fiatures)$ �� MASTER ELECTRICIAN