HomeMy WebLinkAbout0157012-Electric (upgrade auto-call & fire panel) � CITY OF OSHKOSH No 157012
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 151 N EAGLE ST Owner SIMEANNA III INC Create Date 08/02/2013
Contractor SUBURBAN ELECTRICAL ENGINEERIN� Category 643-Commercial-Addition/Remodels Plan
Inspecto� Adam Krause
Service p New � Change � Temp � N/A ! Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
�
I I
Use/Nature of COMM/upgrading current Auto-Call and fire panel
Work I
I*"ck#60320*'
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Fees: Valuation $23,815.00 Plan Approvai $0.00 Permit Fee Paid $297.00
Issued By: 7�` Date 08/02/2013
❑ Permit Voided', Parcel Id# 0611430200
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
AgenUOwner
Address 709 N HICKORY FARM LN APPLETON WI 54914 -3032 Telephone Number (920)739-5156
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 O �--{KO �--i
ON THE WATER .
LOW VOLTAGE 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 vou are a contractor pa��ticipatinP in the Permit Fee Account Svstem and have adequate funds, check here
if vou want thisprocessed throuQh vour account ❑
DATEJuly 30, 2013
JOB ADDRE5S 151 N Eagle Street, Oshkosh, WI 54902
OWNER Lutheran Homes of Oshkosh, Inc. — Simeanna III
CONTRACTOR Suburban Electric ����IVED
ELECTRICAL CONTRACTOR U G 012013
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK�ALL APPLICABLE i)EPARTIIE�T OF
C^�i��i1\iTY'�JE�'ELOP!11EA17'
INSV4.CT10�SER\'iCES Dl�'1SIQN
USE CATEGORY
❑Multi-Family(number of units ) �Commercial ❑Industrial
CHECK EI ALL APPLICABLE
❑Cameras ❑Motion ❑Telephone ❑Video ❑White Noise Systems
❑Data ❑Security �Television ❑Voice
C�Fire Alarm ❑Sound ❑Other
DESCRIPTION OF ALL WORK BEING DONE Upgrading current Auto—call and Edwards
Fire Panel tn a non—nronrietary Silent Knight 580fi Addressahle FirP Alarm Panal _
VALUE(Including labor and all materials for cable installation(s) $23.815.00
APPLICANT SIGNATURE C.�:JY l�t��
08/09