HomeMy WebLinkAbout0157772-Electric � CITY OF OSHKOSH No 157772
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1661 1663 MARICOPA DR Owner JHA PROPERTIES LLC Create Date 08/02/2013
Contractor BARR ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead � Underground :
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/Adult family home/Combining the duplex to create an adult family home. The tenant separation wall will be removed and the
Work bathroom will be enlarged to meet ADA requirements. Two new handicap ramps will be installed on the front of the home. Doorways
�ill be widened. A compliant smoke detection system and carbon monoxide detectors will be installed.
�
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: Date 09/17/2013
❑ Permit Voided' Parcel Id# 1318070000
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 1846 NAGLE AVE MANITOWOC WI 54220 -0 Telephone Number 920-629-0261
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 Osl�kosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone(920)236-5050
Fax (920)236-5084 O.IHK01H
ON 7HF WATFR �
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 ar mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adeauate fitnds check here �
�vou want thzs processed throu�your account ❑
DATE '7 " � �' �3
JOB ADDRESS / � (.�( //(/}"���a/�/� ��
OWNER T/� C /-f, /y/ L- S
CONTRACTOR_____ �3/�/1� Z�� �C�T��C
CHECK 0 ALL APPLICABLE
USF�ATEGORY
��Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps �Other
DESCRIPTION OF ALL WORK BEING DONE (��/�ac� F/��'m oZ ,/^/�rh<� �G
i , GT��ct ��mihN /�7�o M C• ��i�oc%A�"�o.v
,�/ o�_.
VALUE(Including labor and all terials including light fixtures)$ /��U
MASTER ELECTRICIAN ✓�l �
3/02