HomeMy WebLinkAbout0159157-Electric � CITY OF OSHKOSH No 159157
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
' ON THE WATER
Job Address 795 WEATHERSTONE DR Owner PAUL&SUSAN PENZENSTADLER Create Date 11/19/2013
Contractor JK ELECTRIC Category 610-Residential-New Single Family Servi Plan
inspector Adam Krause
Service New � Change � Temp � N/A �, Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances - —
�
I
Use/Nature of NSFR/2 story home with a 3 car attached garage. The basement is unfinished and seperate permits will be required in the future if
Work additional work is done. An encroachment agreement is required per DPW for the driveway section that runs over the easement. The ;
riveway apron will need to be adjusted to provide at least one foot of full curb head between the proposed driveway and the existing
riveway to the south. Plans will need to be submitted to DPW for approval.
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Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $172.00
Issued By: �j S Date 12/27/2013
❑ Permit Voided� Parcel Id# 1219750000
In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction.
While the City of O hkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this p it application ithi an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to s ure y neces ary rovals before starting such activity.
Signature Date /�–�/ "�
AgenUOwner
Address E9 02 MANSKE RD NEW LONDON WI 54961 -8938 Telephone Number (920)982-7848
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 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.lHKO.lH
ON THF 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 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit Fee .Account Svstem and have adequate fitnds, check here
ifyou want this processed through vour account ❑
DATE I 2' ��—��
JoB AnnuESS r]>� ���,�1-,�-St-��
OWNER �� ���rlZ2,���t�
CONTRACTOR r 1 I���,�--K �(
CHECK Ef ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial DIndustrial
SERVICE �New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable t�iJnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /ZU / ZyG Receptacles#�� Circuits# 7�'� :
Phase %
Amps Z{�t� Switches# ;3� Fixtures#�= :
CHECK�ALL APPLICABLE
�Range �Dishwasher �Garbage Disposal �bryer ❑Water Heater
❑Fan OR Blower �F'urnace �/C ❑Electric Sign
�Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Cf,�( rC /'�°uJ ��:9'z�
VALUE(Including labor and all materials including light fixtures)$ � � U� �
MASTER ELECTRICIAN ��-?�'Y�'�C,a V1 �`+c/l Z_
3/02