HomeMy WebLinkAbout0103088-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1338 W BENT AVE
Contractor AMERICAN HEATING & A C CO
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner HEIDI N HARDEL
Category 501 - Residential-Air Conditioning
L~ Electric
No
103088
] ~ Replace ] ~ Other ]
L~ Steam
Create Date 07/24/2003
Plan
Solar ] ~ Solid
A/C ] ~ Vent
Con. Burner I
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ suppl.
Chimney Type I~] Chimney A O Chimney B ~] Direct Vent ~ Not Applicable I
Heat Loss I~] As Approved O Existing ~] Not Applicable I Value 0
BTU Rate I~ As Per Plan ~] Variable ~ Other I Value 24m A/C
Use/Nature SFR/Install 2-ton central A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: Date 07/24/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1129 MICHIGAN AVE OSHKOSH WI 54902 -6437 Telephone Number
(920) 235-8090
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Bo× 1130
Os~osh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLI~ATI~
All infomation ~fter bold categories
Incomplete applications wilI not be
nomal pemit fee, which ever is ~eater.
OR
~Fou are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through gour account
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CHECK [] ALL APPLICABLE
E CATEGORY
ingle Family F1Duplex I-lMulti-Family F1Rental V1Commercial []Industrial
FUEL ~.Qas U1Electric IZ1Solid SYSTEM j~ew FIReplace
[Oil F1Solar FIOther
TYPE
p~-orced Air [Radiant F'tSteam ~..A/C FlVent []Electric [Hot Water FiSuppl.l-ICon. Burner
~o [2]Yes - LINER SIZE & MANUFACTLq~R
IS
CHIMNEY
BEING
LINED
Note: All chimneys shall be sized per the BTU's being vented.
CItIMNEY TYPE [Chimney A ~-.himney B f-IDirect Vent F1Other
HEAT LOSS F1As Approved [~fi-x-isting FiNot Applicable
BTU RATE F1As Per Plan [Variable .~her Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) _$_~-~O ~'~
ELECTRICAL CONTRACTOR . OR .~. lectric Installation Verification form attached(If Replacement)
Etect~Tcal inxtallation of new~replacement equipment shall be done by licenxed contractors.
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Electric Installation Verification
(EIe~I ~n~actor N~e)
(Add.ss) (City) (State) (Zip C~e)
have been connoted to perfom el~hc installation wo~ for .~ [C~
~me ofp~y ~n~t~ to)
(Ad~s where work ~11 be
The nature of the work cousists of: (Check One or Describe tbe Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or .adC Condenser.
Reconnect/on or new circuit for replac~nent Electric Water Heater or power vented
water heater.
Reconneetlon of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual d, veiling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
the mconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
/
(Print Name of Officer) (Date)
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