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Home My WebLink About0103522 HOSHKOSH ON THE WATER .lob Address 2402 JACKSON ST Contractor TENTH STREET STATION INC Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Gas J ~J Oil New J Forced Air I ~J Radiant Electric I ~J Hot Water Owner MICHAEL D STRYCKER Category 511 - Ind. & Comm-Air Conditioning Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 103522 08/13/2003 Other J Vent J 5 ton Use/Nature COMM/Replace 5-ton A/C. *EIV form from Drexler Electric. of Work Fees: Valuation Issued By: $2,200.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $38.00 Date 08/14/2003 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 Agent/Owner Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236-8770 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. FRON ;TENTH STREET STATION,]NC. FAX NO. :920-236-0150 Aug. J. 3 L:~83 Og:3~qM P1 Civ/of Oshkosh · Division of Inspection ~ervices P,O. Box ! 130 Oshkosh, WI $4903-11~0 Phone (920) 236-5050 lax (P20) 236-5084 HVAC PERMIT APPLICATION All information aft~r bold cate§orie~ nm~t be provided. Incomplete applications will not be processed. · Application(s) and fee(s) can be brought to Ci~/Hall, Room 205 or mailed to Inspection S~-viccs, PO Box 1128, Oshkosh WI $4903-1128. Commencing ork vathout pc-rout(s) will result In fees bethg doubled or $100.00 plus thc normal permit fee, which ever is greater. OR If v~u 'are a contractor ~articivating in ~he Permit fee dccount System an~t have fid~tLuate funds, check here if you want this vrocesded through your account [~,Commercial r'lInduslrial CHECK [~ ALL AIPPLICABLE USE CATEGORY ' t~Single Family ~Duplex VIMuld-Family ~]Rental FUEL ElGas ~gilElec~ic [3Solid SYSTEM E]New [~cplace r"lOil , I'lSolar OOther TYPE r'lForced Air ElRadiant EIStcam '~A/C IZIVcm r'lElccmc r'lHot Water OSuppl. rlCon. Burner IS C~Y BEING LIN'ED [~o [3Yes - LINER SIZE. & MANUFA~R~ Note: All chinmeys shall b~ sized p~r the BTU's being vented, CHIMNEY TYPE rlChin~cy A ~Chirnncy B ElDire~t Vent ~.h~r HEAT LOSS I-lAs Approved [~xisting EINot Applicable BTU R.~TE E1As Pe~ Plan ElVariable nOth~r Value ~ ~ ~ ' VALUE (Including labor and all materials including Dight fixtures) $ ~ 7/,0 0.0~ ~For applioabl¢ proj~o~, an Elco~o ~[lation V~ficafion fo~, si~ed by ~e ~cal Conjuror, must be ~.a~ched. ~not a~h~ or ~t. applicable, a ~p~ Elec~cal P~t is r~. . FRO~I :TENTH STREET STATION, INC. FAX NO. :920-236-0150 Aug. 13 2003 09:54AM P2 Electric Installatmon Verification (Hlec~cal Contrac~.~ --------- (~,aa?.~s) (City) (State) (Zip Cod~) have been comracted to perform electric installa~on work fo~ ~ ~ ~e ofp~y con~act~ to) --' at~efollowing~&~s: ~ ~0~ ~/4~ (A~r~s where work will be perform) ~e na~e of~e work consis~ of: (Ch~k One or De~fibe ~ Na~ of Work) . ~ R~o~fion or new C~t for repl~ent Heating Plant ~or ~C Cond~s~. -- R~°~°n °r new c~tfit for repl~ent El~c Watg Heat~ or pow~ vented wal~ heat~. ·.. ~ ~cco~tion of the So.ice ~cc Cable, M~cr Box, ~tio~ to r~tacles ~d li~g fixt~cs duc to sid~g / soffit inst~la~on. Note: N~ Se~ice En~ C~les w~ ~u~c a s~ate pe~it. ~ R~on or n~ cimuit for ~e mPlac~ent of o~ pe~cn~y ~r~ appli~ / fix~es. N ' ~ ' ' '. - '.' '~(~" ~ '~:' ~ ''~ '""'~', ~ ew c~t for ~e addmon of ~C to ~ mdiwdual dwe[h~g uni~(ho~eor.~e '. in~du~ s~s in a duplex or co~dom~iu~, ~ol~ng requir~ s~ice elcc~c~ outlets. _, The value of this wo/~ is $ ~d"7 ~ I hereby verify'this work will bcpcrformed by an employee of th/s company and further verify the recOnneetion / installation will be done in compliance with manufacturer and Electric code requirements. mpany Ogficer) (P~i~ Nam~ of Of~cer) (Date)