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HomeMy WebLinkAbout0103641 HOSHKOSH ON THE WATER .lob Address 826 MCKINLEY ST Contractor ADONIS HEATING AND COOLING Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner JOHN E/BERNICE BROWN Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 103641 08/21/2003 Other J Vent J Use/Nature Duplex/replace furnace, install chimney liner.* EIV from Seckar Electric attached. of Work Fees: Valuation Issued By: $2,425.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $42.50 Date 08/21/2003 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 W2707 County Rd H Pine River WI 54965 -0 Telephone Number 685-0458 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. 10364f CITY OF OSHKOSH OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 826 MCKINLEY ST Owner JOHN E/BERNICE BROWN Create Date 08/21/2003 Contractor ADONIS HEATING AND COOLING Category 500- Residential-Heating & Ventilating Plan Fuel L~ Gas J r I Oil I ~ Electric ] ~- Solar ] [_~ Solid I System [] New I [] Replace. ..... i [] Other J [] Forced Air bd Radiant j Steam I LJ A/C I Vent f I'q Electric I ~J Hot Water [ ~ Suppl. ~ ~ Con. Burner I Chimney Type ~,,~ Chimney A ~ Chimney B O Direct Vent (.~ Not Applicable [ Value Value No Heat Loss ~.~ As Approved ( ~ Existing ~1 Not Applicable BTU Rate ~ As Per Plan (~ Variable ~ Other Use/Nature puplex/replace fumaca, instal] chimney liner.* EIV from Seckar Electric attached. of Work Fees: Valuation $2,425.00 Plan Approval $0.00 Permit Fee Paid $42.50 Issued By: ,/~ Date 08/21/2003 [] Permit Voided In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. While the City of Oshkos~has/~-~n° authority to~ ~enf°rce easement res trictio r~s~ff._wh~6h-it is not a party, if you perform the work described in this perm./it'applica/tJo'~ ~¢¢thin an~asem~es the permit applicant to contact the easement holder(s) and to seqi~re any ne,'~ary/appro~,,Eef,~r¢ starf~ng such activity. Signature ,-- Address V~7707Cou///ntyRdH 7 pTee~Tv~ncr wi 549650 Telephone Number 6850458 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/HKO/H ON THE WATER HVAC 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 [£vou are a contractor participating in the Permit fee Account System and have adequate funds, check here i£vou want this processed through your account ~ CHECK ~ ALL APPLICABLE USE CATEGORY [2Single Family ~i]Ouplex F1Multi-Family nRental DCommercial Ellndustrial FUEL ~as mElectric F1Solid SYSTEM mOil []Solar TYPE flirted Air r-IRadiant FlSteam F1A/C F1Vent flSt~lectric IS CttIMNEY BEING LINED F1No {;ii~es - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. []New ([~l~olace []Other FIHot Water F1Suppl. r'lCon. Burner & MANUFACTURER /~/~ k C~ CHIMNEY TYPE I-H~AT LOSS BTU RATE []Chimney A I-lAs Approved F1As per Plan nChimney B ,,i~Direct Vent ElExisting F1Not Applicable []Variable []Other Value []Other )ESCmPT ONOFALLWOm(BEmGnONEflE?; /q VALUE (Including labor and all materials including light fixtures) $ 3 ~//~ ~ O ~' ELECTRICAL CONTRACTOR ~'~ ~ ~ ~,4~ f~ ~ ~- ~(>/C' [] For applicable projects, an Electric Installation Verification form, signed by the Elec~ical Con.actor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. 9/02 Electric Installation Verification (Electrical Contractor Name) (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for .7~ OK)t ~ ~/~./-),/(}~_o , (Name of party contracted to) at the following address: ~:>2(_0 po[ 0~ ~[~ (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) ..,~ Recormection or new circuit for replacement Heating Plant and/or A/C Condenser. __ Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection 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. __ Recormection or new circuit for the replacement of other permanently wircd appliances / fixtures. -- New circuit forthe addition of A/C to an individual dwelting unit (house orthe individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ / ~-~.0 0 I hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. (Signature o~ Company Officer) (Print Name of Officer) ~(Date/ 5102