HomeMy WebLinkAbout0123735-HVAC (furnace & boiler)
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OSHKOSH
ON THE WATER
Job Address 1135 ELMWOOD AVE
CITY OF OSHKOSH
No
123735
HVAC PERMIT -APPLICATION AND RECORD
Owner MARK AlTRACEY M KROLL
Create Date 03/05/2007
Contractor BOB'S QUALITY HEATING & AlC INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss D As Approved o Existing
BTU Rate [) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
UCon. Burner
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent 0 Not Applicable
. Not Applicable Value
. Other Value
Use/Nature SFR / Replace furnace & boiler. EIV provided by Action Electric.
of Work
$7,600.00
Plan Approval
$0.00
Permit Fee Paid
$124.00
Date 03/07/2007
Fees: Valuation
Issued By:
~
D Permit Voided I
Parcel Id # 0506580000
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
123 S RAILROAD ST
KIMBERLY
WI 54136 -1828 Telephone Number (920) 788-5091
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.
Fe b. 27. 2007 9 : 36 AM
inspection services
No. 1286 P. 1
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 130
Phone (920) 236--5050
.F~ (920) 236~5084
'D 3folCJ
3-- ~,~ 10
~
O/H(OfH
ON THE WI\TI!R
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not he processed.
· AppHcation(s) and fee(s) can be brr;lught to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI 54903-1128. COI1llIleI1cmg work without pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee. which ever is greater. .
OR
/ au are a COli rae/or or/iei atin in the PermtfJee
iLy.ou want this processed ibr~~~h ;ozir aCCOunt
u ds check here
JOB ADDRESS /j 3 S EI;Y1 u.J ~ i
. OWNER 111qy /.( ~~
CONl1<A.crOR -40 6 <, 61 u a..R... ~ /I~ f 11-/(
CRECK It'J' ALL APPLICABU;
USE CATEGORY
r>lSingle Family DDuplex OMulti-Family
DATE ;t~;2. 3 -07
T~f_~6qJ
q;;Ji5_'1 .
ORental
OCommercial
DIndustrial '
FUEL
)'iGas
DOi!
DElectric DSolid
o Solar
SYSTEM
ONew
DOther
DReplaoe
. TYPE
~orced Air ORadiant DStcam DAle DVent OElectric oRot Water qSuppL Deon. Burner
IS CHlMN,EV BEING :L.INED aNo DYes .. LINER SIZE~
Note: All chimneys shall be sized per the BTU's being vented..
& MANUFACTUR.ER
CHIMNEy TYPE
REAT LOSS
BTU RATE
OChinmey A
DAs Approved
DAs Per Plan
OChimney B
DExisting
DVariable
)9Drrect Vent nOther
ONot Applicable
o Other Value
DESCRIPTION Oli' ALL WORK BEING DONE
! '
F ~ l,4A--<
1t?/'r-P1n&t / ;;/l--e~O/~ ~r/7()C'e
' , .. .'
VALUE
.$
ev
76 OZJ ~
.
/) tf fr.!-' ;:- ce.
J
ELECfRICAL CONTRACTOR A,.-
D For applicable projects, an Electric Installation Verification fann, signe .
attached. If not attached or not applicab~e, a separate Electrical Permit is
~ EI()~~ MAROS
..1:1 .. /J EiV ~. DEPARTMENTOF f"
~ ~ ~ ,(}.f hI ;;Z ctOMMUNITY DEVELOPMEN
9'~o-78o ~Tv
. <L\{E Obe
Mar. 7. 2007 '1:11AM
i n sp e ct ion s e rv Ice s
I~ o. 1 'HI ~ r. LI L
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~
<:lEy IlfC)slllrosb
Division "flll8pcoti~n SeMl~
2j 5 ctIl11"l:" MCdUC
PO &0'"' \I:lll
O~hIc~), WI 54!/03-11311
0flIe<: 920.2J6.50SU
Pax 920"Z31i.~0$4
Electric Installation Verifi.cation
I (We)
...
(print homeowner(s) name)
tho homeowner(s) of --U 3 5 E I ('r\ uJ o~ ~ \),....
. (address where work. is to be performed)
accept the responsibility for perfonnmg the electrical work as stared below for the property listed
above.
The nature of the work consists of: (Cheok One or Describe the Nature of Work)
:i- Recollnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconneclion or new circuit for replacement Electric W nter Heater or power vented
waler heater.
Reconn~tiOrl ofthe ~erv:ice Entranoe Cable. Meter Box. alterations to receptacles
and lighting fiXtures due to siding I soffit installation. Note: New Service
Entranoe Cables will require a separate permit.
Recor.mection or new circuit for the replacement of other permanently wired
. " appliances / fixtures. .
/ New circuit for the addition of NC to an indivldual dwellhlg unit, including
required se1Vice electrical outlets. Note: Homeowners Clln only do their own
elcctric on a sing/efamily owner occupied hom~" Work on a condominium.
duplex. Tenta~ or multi-use building would require a licensed master
~~~. .
Other
The value oftbis work is $~ C) ~
I hereby verify this work will be perfonned by me and further verify the reoonnection /
installation will be done in compliance with manufact'l1t'€r and Electric code requirements.
.-
~c\\O~ ~~cl~\'l'~
Hoxneowner(s) Signature
3- 7-cs::;.
(Date)
5/02
:::
~
ACTION ELECTRIC~ ELECTRICAL CONTRACTORS. INC.
Wl906 Ct)'. Trk. JI, Kaukawll1, WI 54130
Rick Van Dyn Hoven TELEPHONE: 920-788-4020 Lisa Van Dyn Hoven
FAX: 920-788-0846 ' ,
FACSIMILE COPY,
PLEASE DELIVER nns MESSAGE TO: -JL.a-\J ~,
FROM: ACTION ELECTRIC. ELECTRICAL CONTRACTORS. INC.
DATE ~-"7 - 0""1
THIS MESSAGE CONSISTS OF ~ PAGES INCLUDINO'COVER PAGE.
l-Zn.v~ -\\,.,", tAl \ 1\ Iu. de No. 0 1\ -\-l ~i'S .4 'Y
3-8-07
~~~~
If' THERE ARE ANY PROBLEMS OR IF YOU DO NOT I<...t;Ct:l V t: ALL PAGES,
CALL:
NAME: ). 1-5 A
(920) 788-4020
fAX: (920) 788-0846
CONFIDENTIALITY STATEMENT
This infonnationcontained is this facimile message is legally privileaged and confidential information
'intended1only for the use of the addressee(s) named above. If you are not the intended recipient, you are
hereby nptifJed that any distribution or copying ofthis message is strictly prohibited. If you have received
this message in error, please notify us immediately by collect telephone call and return the original message
to us at the address above via the United States Postal Service..
1
e
OSHKOSH
ON THE WATER
Issue Date 2/21/2007
INSPECTION SERVICES DIVISION ROOM 205
DEPARTMENT OF COMMUNITY DEVELOPMENT
CORRECTION NOTICE
CITY OF OSHKOSH
215 CHURCH AVE
PO Box 1130
OSHKOSH WI 54903-1130
Compliance Date 3/23/2007
Compliance No
Address
1135 ELMWOOD AVE
Sent to
l!:J Owner
Name
I MARK A1TRACEY M KROLL
Address
1135 ELMWOOD AVE
City
OSHKOSH
State Zip Code
WI 54901 -0000
Introduction
U Required for Occupancy Occupancy Single Family
Upon receiving notice from Wesley Heating & Cooling it was noted that HVAC installation has commenced without obtaining
he requirad permit.
Item # Code 7-43 Compliance No Compliance Date 03/23/2007
Description Before commencing construction, installation, alteration or remodeling of any heating, ventilating, or air conditioning system, or part of a
system, a permit shall first be secured.
02121/2007
Last
Updated
Summary he permit must be applied for within the next 10 days. Permit hours are Monday-Friday 7:30-8:30am and 12:30-1 :30pm. If
you have questions feel free to contact me at 236-5119.
Violations must be corrected and approved within 30 days unless otherwise noted. Call for reinspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of 3/23/2007
Office hours for obtaining permits are Monday through Friday 7:30-8:30 a.m. and 12:30-1 :30 p.m. or by appointment. To schedule
inspections please call the Inspection Request line at 236-5128 noting the address, permit number (when applicable), and the
nature of what needs to be inspected.
.'gnatu.. ~* Dale Zht/07
Inspected by: John Zarate 236-5119 jzarate@ci.oshkosh.wLus
I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes.
Print Name
Company
Signature
Date
Also Sent to: U Bldg
U Elec
U HVAC
U Plbg
U Designer
U Other
U Insp.ector
12267
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