HomeMy WebLinkAbout0123859-HVAC (A/C)
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OSHKOSH
ON THE WATER
Job Address 1120 N WESTFIELD ST
CITY OF OSHKOSH
No
123859
HVAC PERMIT -APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Create Date 03/20/2007
Contractor ANDRESEN SHEET METAL
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant I
U Electric U Hot Water' .. I
Chimney Type () Chimney A o Chimney B
Heat Loss () As Approved . Existing
BTU Rate o As Per Plan o Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
~ Replace
U Steam I
U Suppl. I
U Solar
U Solid
o Other
~ AlC U Vent
U Con. Burner
. Direct Vent
C) Not Applicable
C) Not Applicable
. Other
Value
Value
Use/Nature ~FR / Replace AlC unit. EIV provided by Slim's Electric.
of Work
Fees: Valuation
$2,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 03/20/2007
Issued By:
o . Permit Voided I
Parcel Id # 1608640000
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
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539 Telephone Number (920) 233-0323
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.
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POBoI 1130
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Electric InstaDati.. Verlt1catloB
I (We) SLIM'S ELECTRIC INC.
(Blec1ricaJ Comractor Name)
2608 Oakwood Circle Oshkosh WI' 54904"
(A.cIdress) (City) (Stato) (Zip Code) .,
have been contracted to porfonn eleCtric iGltl}JJation wort for Andresen Sheet Metal.
(Namo ofparty contraeted to)
at the foDowing addma: / /:u>. tJU T ,('2Id
(Address where wodt Will be perfbnDed)
The Dature of the WOJt consists of: (Check One or DeIcn'bo the Nature orWork)
~ Reco1IDectioo or new circuit for repJacemmt HoatiDa Plant and/or Ale Concienaer.
_ Reconnoction or new circuit for np1accr.mont Bloctric Water Heat<< or power ventocl
water bOater. "
_ R.ocoDneCtion of the Service BatraDce Clb1o. Meter Box, ~ to receptacles
and fighting fixtures due to sidirJ& I soffit iDstalIation. NOto: 'New Service
Br1tnmce C8bles will requ.tre a separate permit.
_ Reconnection or DOW circuit for the replacement of other peJmIIfltIltly wirod
appliances J fixtlUe8. ,
_ New circuit tor 1JIc addidoD ot Ale to _ tIItltvIdrIaI dwelling ruUt (boule or the
individual syst~ in a duplex or ccmdomiDiUlll>, iIlchacIiD8 NqUinIcl BYice .
01-"=a1 outlets. . '
_Olhw \.
The value of this work is S 125.00
I hereby verify dUs work will be performecl by an emplo)'CO of this compeay tDd fUrther verify
the reconnoctkm I insuIlla.tion will be clone ill compIi.IDce with manufacturer 8Dd BIoctric codo
roquircments. ' ' ,
(Sipaturo oCCompany Ofticer)
,Oavid A. Youngwirlh
(Print Name of Officer)
(Date)
SI02
~
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATION \. "i"..
All information after bOld categories must be provided." .
Incomplete applications will not be processed.
. Applioauon(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 withoutpermit(s) will result i" fees beil}g doubled or $100.00 plus the
normal permit fee, which ev~ is greater.. . '. . .
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~;:::e,,: t~~:~::::;s~~r:i~~u~~":o~r t~:c~::~i~e .4ccou~~ SYfJte~ .~"d ha;,~ .adeguate fundiJi" hlaed her,
,J DATE 3-t!-() 7 . .
JOB ADDRESS / (.;J.-q.' tutU! /ldd ; , I
OWNER ~~~~/~
CONTRACfO .' ctI2t5 .J.' ~.~ jl1tfo-{J. .
CHECK iii ALL APPLICABLE
~~~y [JDuplex' DMulti-Family [JRenta1
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t t
ClCommercial
. ~. .
[JIndustrial
FUEL 26as
COil
DElectric DSolid
IJSolar .
SYSTEM
CNew
COther
~ace
TYPE. .... \. ~
OJrorced Air CRadiant ..I;::Jste&m' ~c DVent. IJBlectric IJHot Water CSuppl. Deon. Burner
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IS CHIMNEY BEING LINED ~ ~es .' - LINER SIZE,A/ A- & MANUFACIURBR. /C/ /1--
Note: All chimneys shall be sized per the. 8W's being vented.
~~~0Chlnmey A ~B =~ []Other /1-.
BTU RATE . g~ =: OVariable .-BOther Value . c2IoN n c- /3 Sbz/L-
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DESCIIIPTIONOrALLWORKBElNGDONE ~ t//J'~'
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VALUK(IaoI~_udoD_~ia.t~~?p=~
ELECl'RICALCONTRACfOR. ~...qff, -.. ..- . .
.0 For applioable projects, an Bleotrio Installation Veri~on ~ sianQd 'by tho Bleotrioal'GooU'aqtor, must be
attached. If not attached ~ not applicable, a separate mectrical' Pem\it.1. ft>quimd. .
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