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Home My WebLink About0124361-HVAC (a/c) G OSHKOSH ON THE WATER Job Address 3192 COUNTY RD A CITY OF OSHKOSH No 124361 HVAC PERMIT - APPLICATION AND RECORD Owner KATHY L CLOSE Create Date 04/23/2007 Contractor THOMPSON HEATING AND COOLING S Fuel ~ Gas UOil System o New U Forced Air U Radiant U Electric U Hot Water Chimney Type D Chimney A () Chimney B Heat Loss D As Approved D Existing BTU Rate U As Per Plan U Variable Category 501 - Residential-Air Conditioning Plan U Electric D Replace U Steam U Suppl. D Direct Vent U Solar U Solid D Other ~ AlC U Vent U Con. Burner . Not Applicable . Not Applicable . Other Use/Nature SFR /INSTALL NEW AlC SYSTEM, EIV SIGNED BY QUALITY ELECTRIC of Work Value Value Fees: Valuation _~ Issued By: ~W Plan Approval $0.00 Permit Fee Paid $37.00 Date 04/23/2007 D Permit Voided I Parcelld # 1519623500 In the performance of this work, I agree to perform all work pursuant to rules governing the described ,construction. While the City of Oshko as no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this p it Ii tion within a ease the City strongly urges the permit applicant to contact the easement holder(s) and to se ovals b e tarting such activity. Signature Date 0~g/O-l Address 901 OTTER OSHKOSH WI 54901 - 0 Telephone Number 920-426-3095 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. ~ OfHKOfH ON THE WATER City of Oshkosh Division ofInspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification (~tlvt1; +1 ~/edr: c (Electrical Contractor Name) 37 S-D &!e/J ~ roolc ~(<'-- ()s/; t:iJd (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for/!Jfs/J1I!:5tJll!. ~h~ (Name of party contracted t Uyf1/f,y YV1-L/IJ I< f}- (Address where work will be performed) I (We) tJl ~ S-2/ t( tY/ at the following address: s Jq;) The nature ofthe work consists of: (Check One or Describe the Nature of Work) -X- Reconnection or new circuit for replacement Heating Plant and/or NC 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 I soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances I fixtures. New circuit for the addition of NC to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ /~ tfD I hereby verify this work will be performed by an employee of this company and further verify the reconnection I installation will be done in compliance with manufacturer and Electric code requirements. ~~25-67 (Print Name of Officer) (Date) 5/02 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~ OfHKOfH .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 pennit(s) will result in fees being doub~ed or $100.00 plus the normal permit fee, which ever is greater. OR Ify.ou are a contractor participatinf?: in the Permit fee Account System and have adequate funds. check here if YOU want this processed through your account n . .. DATE ~3h 7 JOBADD~;~2 0: 2 . OWNER vi aJ& .CONTRA~TOR ?7/d~pSDAJ ;---k~r-/,J~ A- CHECK fi1I ALL APPLICABLE EJE CATEGORY klSingle Family ODuplex OMulti-Family ORental o Commercial OIndustrial ' FUEL EfGas DOil DElectric DSolid DSolar SYSTEM ANew DOther DReplace TYPE DForced Air DRadiant DSteam V(NC DVent DElectric OHot Water DSuppl. DCan. Burner IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER Note: All chinmeys shall be sized per the BTU's being vented. cIiIMNEY TYPE HEA TLOSS BTU RATE DChimney A DAs Approved DAs Per Plan dChimney B DExisting DVariable DDirect Vent DOther DNot Applicable DOther Value DESCRIPTION OF ALL WORK BEING DONE ..L;U:5T~ /f/<L VALUE _ .$ ./?~5.. rV ELECfRICALCONTRACTOR ~~St.; ~ o for applicable projects, an lectric Instal alion Verificalion fonn, signed by the Electrical Contractor, must be attached. If not attached or not applicabl.e, a separate Electrical Permit is required. 9/02