HomeMy WebLinkAbout0124557-HVAC (a/c)
o
OSHKOSH
ON THE WATER
Job Address 404 STANLEY AVE
CITY OF OSHKOSH
No
124557
HV AC PERMIT - APPLICATION AND RECORD
Owner NICHOLAS R TAYLOR
Create Date 05/02/2007
Contractor THOMPSON HEATING AND COOLING S
Fuel U 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 () Existing
BTU Rate KJ As Per Plan () Variable
Category 501 - Residential-Air Conditioning Plan
U Solar
U Solid
o Other
U Vent
U Electric
[?] Replace
U Steam
U Suppl.
e) Direct Vent
l{J NC
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Use/Nature SFR / REPLACE NC UNIT, EIV SIGNED BY T RUCK ELECTRIC
of Work
Value
Value
Fees: Valuati
Plan Approval
$0.00
Permit Fee Paid
$47.50
Date 05/02/2007
Issued By:
o Permit Voided I
Parcelld # 1209290000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this p.e e~rmi p'cation within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to ~~necessary ap rov f re starting such activity..--,h /0.
Signature Date"::/;> 2= (J 7
( ,
Address
901 OTTER
OSHKOSH
WI 54901 - 0
Telephone Number 920-426-3095
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
'ON THE WATER
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
CHECK li1 ALL APPLICABLE
~~ CATEGORY
~ingle Family ODuplex
OMulti-Family
ORental
o Commercial
OIndustrial .
FUEL
I
OGas
OOil
OElectric DSolid
o Solar
SYSTEM
t1New
DOther
)(Replace
TYPE
OForcedAir ORadiant DSteam ~NC OVent OElectric DHotWater OSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNa DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
cIiIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
dChimney B
OExisting
OVariable
DDirect Vent DOther
ONot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE
.$ 2$od. to
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification fonn, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02
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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
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(Electrical Contractor Name)
',f".'~,_...",
0\".
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for ~~ai:) ~
ame of party contracted to)
1{04 SVA-J~ /iyg
(Address where work will be performed)
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at the following address:
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
I-
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe 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.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominiu.rn), including required serv'ice
electrical outlets.
Other
The value of this work is $ / tf?J _ III
I hereby verify this work will be performed by an employee ofthis company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
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5/02