HomeMy WebLinkAbout0124572-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1725 OSHKOSH AVE
CITY OF OSHKOSH
No
124572
HVAC PERMIT - APPLICATION AND RECORD
Owner SEAN W SCHILDER/GRETCHEN ERICKS(
Create Date 05/03/2007
Contractor
Category 501 - Residential-Air Conditioning
Plan
THOMPSON HEATING AND COOLING S
UOil
Fuel
U Gas
~ New
U Forced Air
L]'EleCtric" ....
I
.T"
System
Chimney Type () Chimney A
Heat Loss
() As Approved
() As Per Plan
BTU Rate
U Electric
o Replace
U Steam
U SuppL.
C) Direct Vent
U Solid
o Other
U Vent
U Solar
I
l
U AlC
U Radiant
.. UHot Water
() Chimney B
() Existing
C) Variable
O. C()n.Born~(t
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Install AlC unit. EIV provided by T Ruck Electric.
of Work
Fees: Valuation
Issued By:
$1,800.00
()/lno
Plan Approval
$0.00
$37.00
Permit Fee Paid
Date 05/03/2007
o Permit Voided I
Parcelld # 1608620000
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 per . a plication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to e a necessary appr fore starting such activity.
Signature
Date
SAh7
Address
901 OTTER
OSHKOSH
Telephone Number 920-426-3095
WI 54901 - 0
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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
(f)
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, Roorn 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without perrnit(s) will result in fees being doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
lfy'ou are a contractor Darticipatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n . ..
DATE :sIgAl 7
I
JOB ADDRESS /7 ZS IJsfl-fci Sf! ,4/16F"
. OWNE&5~4;J/ c;~ ~4c/v ;j::..:r I Lp rd-;e
/. .
. CONTRACTOR /l-ItJ JU; S ~ I~I lie::=- /4 T 1/\./0
CHECK ItJ ALL APPLICABLE
USE CATEGORY
9l.-Single Family DDuplex DMulti-Family
DRental
o Commercial
DIndustrial .
FUEL
DGas
o Oil
DElectric DSolid
DSolar
SYSTEM
~ew
DOther
DReplace
TYPE
DForcedAir DRadiant DSteam IflNC DVent DElectric OHotWater DSuppl. DCon. Burner
IS CIDMNEY BEING LINED DNo DYes - LINER SIZE
Note: All clrinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA TLOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChirnney B
o Existing
DVariable
DDirect Vent o Other
DNot Applicable
DOtherValue
DESCRIPTION OF ALL WORK BEING DONE ~<;nyt<- /4/~
.$ /f J?J ' ~/7J
VALUE
ELECTRICAL CONTRACTOR a II
o For applicable projects, an Electric mstallation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02
~
OJHKOJH
ON THE WATER
City of Oshkosh
Division ofInspeclion Services
215 Church A venue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
A-alr<K 't6Lin,,- I
(Electrical Contractor Name)
/'
~("-
/'
~90 W,
(Address)
~
~
~l4-.
(City)
/JJL~.
at the following address:
's-1Qo L
(State) (Zip Code)
have been contracted to perform electric installation work for ~~.. ') ~~
(Name of party contracted to)
/12)" O~h((;~ ~ A-1Z~-
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
--K
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 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.
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 condominimn), including required ser,ricc
electrical outlets.
Other
The value of this work is $ //17. IV
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done incompliance with manufacturer and Electric code
re uirements.
I~M~ (4;?C(
(Print Name of Officer)
r/3/~7
I ~
(Date)
5/02