HomeMy WebLinkAbout2007-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1060 MARICOPA DR
P?cev (~cf
CITY OF OSHKOSH
HV AC PERMI1- APPLICATION AND RECORD
No
124745
ol.vner SUSAN L WOOD
!
C~tegory 501 - Residential-Air Conditioning
Create Date 05/10/2007
Contlractor MARTENS HEATING & COOLING
Fuel U Gas UOil
SystEim o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type Chimney A Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate U As Per Plan C) Variable
Plan
~ Electric
o Replace
U Steam
U Suppl.
U Solar U Solid
o Other
~ NC U Vent
U Con. Burner
Direct Vent Not Applicable
() Not Applicable Value
. Other Value
Use/Nature SFR / REPLACE NC UNIT, ELECTRIC WORK BEING DONE BY WITZKE ELECTRIC
~~~ I
Fees: Valuation
$1,801.00
Plan Approval $0.00
I
o pLmit Voided
Permit Fee Paid
$38.50
Issued By:
Date 05/10/2007
Parcelld # 1312940000
i
In the performance of this work, I agree to perform all work purJuant to rules governing' the described construction.
While the City of Oshkosh has no authority to enforce easeme1t restrictions of which it'is not a party, if you perform the work
described in this permit application within an easement, the Cit strongly urges the perinit applicant to contact the easement
holder(s) and to secure any necessary approvals before startin, such activity. I
Signature
Date
Agen Owner
Address
PO BOX 514
OMRO
i
WI 54963 - 514 Telephone Number 920-685-0111
,
I
To schedule inspections please call the Inspection Re uest line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access intO Building if Secur~ (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume t e project is ready at the time the request is received. Work may
continue if the inspection is not performed within two usiness days from the time the project is ready.
I '
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C""loI061>1I....$h
Divisioll ""f!Il!lll'lll'!;OIl S"",,j""5
2) , 0,,,,,,11 All""'''''
\~OaO% 1130
OSl'lllQllll Wl 54902-1130
O~ 'lW.;lY.i-5e!ll)
hx 92Q.-2:3(i-~OO4
RECEIVED
MAY 1 0 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPEcrION SERVICES DIVISION
o7Ff<l5lR
--""!)~;-;r;:ii~WAi'EA-'
Electric :buataUatioD Vedfic.atio.
(1) (We) ___jJ___t-_l<~L__- ~_L!?:-L +- r ~~-------_._~_.-
(Electrical Cootrac,to[ Name)
.!i1033 .~~~r:./j~- CL~0__ ~~..r9Q
(Address) (City) (State) (Zip Code)
have been contracted to perforJm electric instaUation work fOT fY1 ~~ -Izl €to_ t}~_-:._C~ ~ Il~~
. (N:mme of party contracted to) ')
~~~~~~:_~_~~c~~~_----~
(Address where work WJl.U be per:foooed)
The natu:rce ofthe work consists of: (Che.clk One or Describe the Na(t'Ure of Work:)
._~nnectjon or ne~w c:i.rcUJiit for repb.ceJluent Hea,t.ing Plant and/IO:r Ale Condenser.
RecoonectioIll or new' circuit. f.or replacement Elecl:nc Water Heater.
Recomlec:tion of the Sell'vitceErrtrnUllce Cable, M.eter Box, alterations to receptades and
lighting fixtures due to siding I $I,)ffit ini\l,t:aUatiou" Note: New Service Entrance
Cablefi; win require a. separate pennit.
Reconnect:i.oo or new circuit fo]~ other permanently wired appliances I :fixtures.
Other
---_._-~--_...-~_.....---~_.._~_..,-~_._._..._-.-~----~..-------..--....------~~_.........-----....,....,--...............---_.__..--~-------.-
--".__.._--------------._~~_."--_.~-....._.,-.,..,..----'-
The value ofthis work is$_Cf-:-="-----c::!.-~----..
I hereby verify this work 'will be performed by a:n employe:e of this olJmpany md further verify the
reconnection / installation win be done in c01OO.1')Hance with manufacturer and Electric code
requirements.
CJ~ .1~ ~
~~ ofC':;;;;,p""y Officer)
__~L~~J~~ Ilq~_._""~
(Print Name of Officer)
::r cr CJ-;7
--,--,L---____..
(Date)
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903~ 1130
Phone (920) 236~5050
Fax (920) 236~5084
RECEIVED ~.."."
MAY 1 0 2007 ~
COMJU~~T:~g~MENT ufHKOfH
ON THE WATER
HVAC PERMIT A~t~~fl6'~ES DIVISION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. AppHcation(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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If..vou are a contractor vort/dpat/1Ift in the Permit fee Account System and have adequate funds. check here
if )IOU want this processed through )lour account n
DATE
J
"
9,,07
JOB ADDRESS / D 60 rn ct r.' c. Clf~
OWNER Sue WoocY
CONTRACTOR {Y1 o...r t-e h S.
Dr
Ife~ 1-,~~.~ . d
\
COd{. c\y
CHECK Ii[ ALL APPLICABLE
US~ATEGORY
---BS'ingle Family ODuplex OMulti-Family
DRental
OCommercial
o Industrial
FUEL
OGas
DOil
~c DSohd
o Solar
SYSTEM
ONew
OOther
rnRep1ace
TYPE -
DForced Air DRadiantOSteam ONC DVent ~ctric DHot Water DSupp1.0Con. Burner
IS cnmv BEING LlNED~Yes - LINER SIZE & MANUFACTURER
Note: AU chimneys shall be sized per the BTU's being vented.
CmMNEY TYPE OChimney A OChimncy B DDirect Vent o Other
HEAT LOSS DAs Approved 9f!XiSting DNot Applicable
BTU RATE DAs Per Plan OVariable OOther Value
DESCRIPTION OF ALL WORK BEING DONE__e~.~.Jc-. cee It c V Vo\ l t--
VALUE (Including labor and all materials including light fixtures).$ I!?- 00. 60
El,ECTRICAL CONTRACTOR D. K&../
pp. 0 Electric Installation Verification form attached(lfReplacement)
Electrical installation ofnewlreplacemcnt equipment shall he done by licensed contractors
3/02