HomeMy WebLinkAbout0124860-HVAC (a/c)
e
OSHKOSH
ON THE WATER
Job Address 236 W SOUTH PARK AVE
CITY OF OSHKOSH
No
124860
HVAC PERMIT - APPLICATION AND RECORD
Owner ELIZABETH MEYERS
Create Date 05/17/2007
Contractor THOMPSON HEATING AND COOLING S
Fuel U Gas UOil
System o New
U Forced Air U Radiant
U Electric U HolWater
Chimney Type U Chimney A o Chimney B
Heat Loss D As Approved () Existing
BTU Rate U As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
o Other
l!J AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR /Install new AlC unit. EIV provided by T Ruck Electric.
of Work
$34.00
Feesi: Valuation
$1,550.00
~
Plan Approval
$0.00
Permit Fee Paid
Issued By:
Date 05/17/2007
o Permit Voided [
Parcelld # 0901400000
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 g . it a Iication within an ease~, e City strongly urges the permit applicant to contact the easement
holder(s) and s~cu necessary pprovals1J'e~ starting such activity.._./, . 4
Signature Date -Sjo & 1
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OJHKOfH
'ON THE WATER
· 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 perrnit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I 'ou are a contractor artici atin in the Permit ee Account S stem and have ade uate check here
if YOU want this processed throuf!h your account n
JOBADDRESsZ36 a/, d(ff/l?~
. OWNER a'; 24-.&;/7/ 6V~s
. CONTRACTOR '77kMP~~ ~~
DATE 5~7/#'7
CHECK ltJ ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMuIti-Family
DRentaI
DCornmercial
Dfudustrial .
FUEL
o Gas
DOil
DElectric DSoIid
o Solar
SYSTEM
A'JNew
DOther
DRep1ace
TYPE
DForcedAir DRadiant DSteam j{)NC DVent DE1ectric OHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
cIiIMNEy TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
t1Chimney B
o Existing
DVariable
DDirect Vent DOther
DNot Applicable
o Other Value
.' ~~
DESCRIPTION OF ALL WORK BEING DONE ~..:::.~
4~ ~b-~
VALUE
.$ /S~. ~VlJ
ELECTRICAL CONTRACTOR E; f
o For applicable projects, an Electric hlstallation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required. \ <J~ \ ~'D
9/02
.;;;_~':':.;:..;;';.,;_'.';';'i"",~_,,,,,",,,,,,,-,,,,,,,,,,,,~<,,_,"'j.,
".'.',~:~':~-~_~~~';fii;':;;;:;~'l'tlft~,.h*""<"___~__''''''
~""""
~
City of o,)~l<,~h
Divj~rt of IMi"'~tion $.e1vir.s
Z 15 C111Il~'h A ife"l~
1'0 Box IDO
Oshl<O!iN WI 54902 ., 1)0
Office 92o-Z36-5050
FM 9%O-n~.SO~
Electric Installation Verificatioai
"
(1) (Vv'e) . 1...~_RJ2-.C:.Ji_. f: l-f2~:r~L~~~._~... ._.._._.____.__.________._.___....__~__~_.___
(Electrical Contractor Name)
__"~~Q_ UJ, '3 (V~ ..ST __~O.1Z..ltl~9Stl.
(Address) . (City)
W't f/:;tJ.D t::!..~_
___._..___.~.-_--~..-~..:L
(State) (Zip Code)
have been--c6'~tra~ed to perform electric installation work for~."'.~lM.I~9._IA2...lt E:l&.I.~ ~_._,
. (Name of party contracted to)
at the tollowing address: _ d:~~~_.____~'__5o~~.ti_.x-~'[n_..__."__._.__._______.__________.
(Address where work will be performed)
The nature of the work consists of' (Check One or Describe the Nature of Work)
_ ~ Reconnection Or new circuit for replacement Heating Plant and/or A.lC Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
l,ighting fixtures due to sidiiigl somt installation. Note: N~w Sen'ice EniJ:ance
Cables will require a separate pemlit.'..
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
"",," :~>' l'~'o.;' ..." , "I'lU.'-;f: ".~" :,.,~ir~','''!'...,:;i:'~.;.:' :..,...-; .':" r"'I',. . .'.~". ",' ~'"
..--.--------..-----'--.------.___..___..___..--'-____'--o__,__.~__,.~..;..-_'_~'"'____'.:...~;_.....___""_,....__......______..._______
----ri-.-..----..--.----..------~-.__.-.._-----~.-.--.....---..--~.....---_.--...-._--
~ bO .
The value of this work is $___Lf~_~___.________. .
I hereby verifY this work will be performed by an employee of this company and furtJ1er verify the
recotU1e(~tion .1 installation wiJJbe done in compliance with manufacturer and Electric code
reqUir.u~ - ~ .' , f/; fo 1
,.:.".~;, ,-...0"; ~'.',>;~..';~'i"'~':":"':'_';c";;." ".
'"--''- "....., ."...,.."..-.... ',. ,,',,'~"" ",., ....."..,.....'...... ;''''''.''
; .: '.) ;""~.:i:;:;,;" ':...:",\:,,,'";"'^.""<.:"k"I~."'_,;''''.M''''''''''''li"'.'-"!,;~'~f,,~;;i_'o;
.....,.;;;.:...,,!:....,..''"'-......-,
.' '^,', ,;,....,,;~::,,'.:,.'...'.-