HomeMy WebLinkAbout0125009-HVAC (a/c)
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OSHKOSH
ON1THE WATER
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Jo~ Address 1250 HEIDI HAVEN DR
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Contractor
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Fuel
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STm
ChiJnney Type
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Heat Loss
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BTl/ Rate K:J As Per Plan () Variable . Other
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Us~/Nature SFR I Install new alc system. EIV provided by Schafer Electric.
'of Work
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Fees: Valuation
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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
~escribed in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
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holder(s) and to secure any necessary approvals before starting such activity.
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Signature
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lddress
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Issu~d By:
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CITY OF OSHKOSH
No 125009
HV AC PERMIT - APPLICATION AND RECORD
Owner
CHRISTOPHER PITONYA L ZIEGLER
Create Date 05/29/2007
PALISADES SHEET METAL
Category 501 - Residential-Air Conditioning
Plan
U Gas
o New
UOil
U Solar
U Electric
U Solid
o Other
U Vent
o Replace
U Steam
U SuppJ.
U Forced Air
U Electric
K:J Chimney A
U Radiant
U Hot Water
~ AlC
U Con. Burner
. Not Applicable
C) Chimney B
C) Direct Vent
KJ As Approved
() Existing
. Not Applicable
Value
Value
$1,800.00
Plan Approval
$0.00
Permit Fee Paid
$37.00
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Date 05/29/2007
o Permit Voided I
Parcelld # 1342954400
Date
Agent/Owner
1475 RACINE ROAD
MENASHA
WI 54952 - 0
Telephone Number
(920) 729-1282
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To ~chedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Ins~ection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Nurl,ber. 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.
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, City of Oshkosh
Dhi~ion ofInspection Services
'P.O. Box 1130
Qshkosh, 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.
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OfHKOfH
'ON THE WATER
· Application(s) and fee(s) can be br~ught to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
OshkoshWI 54903-1128. Commencing work without pennit(s) will result in fees being doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 'ou are a contractor artici atin in the Permi!-:.ee Account S stem and have ade uate unds check here
if vou want this processed throu~h your account U ,
'JOB ADDRESS
'OWNER
'CONTRACTOR
1250 Heidi Haven DR
DAlE 5!E.~/07
Chris Ziegler
..
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Palisades Sheet Metal
CHECK ItJ ALL APPLICABLE
E.~ CATEGORY
~ingle Family DDuplex
....:
DMulti-Family
DRental
o Commercial
DIndustrial '
FuEL
t-:'Gas
'-"C
DOi1
'tiElectric OSolid
. o Solar
SYSTEM
\itNew
OOther
PReplace
TYPE
OForcedAir ORadiant DSteam 'JlNc DVent DElectric OHotWater DSuppl. DCon. Burner
is CHIMNEY BEING LINED~o DYes - LINER SIZE & MANUFACTIJRER
Note: All chimneys shall be sized {ertli~ BTU's being vented.
cIilMNEy TYPE
BEAT LOSS
]BTU RATE
DChilliUle.y A
DAs Approved
DAs Per Plan
Q~~~~iY B
tJExisting
DVariable
gI:l~~ty~t, DOther
PNot Applicable
o Other Value
][)ESCRlPTION OF ALL WORK BEING DONE
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Install Air conditione
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.$ 1800.00
M.^.Y .2 9 2097
DEfl'Attl"fvIEI\l I OF
COMMUNITY DEVELOPMENT
INSPEcrWN SERVICES DIVISION
~{ ALUE
ELECTRICAL CONTRACTOR Schafer Electric
o For applicable projects, an Electric Installation Verification fonn.. signed by the Electrical Contractor, must~e
attached. linot attached or not applicahle, a separate Electrical Permit is required. tJ; 0 v I
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9/02
OS/24/2007 12:40 9207252138
May 24 07 11 ;3361 Joe Viotto
J ..
SCHAFER ELECTRIC INC
':;U.\rl.t.:::>-I"'~I
PAGE 02/02
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f'D'- in0-z3 fiJDll4
Electric Installation Verification
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Schafer Electric
I (We)
(Electrical Contractor Name)
6364 County Road A N$4nah
WI 54956
" (Address)
(City)
(State)
(Zip Code)
ha.w been contracted to perfonn electric installation work for Chris Z iegl er
(Name of party contracted to)
at thl;: following address: 1250 He; d; Haven 0 r
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
-L Reconnection or new circuit for replacement Hea~g Plant and/or Ale Condenser.
Reconnection or. new circuit for replacement Electric Water Heater or power yen.tt::d
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit mstaUa.ticm. Note: New Service
Entrance Cables will IeqU.ire a separate permit.
ReconnectioD or new cirC11it for the replacement of otbCJ' permanently wir.ed
appliances ( fixtuIeS.
New circuit for t:ll.e addition of Ale to an indwtdUfJ.l dwellin.g unit (house or the
individual systexns in a duplex or eondomini1llJl), including required se.rv1ce
electrical outlets.
Other
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MAY 2 9 2007
Th.C value of this work is $ 1?4'o;fQ
DEPARTMENT OF
1. hereby verify this work will be perfoxmed by an employee of this cOJ!:!P~~~~~ENT
the reconnection I installation will be done in cor;npliance with manufaeYUin.~f!~~IVISION
requirements.
~~penYOfficer)
lil'~ S,../',,'(. ~
(print ~ame of Officer)
L~~ Y"'07
. (Date)
SI02