HomeMy WebLinkAbout0125272-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1027 ARTHUR AVE
Contractor THOMPSON HEATING AND COOLING S
CITY OF OSHKOSH
No
125272
HV AC PERMIT - APPLICATION AND RECORD
Owner JAMES E/MELlSSA M MCLAUGHLIN JR
Create Date 06/11/2007
Category 501 - Residential-Air Conditioning
Plan
~ Gas
~ New
U Forced Air
U Electric
Chimney Type D Chimney A
Heat Loss K:) As Approved
BTU Rate Os Per Plan
UOil
U Solar U Solid
D Other
~ NC U Vent
U Con. Burner
J
I
I
U Electric
D Replace
U Steam I
U Suppl. .-J
Fuel
System
~
U Radiant
[ J Hot Water
C) Chimney B
() Existing
() Variable
o Direct Vent
. Not Applicable
~
. Not Applicable
. Other
Value
Value
Use/Nature FR /INSTALL NEW NC SYSTEM, EIV SIGNED BY T RUCK ELECTRIC
of Work
I
J
Fees: Valuation $2,150.00
Issued By: ~ ff
Plan Approval
$0.00
Permit Fee Paid
$43.00
Date 06/11/2007
D Permit Voided I
Parcelld # 1607530000
In the performance of this work, I agree to perfor!l1 all work pursuant to rules governing the described construction.
While the City of Oshkos as no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per ap' Iication within an ease the City strongly urges the permit applicant to contact the easement
holder(s) and to s g,. any' ecessary ap' rov s be r starting such activity.
Signature
Date
~!Ij; )
Agent/Owner
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.
· . 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
If v'ou are a contractor participating in the Permit fee Account Svstem and have adequate funds. check here
i(vau want thisvracessed through your accaunt 0 DATE{;I II /07
~OB ADDRESS / t12 -; I-1-IZ .I;tIJ/Z ( I
OWNER ~~~~~~~
CONTRACTOR .. i 'O,J _ -' ~? Czv~
CHECK fa ALL APPLICABLE
USE CATEGORY
r1&ingle Family DD~plex o Multi-Family
DRental
o Commercial
DIndustrial .
FUEL
IJ8(Gas
DOil
OElectric DSolid
DSolar
SYSTEM
~ew
DOther
OReplace
TYPE ....1.
DForced Air DRadiant DSteam!f>J.!!C OVent DElectric
OHot Water qSuppL DCon. Burner
IS CHIMNEY BEING LINED ONo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
ODirect Vent DOther
ONot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE
'& $ 2/.g, fi)
ELECTRICALCONTRACTOR 'u~ ~~CL GIV
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required. .
VALUE
9/02
~
OJHKOJH
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
-t: ~LJC~ --rt~1t-,c(, \
(Electrical Contractor Name)
r'
~c;o I-J . -;>6LtJ ~ r.
(Address)
014-.
(City)
"-
~\S.~,
(State)
r</c;rj"?.-
(Zip Code)
have been contracted to perform electric installation work for ~
(Name of party contracted to
at the following address:
ltJ2.7 14a-~~. J4./e.
f , .
(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 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 I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required sen'ice
electrical outlets.
Other
The value of this work is $
/50" (r))
,
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
;'"i
~~ LI, err
(Date)
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