HomeMy WebLinkAbout0125315-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 211 HUDSON AVE
CITY OF OSHKOSH
No
125315
HVAC PERMIT - APPLICATION AND RECORD
Owner JEFFREY D PATT
Create Date 06/11/2007
Contractor SHEET METAL SERVICES
Fuel I~ Gas I J Oil
System o New
U Forced Air U Radiant
U Electric I I Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss () As Approved C) Existing
BTU Rate () As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
o Replace
U Steam
U Suppl.
C) Direct Vent
J Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature ~FR I Install new ale on existing furnace. EIV provided by A-Masters Electric.
of Work
Fees: Valuation
$2,579.00
~
Plan Approval
$0.00
Permit Fee Paid
$49.00
Issued By:
Date 06/12/2007
o Permit Voided I
Parcelld # 0402780000
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 permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
W482 BUTTERCUP CT
BERLIN
WI 54923 - 0
Telephone Number 920-290-2359
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 of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOJH
"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 br~ught to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doub'ed or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
If v'ou are a contractor participating in th.e Permit fee Account Svstem and have adequate funds. check here
if yOU want this "processed through vour account n .
DATE
{,-7-07
JOB ADDRESS 1... , t H vDS ON
. OWNER ,:) t FF PnTi
. "CONTRACfOR S /fe;:r ;-?J EY7z- ~ t:J'Zvf { t::5
CHECK fa ALL APPLICABLE
usE CATEGORY
~ingle Family DDuplex OMulti-Family
~ental
DCommercial
OIndustrial '
FUEL
t2f6as
DOil
DElectric DSolid
DSolar
SYSTEM
.ew
bOther
DReplace
TYPE
~ced Air DRadiant DSteam .9(AlC DVent OElectric OHot Water QSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes -LINERSIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CJiIMNEY TYPE
HEAT LOSS
BTU RATE
DChirnney A
DAs Approved
DAs Per Plan
t1Cbinmey B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
I rt.&'frrLfJfnl)''';
/J-/ fL
OM S- "8 e",14r4rC
RE " "\} 0
/l/ t;-v...l
(dtvlJ i I/d II/'l:m-
JUN 11 Z007
VALUE
$
L'2. 71.(}O + '.500.<10 G/'1 ..0
ci{c}'il I( ttt. '/C>f'It-L.
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ELECTRICAL CONTRACTO~SPECfJON SERVICES DIVISION
o For appliCable projects, an Electric lnstallation Venficatipn form, signed by 'theJ:~:lectrical Contractor, must be
attached. If not attached or not appli9~bte, a separate Electrical Permit is required.
9/02
JUN-08-2007 10:59 AM A-MASTERS ELECTRIC
1 920 685 5098
P.01
Jun 07 07 04:10p
Chad NybBck
920 361 7672
p.1
~
~
ell)' a' ClIlIlcoJb
!)jvitia:1 Dt!nqecllloD 8ervllle.
1]5 CII_b A_
. PO a. 1130
OItJeD." WI S490S-1UD
01101 '~o.:lo:l"
hit 92lJ.Z30.'0I4
Electric InstaJlation Veritication
I (We)
1-1 - I'/I1S7 (;' fl:; 1l..t"Cr~1 L L lL
(Electrical Contractor Name)
7q,., B'~'bW'"
(Address)
p..~
6 ,.., (LC
(City)
u.j:
(State)
.s LJ 9 (;.'7
(Zip Code)
have beeD contractGd to perform electric installation -work for S 1h:1'''' /11 rh1t- S t=1J<.i,a tirL..
(Name of party contncted to)
'J.,.II #';;:,5;.'111.'
(Addrese whete work will be performed.)
The nature of the work consists of (Check One or Describe the NatUre ofWOtk)
at the following address:
Reconnection or new circuit for replac:ement Heating Plant and/or Ale Condenser.
R.econaection or new cin:uit for replacement Elec1ric Water Heater or power vented
water heater.
Reconnection of the Service .entraxK:c Cabl~ Meter Box, alterations &0 receptacles
and lighting fixtures due to siding I soffit installation. Notc: New Service
Entrance Cables wiU require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
f\I . appliances / fixtu.Ms.
~ New cin:uit for the addition of NC to an t1ldWidwal rlweUing wnft (house or the
individual lyster:0.8 in a duplex or cODdominium). including required se&'Vi.ce
electrical outlets.
. _ Other
, JtJN 11 2007
The value of this work is $ .3 OC:> . . DEPARTMENT OF
~OMMUNITY DEVELO M
I hereby verifY this work will be perfonned by an cmployeJ~~eefiltiany~)g~ :f~fy
the rec:onDection I installation will be done in compliance with manufacturer BOd ~Icode
requirements.
!"} .I"YJ'
hCf/'c>"" II kU -k(j
(Print Name of Officer)
~/U7
(D te)
3102