HomeMy WebLinkAbout0125323-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 2120 OREGON ST
CITY OF OSHKOSH
No
125323
HV AC PERMIT - APPLICATION AND RECORD
Owner MR/MRS ROBERT T LYON
Create Date 06/13/2007
Contractor THOMPSON HEATING AND COOLING S
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electri.c U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Direct Vent () Not Applicable
() Not Applicable Value
. Other
Value
60,000
Use/Nature SFR / Repalce furnace & a/c. Install 3" chimney liner. EIV provided by T Ruck Electric.
of Work
Fees: Valuation
$5,125.00
(hnx::;
Plan Approval
$0.00
Permit Fee Paid
$88.00
Issued By:
Date 06/13/2007
o Permit Voided I
Parcel Id # 1402180000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permi ppl" ation within an ease the City strongly urges the permit applicant to contact the easement
holder(s) and to se r cessary ap oval ef e starting such activity.
Date
&,/;'S/v 7
Signature
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
~
OfHKOfH
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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lfv'ou are a contractor participatine in the Permit fee Account System and have adequate funds. check here
if you want this processed throuf?h your account n .
DATE4~/s//tf 7
JOB ADDRESS 2/2LJ OJt&-C-;C)/U
. OWNER;!5j13 ~?)A-"
.CONTRACfOR 7#Ar fMAJ d7771 ^-V ~ ~OU"--<j
CHECK Ia ALL APPLICABLE
~~ CATEGORY
~ingle Family DDuplex
o Multi-Family
DRental
o Commercial
DIndustrial '
FUEL
~Gas
DOi1
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
4eplace
TYPE
~orcedAir DRadiant DSteam ~C DVent DElectric DHotWater DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo dfYes - LINER SIZE ~ (( & MANUFACTURER
Note: All chimneys shall be sized per the irtj,s being vented.
CHIMNEY TYPE DChimney A dChimney B pQDirect Vent DOther
HEAT LOSS ~As Approved DExisting DNot Applicab,~
BTU RATE DAs Per Plan o Variable ,p(.Other Value ~. I1D
DESCRIPTION OF ALL WORK BEING DONE L??~ ;:;;/L.~ I /4rJo /f1c:L
/
VALUE .$ 5/zs: jI?J
ELECTRICAL CONTRACTOR 2d.. G2'~~
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.
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9/02
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~
OJHKOJH
ON THE \VAER
City of Oshkosh
Division oflnspection Ser;ices
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Vedfication
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have been contracted to perform electric installation work lor 7 no 1l'IR,'i6'^> , -i'r~<h ..J<r
(Name 0 party contracted to)
at the following address: 2> rzO 001:<( (\ ~ ~cf-, cz.o
(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.
RecoTInection 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 / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
ReCoID1ection or ne'N circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an indiVidual dwelling unit (house or the
individual systems in a duplex or condominilL'I11), including required selV'icc
electrical outlets.
Other
The value of this work is $ ~" ,,/L:)
I hereby verify this work will be performed by an employee of this company and further verit~(
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
1lMif5C2
tUfe of Company Officer)
~jn ~cJ!.
(Print Name of Officer)
4? -)3 ..o?
----;--
(Date)