HomeMy WebLinkAbout0125502-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 542 W 12TH AVE
CITY OF OSHKOSH
No
125502
HVAC PERMIT - APPLICATION AND RECORD
Owner PATRICIA L FRIDAY
Create Date 06/25/2007
Contractor THOMPSON HEATING AND COOLING S
Fuel l!::J Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A C) Chimney B
Heat Loss () As Approved () Existing
BTU Rate o As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
. Not Applicable
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature SFR /Install AlC unit. EIV provided by T Ruck Electric.
of Work
Fees: Valuation $2,000.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$40.00
Date 06/25/2007
D Permit Voided I
Parcel Id # 1300580000
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 R it a plication within an e ment, the City strongly urges the permit applicant to contact the easement
holder(s) an secu y necess a. ov before starting such activity. . L /
Signature ~ Date /;/Z.s:-l!!....7
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 (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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
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 permit(s) will result in fees being doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifv.ou are a contractor particiDating in the Permit fee Account Svstem and have adequate funds. check here
if vou wont this processed throu.h your occount n DATE ~/ ~~ 7
/2 f-# ~
. ..
. OWNER
. i^-6 <;;l ~ ~
CHECK fa ALL APPLICABLE
~ CATEGORY
~ingle Family DDuplex
DMulti-Family
DRental
o Commercial
DIndustrial .
FUEL
~as
DOil
DElectric OSolid
o Solar
SYSTEM
~ew
DOther
OReplace
TYPE
DForced Air ORadiant OSteam ~AlC DVent OElectric DHot Water DSuppl. DCon. Burner
IS CHIJ.\1NEY BEING LINED ~o DYes. - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTIJRER
cIiIMNEY TYPE DChimney A dChimney B ODirect Vent DOther
HEAT LOSS DAs Approved OExisting DNot Applicable
BTU RATE DAs Per Plan OVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE 40D #/~
VALUE
ELECTRICAL CONTRACTOr ;;?u~. -
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 WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1\30
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
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~ 6<,. ,ei: ''ELi-cf-ntG ) ~C
(Electrical Contractor Name) ...
~qo /.A) r "3 ayO )i-.
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The nature of the work consists of: (Check One or Describe the Nature of Work)
./ Reconnection or new circnit 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 / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of NC to anindividual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ ~. IV
.
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requi ments.
. ~{l114-S cKCk--C
(rint ame of Officer)
~0~
(Date)
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5/02