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HomeMy WebLinkAbout0125502-HVAC (a/c) e 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 $100.00 plus the normal permit fee, which ever is greater. OR Ifv.ou are a contractor particiDating in the Permit fee Account Svstem and have adequate funds. check here if vou wont this processed throu.h your occount n DATE ~/ ~~ 7 /2 f-# ~ . .. . OWNER . i^-6 <;;l ~ ~ CHECK fa ALL APPLICABLE ~ CATEGORY ~ingle Family DDuplex DMulti-Family DRental o Commercial DIndustrial . FUEL ~as DOil DElectric OSolid o Solar SYSTEM ~ew DOther OReplace TYPE DForced Air ORadiant OSteam ~AlC DVent OElectric DHot Water DSuppl. DCon. Burner IS CHIJ.\1NEY BEING LINED ~o DYes. - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTIJRER cIiIMNEY TYPE DChimney A dChimney B ODirect Vent DOther HEAT LOSS DAs Approved OExisting DNot Applicable BTU RATE DAs Per Plan OVariable DOther Value DESCRIPTION OF ALL WORK BEING DONE 40D #/~ VALUE ELECTRICAL CONTRACTOr ;;?u~. - o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicab~e, a separate Electrical Permit is required. 2r1o m .$ . " 6.DY 0".1 ,').: 9/02 ~ 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 I (We) ~ 6<,. ,ei: ''ELi-cf-ntG ) ~C (Electrical Contractor Name) ... ~qo /.A) r "3 ayO )i-. d-~ 14- , k ),~U . - 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) ?~D? / 5/02