HomeMy WebLinkAbout0125496-HVAC (a/c)
G
OSHKOSH
ON THE WATER
Job Address 140 W 16TH AVE
CITY OF OSHKOSH
No
125496
HVAC PERMIT -APPLICATION AND RECORD
Owner GEFFERS LLC
Create Date 06/25/2007
Contractor NAU HEATING AND COOLING LLC
Fuel U Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss D As Approved D Existing
BTU Rate D As Per Plan D Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric ~
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
UselNature COM\ New 1 1/2 ton AlC unit for upper rental unit. EIV attached.
of Work
Fees: Valuation $1,325.0tl
Issued By: 9f/C-
!
Plan Approval
$0.00
Permit Fee Paid
$31.00
Date 06/25/2007
o Permit Voided I
Parcel Id #
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 se any nec sary rov before starting such activity.
Signature
Date
7 Ids/o)
I . f
AgenVOwner
Address
1420 PHEASANT CREEK DR
OSHKOSH
WI 54904 -7452 Telephone Number (920) 231-6363
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
~
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 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 doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lfy'ou are a contractor participatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n '
DATE 6'~ ).J-- 07
JOBADDRESS ~ 1"/0 tv 16T~ Sf
'OWNER C e/l'ep Co".4rvC.J'I),fl
'CONTRACTOR /lh fA HR.q-l,) t
CHECK lt1 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
DRental
DCommercial
Dfudustrial .
FUEL
DGas
DOil
DElectric DSolid
DSolar
SYSTEM
mNew
DOther
DReplace
TYPE
DForced Air DRadiant DSteam PlAfC OVent o Electric OHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED ONo DYes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
tJChimney B
DExisting
OVariable
DDirect Vent DOther
ONot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~ J'ict II rl eev I t ~ A/(
.$ IJd-S. Ob
VALUE
ELECTRICAL CONTRACTOR Z:,AI!/I-1VV
por 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.
9/02
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
2 'MMr?1Z
(I et-frr C
(Electrical Contractor Name)
I<i~v J v-'v'
(5/1/1 /Jt>
(City)
wS
(State)
tV'?6 J
(Zip Code)
J~J 6-,
( Address)
have been contracted to perform electric installation work for UJ-' c;'C rr; l--J
(Name of party contracted to)
at the following address: / Y (J
Itl4
-
J)
(Address where Work will be performed)
The nature ofthe work consists of: (Check One or Describe the Nature ofW ork)
.~.
Reconnection or new circuit for replacement HeatingPlant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe 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 AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ y l>
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
require nts.
S' Ce> II 1<. Llfl/tfl\t r:Il,
,
(Print Name of Officer)
6'/1S-b7
(Date)
5/02