HomeMy WebLinkAbout0125558-HVAC (a/c)
G
OSHKOSH
ON THE WATER
Job Address 122 E NEW YORK AVE
CITY OF OSHKOSH
No
125558
HV AC PERMIT - APPLICATION AND RECORD
Owner DIANA POPE
Create Date 06/08/2007
Contractor VALENTINE HEATING & COOLING
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type r:l. Chimney A () Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate Ie) As Per Plan --D Variable
Category 501 - Residential-Air Conditioning Plan
U Solar U Solid
o Other
~ NC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
C) Direct Vent
. Not Applicable
. Other
Use/Nature SFR / INSTALL 2 TON NC UNIT, EIV SIGNED BY STUMPF ELECTRIC
of Work
Value
Value
Foes, V"U.t;~ $I ,500.00
Issued By: 6
Plan Approval
$0.00
Permit Fee Paid
$32.50
Date 06/28/2007
o Permit Voided I
Parcelld # 1506660000
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
AgentlOwner
Address W2027 INDUSTRIAL DR
KAUKAUNA
WI 54130 -7517 Telephone Number (920) 788-5369
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.
Dec. 14. 2006 9:41AM
inspection services
No. 0327 P. 4
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Qsbkosb. Wl54903-1130
}Jbone (920) 236-5050
,Fax (920) 236.5084
DEPARTMENT OF
COMMUNITY DEVELOPMENT
HV AC PERMRP~lLteAmlONIVISION
All information after bold categories must be provided.
Inc:omplete applications will not be proeessed.
RECEIVED .~
JUN 082007 . ~
OJfKQ7f3
ON THE WATER
· Application(s) and fee(s) can be br9Ught 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 doubJed or $IOQ.oo plus the
nonnal permit fee, which ever is greater. .
OR
!LYOll are a contractor "JZrticilJatint in the Permit fee Account SV$tem and have. adequate funds. check here
if veil want this 'proce:ued throU1dr \lour account n '
~OBADDRESS-!~'C E lliJlliI1ro~. ~
:'::cro~~~ ;~:,~~ ~ .
DATE 6>. 5' -01
CHECK fa ALL APPLICABLE
, USE CATEGORY
~ingle Family DDuplex ClMulti-FamHy
ORental
OCommercial
DIndustrial .
Fm;L
~as
D~il
DEleetric DSoIid
DSolar
SYST:tM
DNew
DOth~
ORep1ace
{l'JPE
PforcedAir
ORadiant DSteam ONC DVent DElectric
DHot Water qSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LlNER, SIZE
Note; All chimneys shalt be sized per the Bni's being vtnred. -
&. MANUFACTURER_
CHIMNEY TYPE
:BEAT LOSS
nro RATE
[JCbimney A
OAs Approved
OAs Per Plan
[]Chinmey B
OExisting
OVa..-iable
ODirect Vent (JOther
DNot Applicable
OOther Value
D. ESCRlPTION OLL WO~fING DONE_
. ' (b 9.-T ~ i- ~
- ..
[\ t \\ \ i:..~ o..\.
~
. \ .
C::H 'Q J
'. ~
VALUE . _ Ll,~.
ELECI'RlCALCOM'RACfOR_ ~h< ~f? tl""-.i~~ ~ ·
o For applicable projects, an Blectric Installation erification Conn, signed by the Eleotrioal Contractor, Must be
attached If not attached or not applicab~e, a separate Electrical Pennit is required.
~ . 8CJ
-lJUL ~\. ~
9/02
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OJHI<OIH
REC
IVEO
ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54902.1 130
Office 920-236-5050
Fax 920-236-5084'
JUN 0 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Electric Installation Verification
(1) (We)
~(NYnf f E(e.c1---rlG
(Electrical Contractor Name)
(;;-::"~:j- Z- ~~~ Ex ~~~~J ~~iP ~~I3--
have been contracted to perform electric installation work for \.&V ~ (1,t IU",. t+ea.--L.' "2s ,Lvc.-
(Name of party contracted to)
at the following address: LJ " Ju A \ d?- ~ Ne.u.> l{~ t:.. ~
(Address where work wE 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/~ c~=~
Reconnection or new circuit for replacement Electric Water Hea~~ _
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 other permanently wired appliances / fixtures.
Other
The value of this work is $ '\::; \ oe..
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
requirements.
%~IM:J ~~Ji "
(Signature of Company Officer)
~~U~Q ~1~Jy\~l
(Print Name of Officer)
Lo~~-O/_
(Date)