HomeMy WebLinkAbout0125876-HVAC (a/c)
G
OSHKOSH
ON THE WATER
Job Address 1616 HICKORY ST
CITY OF OSHKOSH
No
125876
HV AC PERMIT - APPLlCA lION AND RECORD
Owner RALPH M/CAROL DIBIASIO-SNYDER
Create Date 07/19/2007
Contractor ANDRESEN SHEET METAL
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate o As Per Plan C) Variable
Category 501 - Residential-Air Conditioning Plan
J Solar
J Solid
U Electric
o Replace
U Steam
LJ Suppl.
__ Direct Vent
n Other
U Vent
U AlC
[ J Con. Burner
C) Not Applicable
C) Not Applicable
. Other
U,./Natu," ISFR I INSTAll , TON AlC UPGRAOE, EIV SIGNEO BY SLIM'S ELECTRIC
of Work
I
Value
Value
-----1
I
Fees: Valuation $2,500.00
Issued By: ~Il~
Plan Approval
$0.00
Permit Fee Paid
$47.50
Date 07/19/2007
o Permit Voided I
Parcelld # 1512660000
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
Agent/Owner
Address
2913 WITZEL AVE
OSHKOSH
WI 54904 - 6539 Telephone Number (920) 233-032~_
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 Builcjing 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.
t1-gJ
RECEIVED
City of Oshkosh
Division ofJ.nspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
JUL 1 9 2007 ' ,
DEPARTMENT OF ,
COMMUNITY. DEVELOPMENT '.,
INSPECTION. SERVICE,S l?IVISION
,
raI\
.
~QlB
HV AC PERMIT APPLICATION \ \ · ," ..
All infonnation after bOld categories must be provided., .
Incomplete appUcatioas will not be processed.
. Applioation(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 workwitboutpermit(s) will result in fees beillg doubled or $100.00 plus the
normal permit fee, which ~ is greater.' " ' '
,OR . ";~;,,,;,,'1:.>, .
~;:: ::,~ ffJ~~;::~r:t~~~~::~ '::S:'1"~. A.~u,' 8'.'.....4 ..ill,it..,... f.;,d~"'l.cll...
DATE ../-1(/-07 '
OWNER
CHECK iii ALL APPLICABLE
U~GORY
~mgle Pamily [JDuplex CMulti-Family
CRental
FUEL
-~
~
COil
SYSTEM
OBleotric OSolid
CSolar
· t
t t
OCornmercial
. ~. .
Olndustrial
[]New
COther
~ce
TYPE' "
CJforcedAir ORadiant ..CSteBm"~ DVent. OBlectric
.
IS CHIMNEY BEING ~~ ~~~,' - L1NBR SIZEN A-
Note: AU chimneys shaJl be sized per the. BTU's beina veatec1.
~~ .~ =:B *,;~ ~/_ /J.-o
BTURATE,CAsPerPlan OVariable JaOtherValue ~ lVJY r<f'-
DESCIlIPTIONOJALLWORKBElNGDONE /Ie UtY~.!..
~.." ,
CHot Water OSupp1. Deon. Burner
&MANUFA~
j
/"
" ,
'.
VALY\'IlI{In "?~/V) .00
,UD ..1IlIlDI.......... ."D-:::~JPI~~ ~ ~
ELECl'RlCAL CO~croR ~M~), - .,'. - .
.0 For applioable projects, an Electric Installation Veri~ f~ sipe.d ,by thO BlectricalGootraqtor. must be
attached. If not attached ~ not applicable, a separate mectrical Pem\it.is requimd. '
0&
-".,0iI1IIII0lI\
Oi:w..,..........
I.PJ~"'-
JIO...UO
0iIIIIfIIIllIl we ......-
CBIt ......
.. .....
RE'CEIVED
JUL 1 9 2007
,
I
t. . ... ..
"~
, PJ:PARTMENT OF
COMMUNITY DEVELOPMENT
INSPEcrl:ON ,SERVICES DIVISION
i. ~.' .' I
l "
Electric IDStaIIatl.. VerUlcatlo.
I (We) SLIM'S ELECTRIC INC=
, (BIootrioaJ CoaIi_NIIIMt)
26Q~ OaJ5Ylood 9ircle ,Qshkosh WI", ;;". ~904:;~,
(A.cJc'bII) (aty), (8-) , " (ZIp Code) '.
have boeD ~.... to~ oleCtrie ............ Andreun She~'.Metal,
" "' '~ofl*lY""" to)
............. """'-' ~ I 4.-. /4;~ ....
(~__ wiD bopdlmlell)
H_
... r
" .
tile DIIhD of the WOJt COIIIIItIof: (CIIIck Oat or n.cribe the Nabn oIWodr.)
~ ~or..oircd"'~H"'''''''''''NC~.
_ 1locoImec1iaD or..ciIcuit fbrnp...... BIeoIrio Wilier HeIta' or..........
........ "tt
_ ~ot"Service""<*r4u..Box.""'.""""
... It.... .........to eldiDa/ IOftIt ~ No..: 'Now SeMce
..... CIbkI8 WUI...... .......penIIt.
_ ~or........~oIot1aer..I....Ywitod
........,...... " " '.
_ ~ ClIawIctw.. ......or NClO.".",..,..",..,o-ortl>>
..... ....... ill...... ........1...), inoI............ '
.....~ "" ' , .
00. '\", '
-
l 111
t.4 I
1''11.''
Tbo valuo oftbil work il $
125.00
..
1 h.-oby verily 1biI wort wiD.. ,.tbnne4 by. .....,..0I.........,...............uy
tbo~ '..... will be.......................... -..... oocIe
............ ," ' .
,.,",p@vidA.'Youngwir!th
(SipImIIe orc..,.y 0JB0er) (Priat*- ofOftlcer) (Dille)'
,.
,
.. ..--.- .. -..--.. ..........-............ ....
" ... -.. ................~ -. #-.
, .