HomeMy WebLinkAbout2007-HVAC (a/c)
os!J
ON THE WATE~
Job Address t07 SUNNYBROOK DR
Contractor tNDRESEN SHEET METAL
Fuel I~ Gas I U Oil
I
rD New
I~ Forced Air
I
r U Electric
Chimney Type I 0 Chimney A
Heat Loss I (2 As Approved
BTU Rate I KJ As Per Plan
System
CITY OF OSHKOSH
HVAC PERMIT- APPl.ICATION AND RECORD
Owner
MARVIN D/BETTY J JACOBSON
Category 501 - Residential-Air Conditioning
U Solar
~
U Electric
~ Replace
U Steam
U Suppl.
~ AlC
LJ Con. Burner
U Radiant
U Hot Water
() Chimney B
. Direct Vent C) Not Applicable
C) Not Applicable I
. Other J
. Existing
() Variable
UsefNature FR /2-1/2 TON AlC UPGRADE, EIV SIGNED BY SECKAR ELECTRIC
of Work
Fees: Valuati n _---.!2,350.00
Issued By:
Plan Approval
$0.00
Permit Fee Paid
No 125875
Create Date 07/19/2007
Plan
D Permit Voided I
U Solid
D Other
U Vent
Value
Value
$46.00
Date 07/19/2007
Parcelld # 0614400300
In the perf?rmance 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) Jnd to secure any necessary approvals before starting such activity.
Signaturel
Agent/Owner
Address 2913 WITZEL AVE
Date
OSHKOSH
WI 54904 -6539 Telephone Number (920) 233-0323
--
To sched Ie inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspectio~ (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. ~nless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue i:f the inspection is not performed within two business days from the time the project is ready.
!
City of Oshkosh
Di~on. oflnspection Services
p .<?: ~x 1130 '
Oshkosh. WI 54903-1130
Ph~ (920) 236-5050 '
Fax 1(920) 236-5084
o
Il.U'()
REC'EIVEO I
COM~~~~;i~tMENT .
H,,~r:; ~l:ftMIT APPLICATION '\','..
All inform,atioll after bOld categories must be provided.. .
1ncomplctc applications 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,
bsbkOsh WI 54903-1128. Commencing work withoutpermit(s) will result i" fees beif)g doubled or $100.00 plus the
hortnal permit fee, whicb ~ is greater.' ' .'
I r.. .1'.'!..,. .
: ' , OR. ' , ' ,\ ,':" ,
fgt '::.r t~~:~::f,:~ :'':f:~~~.'':J:':,,~~ t::C:::'ffr .<I.~...t $y'/flla.tl &g..ailo'l"ate f..d"'~6.4 ht,.
I
I " , DATE 7 --/~-tJ7
10 AOOUSS 4q 7 .$A./A/I-.~K.
~~cr~R~4~VHJ 'c- ?~~Y MHo-(?
clex iii ALL APPLICABLE' ,
U.CABQORY
:tF: ~:.::pann~
COil OSolar '
I:lRental
, ,
t t
OCommerciat
. ~. .
OIndustrial
SYSTEM
CJNew
COtber
~laoe
; oreed Air' ORadiant' '..I;JSte8m . ~ CVent, OBlcctric CHot Water CSuppl. CCoD. Burner
IS~~G~~:" ".L\NI!R.~&MANUFACTURIlR.NII-
N~te: All chimneys shall be sized per the. BTU's being vented.
CAT:J: .~~8 ~~:.,.. ~I, /1
B RATE ' , DAs Per Plan OVariable OOber Value ,02- ~ rT~
ON OF ALL WORK BEING DONE k
d/J~~ -
~.... '...... ..... ......... ? ...................../..... .... ................. ........... ......... . ............ . ...... ............. ........ ....... ....... ... .' ...... ..:..
V~UK (JaeIudIDg~ber"''' ~';t...tllxlano)t6?$S() . ""
EtEcnuCALCO~CTOR ~Go~, ,-~'_.." ,.,
,0 For applicable projects. an Blectric InstaDation Veri~ ~ sianed ,by tho Bloctricat'Gootraqtor. must be
attached. !foot atta.ched~ not applicable. a separate Blectrical Pel'fl\it.ia required. '
/4
.
D
FR0I'1 : SECKAR ELECTR] C
JI..II'I07 aa Oa:49f11
FAX t~O. : 9202313950
~~hkD~h ~n$~~o~~on3
Jul. 12 2002 ng:54PM Pi
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c.l>iICtlI Wl ~4iOJ.l J;;O
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RECEIVED
JUL 1 9 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Electric Installation Verlfication
. I." fSFyr.fHf ~(.~yne: (y cb IlIBrJ6.
842..0 cou~Tide?i..ELUj1jV\t::re f2D. (!)Jl'{rJECOrJtJe WI
-(Add:relUi) (City) (State) {Zip Code)
have .t;um contrw::ted to perform electri~ installation work for It 1J D 't"-ESE IV &~ ffiffl\- '-
.at.'the... j,lI<>>>",S ad"..., 3tJ Z cf lAUN1 t~rp=i eon:'ed (0) .
< > (Address wh=e ark will be p~OImed)
Tht natw'e oftb.c work~OD.~ists of: (C"neck One or Descrlbe the Nature ofWot'k)
./ F.eco1ttlCQtiOtl.ofncw circuit forreplaeementHeatio.g ~lant and/or Ale Condel:l.set'.
- R.<<o%l.1l@Ol'l or new oUcdt for :cpl~em.en:t E1ec1rie Water Heat~ or power vent~d
water b.eat~.
....- R.ceom:.cctionof th~ Scr.;'Qe Etll.'tMce Cable. Meter Box. alte:'atiQns to T'eCflptucl$
lDlQ UghtinS fixt1.1,rO:s due to sidtnl5/ soffit installation. Now New Service
E.ntranc:! Cables will requ.Ue a separate permit.
R~eetiQ.'n or new ei.rcuit for the replacement of other permanently ",.,red
spplWlceiO I fuc.tu1'eS.
_ New oirwit fQr the addition of Ale to a:o individual d'..velIiHg '!.l1lil (hous~ or the
indiyidu~ aystems in Ii r:hl.plex or <:ondominium). induding required serv1.ce
elect...'ical outleU.
_ Other
III."
......---.---....-""- ..-...-...--.....
Tho vlUue.oit:us wcrk is S /2~' o() .
I hereby verifY this work will be petfcnned by an emplo~,.ee i)ffuis company and fuT'"Jler verify
tho mon:.1oenon ,I installation ",111 be done in compli<U1c~ wi':h ma:;.u:act'.1re!" 3..."1d Elec\ric:: cote
roqu.irtl~CIlt!l.
Ji~ r2 Sui;,"
(Si~ of Company Officer)
b \f\fJ G f2. ~~ {c A:f?-
(Print Name of Office:::)
(Date)
SAl~
,