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Home My WebLink About0125927-HVAC (c/a handler) o OSHKOSH ON THE WATER Job Address 220 N MAIN ST CITY OF OSHKOSH No 125927 HV AC PERMIT - APPLICATION AND RECORD Owner THOMAS N RUSCH ETAL Create Date 07/23/2007 Contractor CUSTOM HEATING & COOLING Category 501 - Residential-Air Conditioning Plan ~ I ~ U Steam _J ~ AlC U Suppl. -- l U Con. Burn~ TI Dire.c:.L~-_ . ~()t]\ppl~able_-.J ___=--=-- . Not App[lCabJe------~ Value ---~er :=J Value U Solar J U Solid D Other ~Vent Heat Loss U Gas QNew OFOrced Air U Radiant .J U Electric U--'i~~"__J o Chimney A __~~--.O Chimney B D~As Approved () Existing 0:: As Per Plan () Variable UOiI [,{j Electric D Replace Fuel System Chimney Type BTU Rate Use/Nature COMM / ADD 5 TON CENTRAL AIR HANDLER, EIV SIGNED BY HOEHNE ELECTRIC of Work I J Fees: Valuation $7,200.00 Issued By: ~'">< '-" Plan Approval $0.00 Permit Fee Paid $118.00 Date 07/23/2007 D Permit Voided i Parcelld # 0200020000 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 1503 SOUTH MAIN STREET OSHKOSH WI 54902 - 0 Telephone Number (920) 235-7263 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 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 doubled or $100.00 plus the normal permit fee, which ever is greater. OR l(vou are a contractor Darticivatinf! in the Permit fee Account System and have adequate funds, check here i(you wont thi, prO~d throa~h ypar accoa?t 0 DATE y~ OWNER CONTRACTOR CHECK [?J ALL APPLICABLE USE CATEGORY OSingle Family ODuplex DMu1ti-Family ORental ~mmercia1 o Industrial FUEL DGas DOi1 ~ectric DSolid o Solar SYSTEM DNew DOther DReplace TYPE DForced Air ORadiant DSteam ~C DVent DElectric DHot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED DNo DYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. & MANUF ACTIJRER CHIMNEY TYPE HEAT LOSS BTURATE DChimney A DAs Approved DAs Per Plan DChimney B DExisting DVariable DDirect Vent o Other DNot Applicable DOther Value D=P~ORKBEINGDONE ,Ae:lcC 6~ e~~ eft) VALUE .~ .~~ ELECTRICAL CONTRACTOR . ~ ./ ~. o For applicable projects, an Elec 'c . stallation Verification form, signed by the Electrical Contractor, must be attached. Ifnot attached or not applicable, a separate Electrical Permit is required. 9/02 J ~ OJI-KOfH ON THE W^TfR City of Oshkosh Division ofInspection SelVices 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 I (We) Electric Installation Verification qU g~' (Electrical Contractor NaIll-e) ~..~ (Address) (State) ~ip Code) a~* -, , (Name of party contracted to ~~ - ,;L) /It(~' 3.. (Address where work will be performed) (City) have been contracted to perform electric installation work for at the following address: The nature of the work consists of: (Check One or Describe the Nature of Work) ~f9c) u4 0- t;;-- C~ The value of this work is $ I~tf() t:rl> Reconnection or new circuit 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 I soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances I 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 r W~ --G ~ 9~ I' ~ 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. j? .., ~. [(/I[+;: s /; 1, . k/l.Q (print Name of Officer)