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Home My WebLink About0126172-HVAC (furnaces) o OSHKOSH ON THE WATER Job Address 436 W 14TH AVE CITY OF OSHKOSH No 126172 HVAC PERMIT -APPLICATION AND RECORD Owner MARY J OVERTON ETAL Create Date 08/08/2007 Contractor CUSTOM HEATING & COOLING Fuel ~ Gas UOil System D New ~ Forced Air U Radiant l I Electric U Hot Water Chimney Type () Chimney A C) Chimney B Heat Loss Ie) As Approved () Existing BTU Rate [) As Per Plan () Variable Category 500 - Residential-Heating & Ventilating Plan U Solar U Solid D Other U NC U Vent U Con. Burner () Not Applicable U Electric o Replace U Steam U Suppl. . Direct Vent . Not Applicable . Other Value Value UselNature DUPLEX I REPLACE 2 FURNACES AND INSTALL 3" CHIMNEY LINER, EIV SIGNED BY MY ELECTRIC of Work Fees: Valuation Issued By: W15l- \.../ $5,600.00 Plan Approval $0.00 Permit Fee Paid $94.00 Date 08/08/2007 D Permit Voided I Parcelld # 0907170000 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 S MAIN ST OSHKOSH WI 54902 - 6911 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 Nu'mber. Unless specified othe~ise, 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 of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax. (920) 236-5084 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 withoutpermit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR [ ou are a contractor artici atin in the Permit ee Account S stem and have ad if yOU want thisvrocessed throuf?h your account n tLJ ./;?# unds check here OWNER RECEIVED CHECK Ii1 ALL APPLICABLE USE CATEGORY OSingle Family ~uplex OMulti-Family AUG 08 2007 DEPARTIVIENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION o Rental o Commercial o Industrial FUEL ~as DOil DElectric DSolid o Solar SYSTEM DNew o Other ~eplace TYPE ~orced Air o Radiant OSteam DNC OVent OElectric DRot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED DNo DYes - LINER SIZ~& -.3 & MANUFACTIJRER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE DChimney A DChimney B i5Direct Vent o Other HEAT LOSS DAs Approved DExisting DNot Applicable BTU RATE DAs Per Plan DVariable DOther Value nESC~RK~nONE~~ ~ / VALUE .$ ~tJC) c-o ELECTRICAL CONTRACTOR )f j/ ~~-4 - o For applicable projects, an E(ectric Installation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. q X()(!J 9/02 ~ ~ City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box. 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 &~. i~"+ ~ \ \~ ~~ l!::} ~ '" Electric Installation Verification I (We) MY Electric Corp. (Electrical Contractor Name) 1512 Rugby St. (Address) Oshkosh (City) WI (State) 54902 (Zip Code) have been contracted to perform electric installation work for Custom Heating ~ameofpartycontractedto) at the following address: 436 W. 14th Ave. (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) L- Reconnection or new circuit for replacement Heating Plant and/or NC 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 NC 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 $299.00 I hereby verify this work will be performed by an employee of this company and further verify the reconnection I installation will be done in compliance with manufacturer and Electric code requirements. & ~EriCYOungbauer (Signature ompany fficer) (print Name of Officer) August 8. 2007 (Date)