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HomeMy WebLinkAbout0126171-HVAC (furnace) G OSHKOSH ON THE WATER Job Address 6 FUGLEBERG TRL CITY OF OSHKOSH No 126171 HVAC PERMIT - APPLICATION AND RECORD Owner ELIZABETH L OVERTON Create Date 08/08/2007 Contractor CUSTOM HEATING & COOLING Fuel ~ Gas UOil System o New ~ Forced Air U Radiant U Electric U Hot Water Chimney Type ~) Chimney A C) Chimney B Heat Loss K:) As Approved C) Existing BTU Rate D As Per Plan C) Variable Category 500 - Residential-Heating & Ventilating Plan U Electric o Replace U Steam U Suppl. . Direct Vent U Solar U Solid o Other U AlC U Vent U Con. Burner D Not Applicable I J l . Not Applicable . Other Use/Nature SFR / REPLACE FURNACE, EIV SIGNED BY MY ELECTRIC of Work Value Value 60,000 Fees: Valuation $3,050.00 Issued By: ~s:.. 'o"J Plan Approval $0.00 Permit Fee Paid $56.50 Date 08/08/2007 o Permit Voided I Parcelld # 1401070700 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 AgenUOwner 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 (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. 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 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 without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I ou are a contractor artici atin in the Permit ee Account S stem and have ade if vou want this processed through vour account n , ~~ JOB ADDRESS {O -7'~' _ _ _ OWNER ~. tJ ~. CONTRACfOR .~.... W -.' unds check here DATE RECEIVED AUG 0 8 2007 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION CHECK iii ALL APPLICABLE USE CATEGORY ')gsingle Family DDuplex DMulti-Family o Rental o Commercial o IndustrIa.1 FUEL ~as DOil DElectric DSolid DSolar SYSTEM DNew DOther ~eplace TYPE ~orced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCon. Burner IS CHIMNEY BEING LINED DNo DYes - LINER SIZE""--- & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE HEAT LOSS BTU RATE DChirnney A DAs Approved DAs Per Plan DChirnney B DExisting DVariable 'hDirect Vent DOther DNot Applicable DOther Value DESCRIPTION OF ALL WORK BEING DONE K?e~ I 0{j~ ,/ /' /J'TC/ ~ / .., "'c. '..' ' ...,.... . ....".. ....., ? VALUE ~ ,\ ;;;2lJSlJ . - ~AL/ ~ ELECTRICALCONTRACTOR ... /- tl Ft. o For applicable projects, an lee: "-:tallation Verification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. 4.5~.SD 9/02 Eric Y oungbauer (print Name of Officer) August 8. 2007 (Date) ~ 07H<otB ON THE W^TE 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 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 (Name of party contracted to) at the following address: 6 Fugleberg Tr. (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) X-- 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 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. Eric Y oungbauer (print Name of Officer) August 8. 2007 (Date)