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
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VALUE ~ ,\ ;;;2lJSlJ
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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)