HomeMy WebLinkAbout0126387-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1851 DOTY ST
CITY OF OSHKOSH
No
126387
HV AC PERMIT - APPLICATION AND RECORD
Owner DON UJOYCE J THURWATCHER REVTR
Create Date 08/21/2007
Contractor THOMPSON HEATING AND COOLING S
Fuel ~ Gas ~ UOil ~
System o New
~ Forced Air U Radiant
U_E_~ctric ~ U Hot Water
Chimney Type ITChimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate O__As Per Plan () Variable
Category ~J3esidential-Heating & Ventilating
U Electric I U Solar ~
o Replace
~eam I
OSUPpl. ~
Plan
~
I
~
I
__--1
U AlC ~
U Con. Burner I
. Direct Vent ~ Not Applicable
C) Not Applicable
. Othe~__
Use/Nature SFR / REPLACE 60,000 BTU FURNACE, EIV SIGNED BY T RUCK ELECTRIC
of Work
I
~
Value
Value
60,000
-------1
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i
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Fees: Valuation $1,550.00
Issued By: :3m~
Plan Approval ~______ $0.00
Permit Fee Paid
$34.00
Date 08/21/2007
o Permit Voided I
Parcelld # 1401630000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh s no authority to enforce sement restrictions of which it is not a party, if you perform the work
described in this pe Ication within an ease ,e City strongly urges the permit applicant to contact the easement
holder(s) and t v .is b e starting such activity.
Signature
J/z/ ,h?
Date
Address
901 OTTER
OSHKOSH
WI 54901 - 0
Telephone Number 920-426-3095
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ofIIl$pection 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 doub~ed or $100.00 plus the
normal permit fee, which ever is greater.
OR
If y'ou are a contractor Darticipatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed throuf!h your account n . ..
DATE <:f/Z/ /CJ7
JOB ADDRESS If'$! ?my
'OWNER /:x;N . r;/u;g{J./J.r:1~
'CONTRACTOR 17/tJM,/~/V ~{;4 r / ^-"J
CHECK fa ALL APPLICABLE
ll~E CATEGORY
m'single Family DDuplex o Multi-Family
DRental
o Commercial
DIndustrial '.
FUEL
~as
DOi!
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~Replace
~~edAir DRadiant DSteam DNC DVent DElectric OHotWater DSuppl. . DCon. Burner
IS CHIMNEY BEING LINED IMNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized peiilie BTU's being vented.
CBIMNEYTYPE DChimney A tJChimneyB aIDirectVent DOther
HEAT LOSS DAs Approved lRExisting DNot Applicabl~
BTU RATE DAs Per Plan DVariable ~Other Value CdC'/ tIT?J
. v4 /
DESCRIPTION OF ALL WORK BEING DO~-5-""P (A4-t ..I!?" t:; ~ -!S
.{.tjltJ IS . ~ IA_ '.
---'
VALUE
.t/m. ro
ELECTRICAL CONTRACTOR BI/
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02
City of Oshkosh
Division of Inspection Services
215 Chw.ch Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
~CZJ7:~-IrrM' .*.
(Electrical Contractor Name) IV
42Qc), vJ _ "3'cf{D
(Address)
01i'n
(City)
(D) ~
(State)
oLf:10Z-
iZ. ~, '\
\ Ip COGe,
at the following address:
IF'S"; .~ ~
(Address whe e work will be performed)
The nature of the \vorlc consists of: (Check One or Describe the Nature of Work)
~ecOnnectiOll or new circuit for replacement Heating Plant and/or AlC Condenser
RecOlmection or new circuit for replacement Electric Water Heateror power vented
water heater.
Recoilllection of the Service Entrance Cable, Meter Box, alterations to recepTacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entra.l1ce Cables will require a separate pennit.
Reconnection or ne'llv' circuit lor the replacement of other permanently
appliances / fixtures.
Nevv circuit for the addition of AlC to an individual dweliing unit (house or
individual systems in a duplex or condominim11), including required ser;/icc
electrical ouHets.
Other
The value of this work is $
I hereb.y verify this work win be performed by an employee of this company and further verify
the recormection / installation will be done in compliance with manufacturer and Electric code
requirements.
jJ
(Signa
;zr '7/ , 67
(Date)