HomeMy WebLinkAbout0126540-HVAC (furnaces; a/c)
o
OSHKOSH
ON THE WATER
Job Address 844 WISCONSIN ST
CITY OF OSHKOSH
No
126540
HVAC PERMIT -APPLICATION AND RECORD
Owner PAULA JEAN AVERKAMP
Create Date 08/27/2007
Contractor O'NEill ENTERPRISES INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type :C) Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
D Other
~ NC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature DUPLEX / REPLACING 2 FURNACES AND INSTALLING 1 NC UNIT FOR 2ND FLOOR, EIV SIGNED BY HUlLAR ELECTRIC
of Work
Fees: Valuation . $6,000.00
Issued By: C5%-
Plan Approval
$0.00
Permit Fee Paid
$100.00
Date 08/30/2007
D Permit Voided I
Parcelld # 0500980000
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
522 W 6TH AVE
OSHKOSH
WI 54902 -5916 Telephone Number 230-2007 (office)
---
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.
:::08/27/2007 10:39 FAX 19202302008
::: City of Oshkosh
Division of Inspection Services.
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ONEI~~ENrE~PRISES
141 0011001
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HV AC 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 $100.00 plus the
normal permit fee. which ever is .greater.
OR
I ou are a contractor artici alin in the Permit check here
ou want this rocessed throu h our account
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) fonn, signed by the Electrical
Contractor or Homeowner (for installations allowed to be pmonned by the homeowner) must be submitted
with the permit application. Applications submitted without an Eiv when such is required, will not be
processed for Permit Issuance and will be returned for completion.
:o;N~:70J;lL/~~
CONTRACTOR o'lJljJj EntJ;?.p1IXJtN
DATE
p, !J 'J. () '7-
CHECK It[ ALL APPLICABLE
USE CATEGORY
DSingle Family )if?uplex DMulti-Family
);(Rental
o Commercial
Olndustrial
FUEL
.~~
DElectric DSolid
o Solar
SYSTEM
ONew
OOther
~eplace
TYPE
~orced Air o Radiant DSteam ~C OVent o Electric o Hot" Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B "'$irect Vent DOther
HEAT LOSS DAs Approved ~xisting DNot Applicable
BTU RATE OAs Per Plan DVariable 'ij9Other Value 10 It... .90 k
I
DESCRIPTION I SCOPE OF ALL WORK BE~G DONE ~efl.4e.cA~ revd> WLHMo1 4--/
.::&r"hw7 -4- /lk Utr'l- r~;l.__ ~?'" F/ca-:R .
. VALUE (Including labor and materials) ~ ~ 0Cl:::' ~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) jltrl/4~ 6k~z.
07/07
Aug. 27. 2007 1: 27PM
inspectiQn services
No. 4626 P.l
~
CilY \lrosbk&.lll
Divi&ion or {n.<pIII;Iitm St:rvlccs
;m Cp.un;h ^,,"Ut
PO Box 1130
OiIIkosh WI 54903-1130
0tiiI1c 920-:il36-50S0
Fa.. 920-236-50&1
~
Electric Installation Verification
I (We)
I!vt //~r E/~~Jn(
(Electrical Contractor Name or Homeowner's Name)
i.{ 932-
(Address)
V 9'/l Jl:'7L c)~J. '4) L
(City)
lv--:r
(State)
t;YC?O (j
(Zip Code)
accept the responsibility to perfonn the electric work as stated below, at the following address:
ell,! ,
<qyu<- ~ I J (O(?.) 1 r)
(Address where work will be perfonned)
The nature of the work eonsists of: (Check One or Describe the Nature of Work)
~connection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Elcctric Water Heater or power vented
water heater.
Rcconn.cction 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 penclt.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their OWn
electric on a sing/efamily owner occupied home. Work on a condominium,
duplex, rental. or multi~use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ I -) cJ. 0.) .
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
~#
(Signature of Company Officer or Homeowner)
,/1,k /1 fir
(Print NliIJlc)
f? ~.< 0 - 0 ?
(Date)
07107